Database : MEDLINE
Search on : Ranula [Words]
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[PMID]: 29330593
[Au] Autor:Kokong D; Iduh A; Chukwu I; Mugu J; Nuhu S; Augustine S
[Ad] Address:Department of Oto-Rhinolaryngology- Head & Neck Surgery, College of Medicine, University of Jos & Jos University Teaching Hospital, PMB 2076, Jos, Plateau state, Nigeria. dankokong@yahoo.com.
[Ti] Title:The Pathophysiological Basis and Surgical Management of Ranula are Established: Reply.
[So] Source:World J Surg;42(4):1210-1211, 2018 Apr.
[Is] ISSN:1432-2323
[Cp] Country of publication:United States
[La] Language:eng
[Pt] Publication type:LETTER
[Em] Entry month:1801
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[St] Status:In-Data-Review
[do] DOI:10.1007/s00268-017-4403-y

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[PMID]: 28741194
[Au] Autor:Harrison JD
[Ad] Address:Division of Mucosal and Salivary Biology, King's College London Dental Institute at Guy's, King's College and St Thomas' Hospitals, London, England. john.harrison@kcl.ac.uk.
[Ti] Title:The Pathophysiological Basis and Surgical Management of Ranula are Established.
[So] Source:World J Surg;42(4):1208-1209, 2018 Apr.
[Is] ISSN:1432-2323
[Cp] Country of publication:United States
[La] Language:eng
[Pt] Publication type:LETTER
[Em] Entry month:1707
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[St] Status:In-Data-Review
[do] DOI:10.1007/s00268-017-4148-7

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[PMID]: 29338892
[Au] Autor:Zhao Q; Li M; Lai R; Wang S
[Ad] Address:Department of Oral Surgery, The First Affiliated Hospital of Jinan University, Guangzhou 510632, China.
[Ti] Title:Treatment of intraoral ranulas with a two-incision fistula technique: the management of recurrence.
[So] Source:Br J Oral Maxillofac Surg;56(2):129-133, 2018 Feb.
[Is] ISSN:1532-1940
[Cp] Country of publication:Scotland
[La] Language:eng
[Ab] Abstract:The two-incision fistula technique for the treatment of oral ranulas has recently been introduced to clinical practice. We reviewed 52 patients who had recurrences after this treatment, and explored the possible causes and underlying mechanisms. A total of 13/53 ranulas had recurred, so we repeated the operation, and one patient had the ranula and the sublingual gland resected. We found that the thin mucous membrane cracked at the double incisions, which led to the formation of a fistula and promoted the drainage of cystic fluid. The results indicated that the recurrence of ranulas after the two-incision fistula technique can be reduced further. To avoid recurrence, the technique should be adjusted slightly, depending on the type of ranula present.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180212
[Lr] Last revision date:180212
[St] Status:In-Data-Review

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[PMID]: 29231036
[Au] Autor:Sousa Melo SL; Lanzel E; Pagedar NA; Alhazmi D; Dahmoush L; Policeni BA; Campos MS
[Ad] Address:1 Department of Oral Pathology, Radiology and Medicine,College of Dentistry, The University of Iowa , Iowa City, IA , USA.
[Ti] Title:Mucoepidermoid carcinoma mimicking a mucocele (ranula) in the floor of the mouth.
[So] Source:Dentomaxillofac Radiol;:20170331, 2018 Jan 10.
[Is] ISSN:0250-832X
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:Mucoepidermoid carcinoma (MEC) is the most common salivary gland malignancy. The submandibular gland is rarely involved, about less than 10% of all other major salivary glands. We report a case of a 49-year-old female who presented with a mass on the left side of the floor of the mouth. She was complaining of neck pain for the last 2-3 days and had noticed the mass growing in size and becoming tender to palpation. There was no exacerbation of pain during eating, drinking, or opening of mouth. A multidetector CT scan was made. The radiographic examination revealed a mostly well-defined hypodense area suggestive of mucocele (ranula), which was thought to be corroborated by the clinical findings. The treatment of choice was the complete excision of the mucocele and the left submandibular salivary gland. The histopathological examination surprisingly revealed a low-grade MEC. No further treatment was recommended; however, a follow up was scheduled in 4 months. This atypical location of MEC in the floor of the mouth simulated the clinical and radiographic features of a mucocele. This case highlights the value and importance of using all the available diagnostic tools and modalities for optimal patient management, as the histopathological analysis played an important role to confirm the diagnosis.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1712
[Cu] Class update date: 180124
[Lr] Last revision date:180124
[St] Status:Publisher
[do] DOI:10.1259/dmfr.20170331

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[PMID]: 29266658
[Au] Autor:Lomas J; Chandran D; Whitfield BCS
[Ad] Address:Department of Otolaryngology and Head and Neck Surgery, Logan Hospital, Logan City, Queensland, Australia.
[Ti] Title:Surgical management of plunging ranulas: a 10-year case series in South East Queensland.
[So] Source:ANZ J Surg;, 2017 Dec 21.
[Is] ISSN:1445-2197
[Cp] Country of publication:Australia
[La] Language:eng
[Ab] Abstract:BACKGROUND: Plunging ranulas are rare mucous extravasation pseudocysts that arise in the floor of the mouth and pass into the submandibular space of the neck. The aim of this study was to investigate the diagnosis, surgical management and outcomes of patients with a plunging ranula at our institution in South East Queensland over a 10-year period. METHODS: A retrospective analysis of adult patients diagnosed with and treated for plunging ranula between 2006 and 2016 at Logan Hospital was conducted. Patient demographics, preoperative investigations, surgical management and post-operative outcomes were collected from medical records. RESULTS: A total of 18 adult patients were treated for plunging ranula. Of the 18 cases, 17 were treated via transoral excision of the sublingual gland. The mean age at presentation was 28.8 years with a 3:1 female to male predominance. Fifty-six percent of patients were of Polynesian descent. The success rate was 94% with only one patient experiencing recurrence and requiring re-excision of remnant sublingual gland tissue. Three patients (17%) developed complications related to post-operative bleeding. There was a slight predominance for right-sided disease (56%) compared with left and one case of bilateral plunging ranulas in this series. CONCLUSION: This study demonstrates that excision of the sublingual gland is an effective and safe treatment for plunging ranula. The majority of plunging ranulas occur in patients aged <30 years with a higher incidence in patients of Polynesian heritage, which is consistent with previous studies suggesting a possible underlying genetic predisposition for this condition.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1712
[Cu] Class update date: 171221
[Lr] Last revision date:171221
[St] Status:Publisher
[do] DOI:10.1111/ans.14356

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[PMID]: 29183011
[Au] Autor:Carey RM; Hodnett BL; Rassekh CH; Weinstein GS
[Ad] Address:Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, PA, USA.
[Ti] Title:Transoral Robotic Surgery with Sialendoscopy for a Plunging Ranula.
[So] Source:ORL J Otorhinolaryngol Relat Spec;79(6):306-313, 2017 Nov 29.
[Is] ISSN:1423-0275
[Cp] Country of publication:Switzerland
[La] Language:eng
[Ab] Abstract:BACKGROUND/AIMS: Plunging ranulas are oral mucoceles that often cannot be visualized directly and thus can be challenging to diagnose and differentiate from other neck lesions. Surgery is the preferred treatment option, but the optimal approach requires careful consideration. METHODS: We report the case of a plunging ranula presenting as an isolated neck mass in a 33-year-old patient. This patient was treated with a novel transoral robotic surgery (TORS)-assisted approach aided by sialendoscopy. RESULTS: TORS allowed for exceptional visualization and access to the plunging ranula and sublingual gland while avoiding critical neurovascular structures. The patient healed well without recurrence or complications. CONCLUSION: The TORS approach with sialendoscopy for plunging ranulas described in this case report shows promise and should be considered for certain clinical presentations. Additional studies evaluating the effectiveness of TORS for plunging ranulas may be indicated.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171128
[Lr] Last revision date:171128
[St] Status:Publisher
[do] DOI:10.1159/000481536

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[PMID]: 29038633
[Au] Autor:Bansal S; Verma DK; Goyal S; Rai M
[Ad] Address:Department of Oral and Maxillofacial Surgery, Surendera Dental College and Research Institute, Sri Ganganagar, Rajasthan 335001 India.
[Ti] Title:Comparison of Micromarsupialization and Modified Micromarsupialization for the Management of Mucocoele of Lower Lip: A Prospective Randomized Clinical Trial.
[So] Source:J Maxillofac Oral Surg;16(4):491-496, 2017 Dec.
[Is] ISSN:0972-8279
[Cp] Country of publication:India
[La] Language:eng
[Ab] Abstract:BACKGROUND: This study was undertaken to compare micromarsupialization and modified micromarsupialization for the management of mucoceles. MATERIALS AND METHODS: A prospective randomized clinical study was done on thirty patients having mucocele on lower lip. In Group A ( = 15), micromarsupialization and in Group B ( = 15), modified micromarsupialization technique was used. The outcome variables were duration of surgery, intraoperative pain, postoperative pain, healing and recurrence. test and values were used to compare the age, duration of lesion, duration of treatment and time taken for healing. The results were expressed as mean with SD. Statistical significance was established at the  ≤ 0.05 level. Analysis of pain (intraoperative, on 3rd, 7th day), intraoperative bleeding and recurrence was done using Fischer's exact test ( = 0.875, NS). RESULTS: The average duration of treatment for Group A was 4.10 ± 0.39 min and for Group B was 5.33 ± 0.2 min. The difference was found to be statistically highly significant ( value ≤0.000). The observed power was 1.000. The difference in the intraoperative and postoperative pain on 3rd and 7th day was not found to be significant as per Fischer's exact test. The mean time taken for healing of the surgical site in Group A was 7.47 ± 0.64 days and in Group B was 9.87 ± 1.88 days, and the difference was found to be highly significant. The observed power was 0.995. CONCLUSIONS: Modified micromarsupialization appears to be a safe technique for the management of mucoceles. However, in comparison with micromarsupialization, it has a higher operating and healing time.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1710
[Cu] Class update date: 171022
[Lr] Last revision date:171022
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.1007/s12663-017-1004-0

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[PMID]: 29023300
[Au] Autor:Turri-Zanoni M; Battaglia P; Castelnuovo P
[Ad] Address:Unit of Otorhinolaryngology, Department of Biotechnology and Life Sciences (DBSV), University of Insubria, Azienda Ospedaliero-Universitaria Ospedale di Circolo e Fondazione Macchi, Varese, Italy.
[Ti] Title:Thyroglossal Duct Cyst at the Base of Tongue: The Emerging Role of Transoral Endoscopic-Assisted Surgery.
[So] Source:J Craniofac Surg;, 2017 Oct 11.
[Is] ISSN:1536-3732
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Cystic lesions involving the tongue base are rare, generally presenting in pediatric patients, and they may encompass different pathologies such as ranula, lingual ectopic thyroid, thyroglossal duct cyst (TDC), dysontogenetic cysts, benign, and malignant tumors.This paper describes the case of a 19-year-old girl with phonation impairment and mild dysphagia due to limited tongue protrusion and movements. Radiologic examinations revealed a bulky cystic lesion at the base of tongue with displacement of extrinsic lingual muscles. A minimally invasive transoral removal of the mass was performed under the assistance of the endoscopic system. The histopathologic analysis confirmed the diagnosis of intralingual TDC. After 2 years of clinical and radiologic follow-up, no recurrence of disease was observed and the patient is completely asymptomatic.The present experience suggests that the endoscopic-assisted transoral removal of intralingual TDC can be proposed as a safe and effective procedure, alternative to traditional transcervical surgery as well as to transoral robotic surgery, leading to very appealing cosmetic results and encouraging functional outcomes in terms of phonation and swallowing. Preoperative radiologic examinations should be performed for an accurate diagnosis and appropriate selection of patients.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1710
[Cu] Class update date: 171012
[Lr] Last revision date:171012
[St] Status:Publisher
[do] DOI:10.1097/SCS.0000000000004009

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[PMID]: 28974881
[Au] Autor:Pant N; Verma AK; Khan TR; Wakhlu A
[Ad] Address:Department of Paediatric Surgery, King Georges Medical University, Lucknow, Uttar Pradesh, India.
[Ti] Title:Ectopic Salivary Gland Cyst in the Neck: Association with Congenital Plunging Ranula.
[So] Source:J Indian Assoc Pediatr Surg;22(4):251-253, 2017 Oct-Dec.
[Is] ISSN:0971-9261
[Cp] Country of publication:India
[La] Language:eng
[Ab] Abstract:Congenital ranula is rare. We report a large, symptomatic, congenital plunging ranula associated with a salivary gland cyst in the neck. To the best of our knowledge, this is the first such reported case. Even though both the cysts had their origin from the sublingual gland, only the cervical cyst had a capsular covering. Herniation of a part of the immature sublingual gland anlage through a congenital mylohyoid defect, its separation, and subsequent maturation could explain this occurrence.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1710
[Cu] Class update date: 171008
[Lr] Last revision date:171008
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.4103/jiaps.JIAPS_260_16

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[PMID]: 28964279
[Au] Autor:Means C; Aldape MA; King E
[Ad] Address:Department of Otolaryngology/Head and Neck Surgery, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, PV01, Portland, OR 97239, United States. Electronic address: caseymeans@gmail.com.
[Ti] Title:Pediatric primary Sjögren syndrome presenting with bilateral ranulas: A case report and systematic review of the literature.
[So] Source:Int J Pediatr Otorhinolaryngol;101:11-19, 2017 Oct.
[Is] ISSN:1872-8464
[Cp] Country of publication:Ireland
[La] Language:eng
[Ab] Abstract:CONTEXT: Primary Sjögren syndrome is uncommon in children, and the standard clinical criteria used in diagnosis of adult Sjögren syndrome will miss many children with the disease. Floor of mouth ranulas have not been described in Sjögren syndrome. OBJECTIVE: This study aims to describe a novel presentation of juvenile primary Sjögren syndrome, and to present a comprehensive systematic review of the literature regarding the presentation and diagnosis of Sjögren syndrome in children. DATA SOURCES: Ovid MEDLINE. STUDY SELECTION: A MEDLINE literature search was performed using the following search terms: primary, Sjögren, disease, and children. Results were limited to human subjects and articles written in English between 1981 and 2014. Applicable articles were reviewed and qualitatively summarized. DATA EXTRACTION: Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PRIMA). RESULTS: Initial MEDLINE search yielded 146 articles, 80 of which were excluded as not clinically pertaining to Sjögren syndrome. An additional 25 were excluded due to lack of pediatric-specific data. Systematic review of the literature revealed no reports of ranula in association with Sjögren syndrome. 6 papers were manually included from review of reference lists of included articles. Our review indicated that recurrent parotitis is the most commonly reported presenting symptom in children, followed by ocular and oral symptoms, musculoskeletal, and renal symptoms. Compared to adults, children are less likely to present with dry eyes and mouth. LIMITATIONS: All studies were retrospective chart reviews, case series or case reports. CONCLUSION: This is the first report of a child presenting with floor of mouth ranulas in association with Sjögren syndrome. While recurrent parotitis is the most common presentation in children, other salivary gland and extra-salivary manifestations may be seen, and the clinician must maintain a high index of suspicion for underlying Sjögren syndrome.
[Mh] MeSH terms primary: Ranula/etiology
Salivary Gland Diseases/etiology
Salivary Glands/pathology
Sjogren´s Syndrome/diagnosis
[Mh] MeSH terms secundary: Adolescent
Child
Child, Preschool
Humans
Magnetic Resonance Imaging
Male
Tomography, X-Ray Computed
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Entry month:1710
[Cu] Class update date: 171023
[Lr] Last revision date:171023
[Js] Journal subset:IM
[Da] Date of entry for processing:171002
[St] Status:MEDLINE


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