Diagnostic difficulties of plunging ranula: case series

R Jain; R P Morton; Z Ahmad

doi:10.1017/s0022215112000230

journal article Mar 09, 2012

Diagnostic difficulties of plunging ranula: case series

R Jain R P Morton Z Ahmad

The Journal of Laryngology & Otology Vol. 126 No. 5 pp. 506-510 · Cambridge University Press (CUP)

View at Publisher Save 10.1017/s0022215112000230

Abstract

AbstractObjectives:To evaluate common pitfalls in diagnosing complicated plunging ranula, either due to misidentification of plunging ranula or alternative pathology (i.e. false negatives or false positives, respectively).Methods:A review of cases of plunging ranula seen in Middlemore Hospital, New Zealand, was performed. Diagnostically uncertain cases were identified and reviewed, taking particular note of clinical, radiological and surgical findings.Results:From our database, 12 cases were found to have had a complicated diagnosis of plunging ranula. Ten cases were false negatives: four were treated as abscesses, four as simple cysts, one as a thyroglossal cyst and one as a cystic hygroma. Two cases were false positives: one was found to be a thyroglossal cyst and the other a lipoma.Conclusion:The diagnosis of plunging ranula is usually straightforward, with simple surgical management. Misdiagnosis can lead to recurrence of symptoms and inappropriate management, with the associated risks, complications and frustrations of surgery.

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Metrics

32

Citations

6

References

Details

Published: Mar 09, 2012
Vol/Issue: 126(5)
Pages: 506-510
License: View

Authors

Cite This Article

R Jain, R P Morton, Z Ahmad (2012). Diagnostic difficulties of plunging ranula: case series. The Journal of Laryngology & Otology, 126(5), 506-510. https://doi.org/10.1017/s0022215112000230

Diagnostic difficulties of plunging ranula: case series

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