• Maxillofacial Plastic and Reconstructive Surgery
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• v.30 no.6
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• pp.589-592
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• 2008

Running title: A plunging ranula extended into parapharyngeal space Ranulas are lesion of sublingual gland origin, which occur in the floor of the mouth. Most ranulas, whether simple or plunging, are pseudocysts without and epithelial lining and ranulas have higher levels of salivary amylase and protein content. They can be classified into two types based on their extent: simple ranulas, confined to the sublingual space and plunging ranula which extend into adjacent spaces. Plunging ranula requires differential diagnosis with other lesions (neuroma, monomorphic adenoma, hemangioma, lipoma, dermoid cyst, lateral cervical cyst). The patient was diagnosed as plunging ranula. We experienced 17 years old male, visited to our department, who complain Rt. cervical swelling and in MRI view, this lesion involved sublingual, submadibular, parapharyngeal, skull base. We experienced a rare case of plunging ranula, extended into parapharyngeal space. We report the case.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.33 no.5
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• pp.543-547
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• 2007

The plunging ranula is a kind of ranula that goes over the mouth floor to the neck and other adjacent tissue. Sublingual gland is gently accepted as origin of plunging ranula. Plunging ranula develops commonly because of rupture of sublingual gland duct by trauma and extravasation of salivary secretion to the adjacent tissue. It is not true cyst so that there is no epithelium. And it consisted with thin connective tissue, inflammation cell infiltration and salivary secretion. Left without treatment, it can grow into the 10 cm more huge lesion. This report is a case of 73 years old female who was diagnosed as plunging ranula with review of literature. She presented 5 cm submandibular swelling at first. When surgery was delayed because of patient's condition, the lesion grew into the l2cm huge size. We performed excision of sublingual gland, submandibular gland and plunging ranula and had a good result without recurrence.

• Korean Journal of Head & Neck Oncology
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• v.12 no.1
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• pp.65-68
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• 1996

The incidence of plunging ranula has been reported as about 10% of all ranula cases. Treatment consists of wide surgical excision or marsupialization. However, it seldom provides a satisfactory result and various modalities of treatment have been proposed in addition to surgical extirpation. We reported our experience using intralesional OK-432 sclerotherapy for a case of plunging ranula in 20 year-old male patient. The OK-432 solution was prepared by dissolving 0.1 KE in 2ml of physiologic saline and was instilled in the same amount of the aspirated cystic fluid. Following two instillations, the lesion completely disappeared. The side effects were mild fever for 3 days and a mild local induration for several days. At present, 9 months after instillation, no recurrence was observed. OK-432 sclerotherapy appears to be simple, safe and effective method for the treatment of plunging ranula.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.23 no.4
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• pp.361-365
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• 2001

Whereas oral ranula is relatively common and presents as a cyst in the mouth, the plunging ranula is rare and manifests itself as a mass in the neck with or without an associated oral lesion. When there is a soft anterior neck swelling without oral swelling, diagnosis is still difficult. In such a case, clinical suspicion may be low and the pathologist may be misled by the histologic appearance. Recognition of the diagnosis of plunging ranula is essential for the correct treatment of these lesions. We report a case of a 4-year-old girl and review the literatures to discuss the differential diagnosis and treatment modalities.

• Korean Journal of Head & Neck Oncology
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• v.18 no.1
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• pp.84-86
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• 2002

Plunging ranula is occured in about 10% of all ranula cases although surgery is the first choice therapy. However, frequent recurrences of the disease due to insufficient surgery have been reported, and various therapies have been designed in addition to surgery. We here report a case on whom we conducted intralesional injection of OK-432 for recurrent plunging ranula. A 36-year-old man was admitted who had a 2-months history of swelling of right submandibular area. He had been operated for right plunging ranula twice, 7 years ago. Under fluoroscopic guidance, contents of the ranula were aspirated and OK-432 solution was injected twice with 3-week interval. Examination after 6 weeks showed that the cystic ranula seen before therapy had disappeared completely and no recurrence was encountered after 18months. Therefore the intralesional injection of OK-432 is effective method for treatment of the plunging ranula.

• Journal of the Korean Society for Aeronautical & Space Sciences
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• v.34 no.3
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• pp.6-13
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• 2006

Aerodynamic characteristics for two-dimensional cyclic motion profile of flapping airfoil in low Reynolds number flows are investigated. Plunging motion and lead-lag motion in the two dimensional space with different plunging and lead-lag amplitudes are combined to cyclic motion profile and the flow around the airfoil is simulated. Present result shows that the improved aerodynamic efficiencies for a given flapping airfoil by adding periodic lead-lag motion of airfoil rather than the pure plunging case. The thrust coefficient and lift coefficient are compared with each cycle during the flapping period and aerodynamic characteristics are obtained on upstroke motion and downstroke motion.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.20 no.3
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• pp.241-245
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• 1998

The plunging ranula or cervical ranula is amucous extravasation cyst of the sublingual gland. It is slightly common in females, shows no side preference, and is more prevalent in the second and third decades of life. It typically manifests as a painless, nonmobile swelling in the neck. The pathogenesis of plunging ranula is the discontinuities of the mylohyoid muscle in a position that would allow extravasation of sublingual gland mucin. The histologic appearance is characteristically of a cyst, devoid of epithelium or endothelium, with a vascular fibro-connective tissue wall containing some chronic inflammatory cells and macrophages stuffed with mucin. The correct diagnosis is essential for the most effective treatment, which is exicision of the sublingual gland. The plunging ranula must be differentiated clinically and histomorphologically from thyroglossal duct cyst, dermoid cyst, branchogenic cyst, lymphangioma, laryngocele, lipoma, hemangioma, cervial thymic cyst, cysts of the parathyroid or thyroid gland, lymphadenopathy, abscess, or tumor. We report a case and review the literatures, in our case, 23-year old man were diagnosis as plunging ranula after have been taken sialogam, MRI, etc. He underwent surgery via a cervical approach. The ranula reached the anterior neck by passing through a dehiscence in the mylohyoid muscle. A pseudocyst was extirpated. Although total sublingual gland excision was not performed, no recurrence was observed during 6 months follow-up periods.

• International Journal of Aeronautical and Space Sciences
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• v.14 no.3
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• pp.201-209
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• 2013

Much numerical and experimental research has been done for the flow around an oscillating airfoil. The main research topics are vortex shedding, dynamic stall phenomenon, MAV's lift and thrust generation. Until now, researches mainly have been concentrated on analyzing the wake flow for the variation of frequency and amplitude at a low angle of attack. In this study, wake structures and acoustic wave propagation characteristics were studied for a plunging airfoil at high angle of attack. The governing equations are the Navier-Stokes equation with LES turbulence model. OHOC (Optimized High-Order Compact) scheme and 4th order Runge-Kutta method were used. The Mach number is 0.3, the Reynolds number is, and the angle of attack is from $20^{\circ}$ to $50^{\circ}$. The plunging frequency and the amplitude are from 0.05 to 0.15, and from 0.1 to 0.2, respectively. Due to the high resolution numerical method, wake vortex shedding and pressure wave propagation process, as well as the propagation characteristics of acoustic waves can be simulated. The results of frequency analysis show that the flow has the mixed characteristics of the forced plunging frequency and the vortex shedding frequency at high angle of attack.

• Korean Journal of Head & Neck Oncology
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• v.39 no.1
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• pp.49-52
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• 2023

Sublingual resection is known as the most effective treatment of choice to prevent recurrence in patients with plunging ranula. In this case report, we present our experience with a 37 year-old man with prolonged upper neck mass diagnosed as plunging ranula. He had persisting mass lesion even after 4 times of sclerotherapy. Due to fibrotic change the pseudocyst could not be drained after removing the sublingual gland. To resolve the mass lesion, ultrasonography guided transoral drainage was performed. Intraoperative ultrasonography may be useful for transoral drainage of plunging ranula difficult to approach after sublingual resection.

• International Journal of Naval Architecture and Ocean Engineering
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• v.9 no.4
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• pp.439-445
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• 2017

Plunging breaker slamming pressures on vertical or sloping sea dikes are one of the most severe and dangerous loads that sea dike structures can suffer. Many studies have investigated the impact forces caused by breaking waves for maritime structures including sea dikes and most predictions of the breaker forces are based on empirical or semi-empirical formulae calibrated from laboratory experiments. However, the wave breaking mechanism is complex and more research efforts are still needed to improve the accuracy in predicting breaker forces. This study proposes a semi-empirical formula, which is based on impulse-momentum relation, to calculate the slamming pressure due to plunging wave breaking on a sloping sea dike. Compared with some measured slamming pressure data in two literature, the calculation results by the new formula show reasonable agreements. Also, by analysing probability distribution function of wave heights, the proposed formula can be converted into a probabilistic expression form for convenience only.