Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

A Submandibular Gland Mucocele Extending to the Skull Base

두개저까지 확장된 악하선 점액류

  • 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)
  • 김일규 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 양정은 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 장재원 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 주상현 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 편영훈 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 김루시아 (인하대학교 의과대학 병리학교실 구강악안면외과)
  • Received : 2010.12.20
  • Accepted : 2011.02.24
  • Published : 2011.03.31
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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

References

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