Browse > Article

A Submandibular Gland Mucocele Extending to the Skull Base  

Kim, Il-Kyu (Department of Oral and Maxillofacial Surgery, Dentistry, College of Medicine, Inha University)
Yang, Jung-Eun (Department of Oral and Maxillofacial Surgery, Dentistry, College of Medicine, Inha University)
Chang, Jae-Won (Department of Oral and Maxillofacial Surgery, Dentistry, College of Medicine, Inha University)
Ju, Sang-Hyun (Department of Oral and Maxillofacial Surgery, Dentistry, College of Medicine, Inha University)
Pyun, Young-Hun (Department of Oral and Maxillofacial Surgery, Dentistry, College of Medicine, Inha University)
Kim, Lucia (Department of Oral and Maxillofacial Surgery, Pathology, College of Medicine, Inha University)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.33, no.2, 2011 , pp. 180-184 More about this Journal
Abstract
The mucocele is a mucus extravasation cyst arising from the salivary gland. Although it is a common?lesion of the minor salivary gland, it is uncommon when it originated from the submandibular gland. The ranula is a form of mucocele which specifically occurs in the floor of the mouth and the sublingual gland is generally accepted as the origin of ranula. They can be classified into two types based on extent: simple ranula are confined to the sublingual space and plunging ranula extend into the adjacent space. It is difficult to differentiate the submandibular gland mucocele from the plunging ranula because both of them can occupy the submandibular space. A 37-year old male visited our clinic with the chief complaint of left facial swelling. The patient's history revealed that he had suffered from a cystic lesion on the left side of the floor of the mouth 10 months previously. He supposed the cystic lesion had come from trauma at other dental clinics. Using CT and MRI, we diagnosed a simple ranula on the sublingual space and a submandibular gland mucocele. We then excised the mucocele with the submandibular gland by an extraoral approach and the sublingual gland by an intraoral approach under general anesthesia. We report a rare case of an enormous submandibular gland mucocele which extended into the pterygoid plate and parapharyngeal space with good surgical results.
Keywords
Submandibular gland mucocele; Plunging ranula; Submandibular gland; Sublingual gland;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Roediger WE, Lloyd P, Lawson HH. Mucous extravasation theory as a cause of plunging ranulas. Br J Surg 1973;60: 720-2.   DOI   ScienceOn
2 Iida S, Kogo M, Tominaga G, Matsuya T. Plunging ranula as a complication of intraoral removal of a submandibular sialolith. Br J Oral Maxillofac Surg 2001;39:214-6.   DOI   ScienceOn
3 Bhaskar SN, Bolden TE, Weinmann JP. Experimental obstructive adenitis in the mouse. J Dent Res 1956;35:852-62.   DOI   ScienceOn
4 Standish SM, Shafer WG. The mucus retention phenomenon. J Oral Surg Anesth Hosp Dent Serv 1959;17:15-22.
5 Harrison JD, Garrett JR. Experimental salivary mucoceles in cat. A histochemical study. J Oral Pathol 1975;4:297-306.   DOI
6 Robinson L, Hjorting-Hansen E. Pathologic changes associated with mucous retention cysts of minor salivary glands. Oral Surg Oral Med Oral Pathol 1964;18:191-205.   DOI   ScienceOn
7 Stranc MF, Skoracki R. A complication of submandibular intubation in a panfacial fracture patient. J Craniomaxillofac Surg 2001;29:174-6.   DOI   ScienceOn
8 Cholankeril JV, Scioscia PA. Post-traumatic sialoceles and mucoceles of the salivary glands. Clin Imaging 1993;17:41-5.   DOI   ScienceOn
9 Clyburn VL 3rd, Smith JE, Rumboldt T, Matheus MG, Day TA. Ascending and plunging ranula in a pediatric patient. Otolaryngol Head Neck Surg 2009;140;948-9.   DOI
10 Anavi Y, Kaplan I, Calderon S. Lateral neck mass. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:536-9.   DOI   ScienceOn
11 Ozturk K, Yaman H, Arbag H, Koroglu D, Toy H. Submandibular gland mucocele: report of two cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;100:732-5.   DOI   ScienceOn
12 Hughes WG, Houston GD, Savage MG. Slow-growing midline submental mass. J Oral Maxillofac Surg 1999;57:61-5.   DOI   ScienceOn
13 Anastassov GE, Haiavy J, Solodnik P, Lee H, Lumerman H. Submandibular gland mucocele: diagnosis and management. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 90:404-5.   DOI
14 Surkin M, Remsen K, Lawson W, Som P, Biller HF. A mucocele of the submandibular gland. Arch Otolaryngol 1985; 111:623-5.   DOI
15 Van der Goten A, Hermans R, Smet MH, Baert AL. Submandibular gland mucocele of the extravasation type. Report of two cases. Pediatr Radiol 1995;25:366-8.   DOI   ScienceOn