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Bilateral Ranulas

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Let's end the discussion on ranula with this case.

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This is a patient who has bilateral ranula.

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Remember that ranula...

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The term "ranula" refers to the Latin "rana,"

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which is the frog.

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And it has this lesion in the fore of the

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mouth that looks sort of like a frog.

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We'll go back to a diagram showing that. Here you

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have the patient who has bilateral involvement

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at the floor of the mouth. On the right side,

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it remains confined to the floor of the mouth

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and does not perforate the mylohyoid musculature.

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This would be termed a simple ranula.

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Does not go posterior to or through

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the mylohyoid muscle.

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Contrast that with this one.

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Here we have the low density, which goes behind

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the border of the mylohyoid muscle, and has an

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extension that is coming out laterally towards

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the submandibular gland.

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Here's the submandibular gland.

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Here's that lateral extension behind

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the mylohyoid muscle.

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So this has a...

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most of its components is a simple ranula. However,

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with this extension posteriorally and lateral to

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the mylohyoid muscle and the perforation

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of that mylohyoid muscle,

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we would call that a plunging ranula.

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So simple, simple plunging ranula,

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bilateral ranula in a patient who is just pretty unlucky.

Report

Description

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Tags

Trauma

Salivary Glands

Oral Cavity/Oropharynx

Non-infectious Inflammatory

Neuroradiology

Head and Neck

CT

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