CASE REPORT
Ascending and plunging ranula in a pediatric
patient
Virginia L.
Clyburn, III, MS, Jacob E.
Smith, MD, Tihana Rumboldt, MD,
Maria G.
Matheus, MD, and Terry A.
Day, Charleston, SC
No sponsorships or competing interests have been disclosed...
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CASE REPORT
Ascending and plunging ranula in a pediatric
patient
Virginia L.
Clyburn, III, MS, Jacob E.
Smith, MD, Tihana Rumboldt, MD,
Maria G.
Matheus, MD, and Terry A.
Day, Charleston, SC
No sponsorships or competing interests have been disclosed for
this article.
Aplunging ranula is a rare phenomenon that represents
mucous extravasation extending through or behind the
mylohyoid.
The mucous dissects the tissue planes inferiorly
and usually manifests as a swelling in the submental or
submandibular regions.
Some plunging ranulas are believed
to result from disruption of excretory ducts that originate
from the sublingual gland.
The currently accepted definitive
treatment of a plunging ranula is resection of the ipsilateral
sublingual gland and evacuation of the cyst with removal of
the pseudocapsule.
There have been no reported cases of
“ascending” ranulas into the parapharyngeal or pterygomaxillary space.
The following represents the first known case
that involved an extensive
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