몰입성 하마종에서 경구접근법을 통한 치료

Abstract

Background and Objectives：The plunging ranula is a relatively uncommon phenomenon which represents a mucus escapingreaction due to the disruption of the sublingual gland. We recommend that plunging ranula be treated by surgery via an intraoralapproach rather than cervical approach. Materials and Methods：We present the cases of 15 patients managed at Ghil hospitalover the period of a year. A retrospective review of 15 patients with this condition was undertaken. All patients underwent removalof the sublingual gland combined with the evacuation of the ranula via an intraoral approach. Information was collected on age,sex, origin, history of onset, predisposing factors, treatment, and outcome of treatment. Results：Pain and temporary submaxillaryswelling were observed during postoperative 3 days. But, neither complication nor recurrence was observed in any patient. Histologicalobservation revealed no epithelial lining in any of the examined specimens. Conclusion：Removal of the sublingual glandcombined with the evacuation of the ranula via an intraoral approach was the reliable method.