두개저까지 확장된 악하선 점액류
A Submandibular Gland Mucocele Extending to the Skull Base
김일규, 양정은, 장재원, 주상현, 편영훈, 김루시아,
소속 상세정보
김일규 ( Kim Ill-Kyu ) - 인하대학교 의과대학 치과학교실 구강악안면외과
양정은 ( Yang Jung-Eun ) - 인하대학교 치과학교실 구강악안면외과
장재원 ( Chang Jae-Won ) - 인하대학교 치과학교실 구강악안면외과
주상현 ( Ju Sang-Hyun ) - 인하대학교 의과대학 치과학교실 구강악안면외과
편영훈 ( Pyun Young-Hoon ) - 인하대학교 의과대학 치과학교실 구강악안면외과
김루시아 ( Kim Lucia ) - 인하대학교 의과대학 병리학교실
KMID : 0360120110330020180
Abstract
The mucocele is a mucus extravasation cyst arising from the salivary gland. Although it is a common?lesion of the minor salivary gland, it is uncommon when it originated from the submandibular gland. The ranula is a form of mucocele which specifically occurs in the floor of the mouth and the sublingual gland is generally accepted as the origin of ranula. They can be classified into two types based on extent: simple ranula are confined to the sublingual space and plunging ranula extend into the adjacent space. It is difficult to differentiate the submandibular gland mucocele from the plunging ranula because both of them can occupy the submandibular space. A 37-year old male visited our clinic with the chief complaint of left facial swelling. The patient’s history revealed that he had suffered from a cystic lesion on the left side of the floor of the mouth 10 months previously. He supposed the cystic lesion had come from trauma at other dental clinics. Using CT and MRI, we diagnosed a simple ranula on the sublingual space and a submandibular gland mucocele. We then excised the mucocele with the submandibular gland by an extraoral approach and the sublingual gland by an intraoral approach under general anesthesia. We report a rare case of an enormous submandibular gland mucocele which extended into the pterygoid plate and parapharyngeal space with good surgical results.
키워드
Submandibular gland mucocele; Plunging ranula; Submandibular gland; Sublingual gland
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