Rerouting Wharton’s duct - a surgical remedy for intraoral excision of ranula
Journal Title: The Journal of Medical Research - Year 2018, Vol 4, Issue 1
Abstract
Ranula is an extravasation pseudocyst that occurs due to trauma or blockage of sublingual glands. The treatment is controversial varying from surgical excision to intralesional sclerotherapy. In this article, the authors have discussed about a case of plunging ranula which was excised intraorally by rerouting Wharton’s duct. A 26 years old female presented with a neck and oral swelling to outpatient department. Her fine needle cytology and CT scan were suggestive of a plunging ranula on left side. Because of her cosmetic concerns, intraoral excision of ranula was planned, after duly obtaining consent for the risk of Wharton’s duct and lingual nerve injury. Intraoperatively, the cyst was encasing both Wharton’s duct hindering further dissection. So, posterior rerouting of Wharton’s duct was carried out on both sides. This step helped not only in preserving the ductal integrity but also facilitated easy identification of lingual nerve and sublingual glands. The whole cyst was removed along with the sublingual glands. Postoperative functions of lingual nerve were intact. The authors have discussed about the advantages of rerouting the duct in this procedure along with literature review.
Authors and Affiliations
Prasanna Kumar Saravanam, Vinoth Manimaran, Preethi Umamaheswaran
Keywords
Related Articles
- EP ID EP521848
- DOI 10.31254/jmr.2018.4101
- Views 105
- Downloads 0
Prevalence and awareness of Hypertension among urban and rural Adults in the Keta Municipality, Ghana
Background: With the changing trends in the epidemiology of hypertension (HPT), recent studies have shown an increasing prevalence of HPT in rural than urban communities. This study examined the prevalence of HPT and its...
Risk factors for HIV-distal symmetrical polyneuropathy: A review
Objective: To review the risk factors of HIV distal symmetrical polyneuropathy. Methods: A MEDLINE search of the English-language literature using a combination of words (HIV, neuropathy, risk factors) was used to identi...
Locus of control, self-esteem and depression in a sample of school going adolescents in two Nigerian rural communities
Locus of Control (LOC) refers to an individual's personal belief that the events which occur in his or her life are either as a result of personal control and effort, or outside forces such as fate and luck. Self esteem...
A new strategy of management for newborns in a neonatal care unit: A succesful experience from Morocco
Aim of the study: To evaluate if the readmission rates of newborns treated in our unit has been affected by the introduction of new protocols. Materials and Methods: two groups were compared: Group A: newborns readmitted...
An experimental study of ethanolic extract and methanolic fraction of Delphinium denudatum Wall in morphine withdrawal syndrome
Objective: To evaluate the role of ethanolic extract and methanolic fraction of the roots of Delphinium denudatum Wall. in morphine dependence. Methods: Wistar albino rats were made moderately and severely morphine depen...