The plunging ranula: diagnostic difficulties and a less invasive approach to treatment

O’Connor, Ralph; McGurk, Mark

doi:10.1016/j.ijom.2013.03.019

Cited by 48 publications

(69 citation statements)

References 21 publications

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“…13,14 Plunging ranulas, extravasations of saliva from the sublingual glands, 15 arise when an oral ranula extends beyond the floor of the mouth into the neck. 16 Diagnosis is difficult even with modern imaging techniques such as ultrasound, computed tomography, and magnetic resonance imaging, 17,18 as they mimic other lesions in the neck. 16 We propose an algorithm to simplify investigation that has a low threshold for fine-needle aspiration.…”

Section: Discussionmentioning

confidence: 99%

“…16 Diagnosis is difficult even with modern imaging techniques such as ultrasound, computed tomography, and magnetic resonance imaging, 17,18 as they mimic other lesions in the neck. 16 We propose an algorithm to simplify investigation that has a low threshold for fine-needle aspiration. 16 The presence of amylase in the aspirated fluids is an important aid to the differential diagnosis, 7 as is the presence of mucus that resembles egg white.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Modified L-shaped surgical approach to excision of the sublingual gland

Guo¹,

Ji²,

Hai³

et al. 2015

British Journal of Oral and Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Modified L-shaped surgical approach to excision of the sublingual gland

Guo¹,

Ji²,

Hai³

et al. 2015

British Journal of Oral and Maxillofacial Surgery

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“…Various authors have described imaging methods that can help in making the final diagnosis. A near unanimity of authors consider US the first choice among all available imaging resources in the detection of diseases of the salivary glands [5,7,[20][21][22][23][24][25][26]. However, the majority of the scholars only refer to its indications, advantages and disadvantages in relation to other imaging examinations.…”

Section: Discussionmentioning

confidence: 99%

Contribution of Ultrasonography to the Diagnosis of Submucosal and Subcutaneous Nodular Lesions of the Oral and Maxillofacial Region: Analysis of Cases

Martins

Salum

Cherubini

et al. 2014

J. Maxillofac. Oral Surg.

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Objective The aim of this study was to evaluate the contribution of ultrasonography in the establishment of the diagnosis of nonspecific nodular lesions of the oral soft tissues. We determined the indication of use and reliability of ultrasonography in the field of dentistry, considering whether it was of value in the conclusive diagnosis of these pathologies. Materials and Methods We recruited 65 patients from the Oral Medicine Unit of São Lucas Hospital, who had submucosal and subcutaneous nodules, without established diagnosis. They were subjected to ultrasonography of the lesion, carried out with standardization of the protocol and equipment, utilizing a Doppler system. The ultrasonographic report was prepared by an experienced professional, noting the imaging characteristics as well as the possibility of diagnosis. Two calibrated examiners analyzed the data, comparing the ultrasonographic report with the final diagnosis. Accordingly, we used established scoring, where zero corresponded to no contribution to the final diagnosis, 1 helped in the management of the case, and 2 when imaging determined the diagnosis. Results A zero score was obtained for 12.3 % of the examinations performed, and 1 and 2 accounted for respectively 41.5 and 46.1 %, totaling a contribution of about 88 %. Ultrasonography was of value in the diagnosis of vascular lesions in 93.3 % and of neoplasms in 87.5 %. In the salivary gland diseases, it contributed to the final diagnosis in 75 %. Conclusion The results demonstrated that ultrasonography is an effective tool in the determination of the definitive diagnosis of nonspecific nodular lesions of the soft tissues of the oral and maxillofacial region.

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“…11 O diagnóstico é difícil, mesmo com modernas técnicas de imagem, pois elas imitam outras lesões no pescoço. 12 O diagnóstico baseia -se numa anamnese completa e no exame físico, tendo a imagem como adjuvante. 7 As rânulas são geralmente tratadas cirurgicamente.…”

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