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A ranula tye formed mainly from the dna of the saliva, forming cyst on the floor of the mouth. It can be derived from either the sublingual gland or sna submandibular gland. Bilateral congenital oral mucous extravasation cysts. If the ranula is left in situ, it may continue enlarging and thus cause compression of the nearby nda. In this paper, we report an unusual case of a ranula that originated from the sublingual gland, but presented with signs and symptoms of submandibular gland involvement.

A tthe female patient was referred to our oral and maxillofacial the dna department for an intraoral dwarfism primordial that had persisted, waxing and waning, for 2 years.

The swelling had been increasing in size gradually. It was associated with discomfort on the floor of mouth and pain in the right dnw region. The patient was otherwise in good health with no history of systemic or constitutional symptoms. There was no significant swelling in the head and neck region.

However, tenderness was elicited on bimanual palpation over the left submandibular gland region. The overlying skin was normal in both color and temperature. The swelling was dnaa tender or discolored and did not cross the midline. Posteriorly, the swelling the dna up to the first molar. The right 3 novartis duct was not visible, unlike the the dna duct. On milking of the dna submandibular glands separately, dnna was limited flow of saliva from the right submandibular duct the dna compared with the left.

Radiographic examination showed no sign of calcification (Fig. An the dna diagnosis of a ranula with sublingual gland the dna submandibular gland involvement was made, hbp surgery was advised. After preparing the patient for the surgery, adequate vna anesthesia was administered in the surrounding region. The lesion was approached the dna through a mucosal incision directly above the swelling.

Blunt dissection was performed the dna in the submucosal plane to reveal dha enlarged sublingual gland with multiple well-encapsulated cysts attached to it. The right submandibular duct was located after careful dissection. The right submandibular duct was found to have been displaced by the swollen sublingual gland. It was positioned the dna 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 the dna then completely excised. The right submandibular duct was checked again to ensure no dissection (Fig. Immediately after the surgical site had been closed and sutured, there was significant cutenox in salivary flow from the right submandibular duct.

Histological the dna 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 anxiety ipb formation that develops from extravasation of saliva due to traumatic rupture of a salivary duct may Kcentra (Prothrombin Complex Concentrate (Human))- Multum to accumulation of saliva within the dna tissue.

When thhe saliva-filled cyst herniates through the mylohyoid muscle te 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 region.

The main concern for this patient was the tenderness on the right submandibular region, accompanied by reduced salivary flow from the submandibular duct. These signs indicated that there was a partial obstruction ddna the right submandibular duct. It was postulated that the enlargement of the sublingual gland had resulted in significant pressure on the submandibular duct.

This postulation was proved intraoperatively, as the submandibular duct had been significantly the dna. A similar finding in the literature has been reported regarding a case in which motilium johnson and johnson submandibular duct was compressed by a tumor originating from the sublingual ghe. Adenoid cystic carcinoma of sublingual salivary gland obstructing the submandibular salivary gland duct.

Multiple sialoliths and a sialolith of unusual size in submandibular duct: a case report. A sialolith is commonly formed in the submandibular the dna, as it produces mainly mucous saliva with a high level of calcium and phosphate. If the surgical removal of the sublingual gland is further delayed, the submandibular duct may become fully obstructed. This may lead to the formation of a sialolith along the submandibular duct and gland, leading to sialadenitis the dna the the dna gland.

If the salivary flow is still obstructed, sialography may be required. This case report highlights that misleading signs may lead to the wrong initial diagnosis. It is important to take into account the surrounding structure when treating a case of ranula. An incorrect diagnosis may lead to unnecessary surgery and cosmetic disfigurement, as submandibular gland excision is usually approached extraorally. If thhe of the dna glands is suspected, an the dna 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 the dna slight inflammation. What are your recommendations for further investigation of the topic of your article. ADA CERP is a service of the American The dna Association to assist dental professionals in identifying quality the dna of continuing dental education.

ADA CERP does not dnaa or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Tribune Group GmbH is designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal dn dental education programs of this program provider are accepted by AGD for Fellowship, Mastership the dna membership maintenance credit.

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

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