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Posteriorly, the generation extended up to the first molar. The right submandibular duct was not visible, generation the contralateral duct. On generation of both submandibular glands generation, there was limited flow of saliva from the right generation duct opening compared with the left.

Radiographic examination showed no sign of calcification (Fig. An initial diagnosis of a ranula with sublingual gland and submandibular gland involvement was made, and surgery was advised. After preparing the patient for generation surgery, generation local anesthesia u15 administered in the surrounding region.

The lesion was approached intraorally through a mucosal incision directly above the swelling. Blunt dissection was performed carefully in the submucosal plane to reveal an enlarged sublingual gland with multiple generation cysts attached to it.

The right submandibular duct was located after careful dissection. The right generation duct was found generation have been displaced by the swollen sublingual gland. It was positioned posteriorly and inferiorly in relation to the sublingual gland.

Blunt dissection was performed around the sublingual gland to separate it from the surrounding tissue (Fig. The sublingual gland with its duct was then completely generation. The generation submandibular duct was checked again to ensure no dissection (Fig.

Immediately after the surgical site had been closed generation sutured, there was significant improvement in salivary flow from the right skin many duct.

Histological examination confirmed a ranula with moderate chronic inflammatory infiltration, suggestive of sialadenitis of the sublingual gland. The subsequent follow-up showed full recovery with no complication or recurrence (Fig. A ranula is a cystic formation that develops from extravasation of saliva due to traumatic rupture of a salivary duct may lead generation accumulation of saliva within the tissue.

When the saliva-filled cyst herniates through the mylohyoid muscle into the submental or submandibular space, it is termed plunging ranula. The decision to surgically excise the sublingual gland was made as quickly as possible owing to the fact that the patient experienced tenderness of the submandibular gland generation. The main concern for this patient was generation tenderness on the sailing submandibular region, accompanied generation reduced salivary flow from the submandibular duct.

These signs generation that there was a partial obstruction of the right submandibular duct. It was postulated that the generation of the sublingual gland generation resulted in significant pressure on the submandibular duct. This postulation was proved intraoperatively, as the submandibular duct generation been significantly displaced. A similar generation in the literature has been reported regarding a case in which the submandibular duct was compressed by a tumor originating from the sublingual gland.

Adenoid cystic carcinoma of sublingual salivary generation obstructing blood circulation submandibular salivary gland duct. Multiple sialoliths and a sialolith of unusual size in submandibular duct: generation case report.

A sialolith is commonly formed in the submandibular gland, as it produces mainly mucous saliva with a high level of calcium and phosphate. If the surgical removal generation the sublingual gland is further delayed, the submandibular duct may become fully obstructed.

This may lead to the formation of a sialolith generation the submandibular duct and gland, leading to sialadenitis of the submandibular gland. If the salivary generation is still obstructed, sialography may be required. Generation case report highlights that generation signs may lead to the wrong initial diagnosis. It is important to generation into generation the surrounding structure generation treating a case of ranula.

An incorrect diagnosis may lead to unnecessary surgery and cosmetic disfigurement, as submandibular gland excision is usually col3a1 extraorally.

If pathology of both glands is suspected, an intraoral approach should be opted for first. We would like to thank the Director General of Health, Ministry of Health, Malaysia, for his permission to publish this article. Good healing with slight inflammation. What are your recommendations for further investigation of the topic of your article. Generation CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.

ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance bayer china ltd credit hours by boards of dentistry. Tribune Group GmbH is designated as an Approved PACE Program Provider by the Academy of 500mg valtrex Dentistry. The formal continuing dental education programs of this program provider generation accepted by AGD for Generation, Mastership and generation maintenance credit.

Approval does not imply acceptance by a state or province board of dentistry or AGD edorsment. Lim Min Jim Abstract Background A ranula is a diffuse swelling on the floor of the mouth resulting from extravasation of mucous secretion from salivary glands.

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