Ranula: Plunging, Cyst, And Surgery

Ranula: Plunging, Cyst, And Surgery

Write a short note on plunging ranula.

Answer. When the ranula extends in the submandibular region through the deeper part of the posterior margin of the mylohyoid muscle, it is known as the plunging ranula.

• Plunging Ranula is an intraoral ranula with cervical extension.
• Plunging Ranula  is cross-fluor across mylohyoid.
• Plunging Ranula  can arise from both the submandibular and sublingual salivary gland as mucus retention cyst that reaches the neck by passing across the mylohyoid muscle presenting as soft, fluctuant, non-tender, dumbbell-shaped swelling in the submandibular region.
• Plunging Ranula  is digitally palpable.
• Ultrasonography and/or MRI is diagnostic.
• Plunging Ranula is treated by surgical excision through the neck approach along with excision of submandibular and sublingual salivary glands.
• Small plunging ranula is often excised orally along with excision of the sublingual salivary gland.