Rerouting Wharton’s duct - a surgical remedy for intraoral excision of ranula
Journal Title: The Journal of Medical Research - Year 2018, Vol 4, Issue 1
Abstract
Ranula is an extravasation pseudocyst that occurs due to trauma or blockage of sublingual glands. The treatment is controversial varying from surgical excision to intralesional sclerotherapy. In this article, the authors have discussed about a case of plunging ranula which was excised intraorally by rerouting Wharton’s duct. A 26 years old female presented with a neck and oral swelling to outpatient department. Her fine needle cytology and CT scan were suggestive of a plunging ranula on left side. Because of her cosmetic concerns, intraoral excision of ranula was planned, after duly obtaining consent for the risk of Wharton’s duct and lingual nerve injury. Intraoperatively, the cyst was encasing both Wharton’s duct hindering further dissection. So, posterior rerouting of Wharton’s duct was carried out on both sides. This step helped not only in preserving the ductal integrity but also facilitated easy identification of lingual nerve and sublingual glands. The whole cyst was removed along with the sublingual glands. Postoperative functions of lingual nerve were intact. The authors have discussed about the advantages of rerouting the duct in this procedure along with literature review.
Authors and Affiliations
Prasanna Kumar Saravanam, Vinoth Manimaran, Preethi Umamaheswaran
Keywords
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- EP ID EP521848
- DOI 10.31254/jmr.2018.4101
- Views 104
- Downloads 0
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