MODERN MANAGEMENT AND PATHOPHYSIOLOGY OF RANULA: LITERATURE REVIEW

被引：88

作者：

Harrison, John D. ^{[1
,2
,3
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机构：

[1] Guys Hosp, Kings Coll London Dent Inst, Dept Oral Pathol, London SE1 9RT, England

[2] Kings Coll Hosp, Kings Coll London Dent Inst, Dept Oral Pathol, London, England

[3] St Thomas Hosp, Dept Oral Pathol, Kings Coll London Dent Inst, London, England

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2010年 / 32卷 / 10期

关键词：

ranula; extravasation mucocele; sublingual gland; submandibular gland; salivary gland disease; SUBLINGUAL SALIVARY-GLANDS; PEDIATRIC PLUNGING RANULA; MYLOHYOID MUSCLE; CERVICAL RANULA; SURGICAL-MANAGEMENT; INTRACYSTIC INJECTION; SUBMANDIBULAR DUCT; BOTULINUM TOXIN; IMPLANT-SURGERY; ORAL RANULA;

D O I：

10.1002/hed.21326

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background. There is a lack of consensus about the appropriate treatment of ranula. The objective of the present investigation was to produce a scientific basis for treatment. Methods. A review of the relevant literature is interpreted in the light of improved knowledge about the local anatomy and the pathophysiology of the salivary glands. Results. The oral and plunging ranulas are cystic extravasation mucoceles that arise from the sublingual gland and usually from a torn duct of Rivinus. The sublingual gland is a spontaneous secretor and the salivary flow is resistant to obstruction, which is caused by fibrosis induced by the extravasation. The submandibular gland is not a spontaneous secretor, is less resistant, and does not give rise to ranulas. Conclusions. Effective treatment is removal of the involved unit of the sublingual gland or inducing sufficient fibrosis to seal the leak through which the mucus extravasates. (C) 2010 Wiley Periodicals, Inc. Head Neck 32: 1310-1320, 2010

引用

页码：1310 / 1320

页数：11

共 101 条

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