Ductal variation of the sublingual gland: A predisposing factor for ranula formation

被引:17
作者
Mun, Sue Jean [1 ]
Choi, Hyo Geun [1 ]
Kim, Heejin [2 ]
Park, Joo Hyun [2 ]
Jung, Young Ho [1 ]
Sung, Myung-Whun [2 ]
Kim, Kwang Hyun [2 ]
机构
[1] Seoul Natl Univ, Boramae Hosp, Dept Otolaryngol Head & Neck Surg, Seoul 156707, South Korea
[2] Seoul Natl Univ, Coll Med, Dept Otolaryngol Head & Neck Surg, Seoul 156707, South Korea
来源
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2014年 / 36卷 / 04期
关键词
ranula; sublingual gland; salivary ducts; Bartholin's duct; anatomic variation; PLUNGING RANULA; INTRACYSTIC INJECTION; CERVICAL RANULA; SALIVARY-GLANDS; MANAGEMENT; MUCOCELE; OK-432; DIAGNOSIS;
D O I
10.1002/hed.23324
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
BackgroundThe purpose of this study was to evaluate ranula development according to anatomic variation of the sublingual gland (SLG). MethodsWe conducted a prospective, consecutive case series considering other clinical conditions. Twenty-five cases treated by SLG excision were enrolled in this study. The ductal structures of the SLGs of another 11 patients undergoing similar surgeries for other conditions were compared. ResultsIn 19 of a total of 25 ranulas (76.0%) and 16 of 18 oral nonplunging ranulas (88.9%), the SLG showed an anatomic variation of the main duct called Bartholin's duct structure. Meanwhile, only 3 of 7 plunging ranulas (42.9%) had Bartholin's ducts. Bartholin's duct structure of the SLG was not found in the 11 control cases. ConclusionAnatomic variation of the ductal system of the SLG might be a possible cause of ranulas. Surgical resection of the SLG is a better treatment choice for ranulas than other, more conservative treatments. (c) 2013 Wiley Periodicals, Inc. Head Neck36: 540-544, 2014
引用
收藏
页码:540 / 544
页数:5
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