scholarly journals A case of mucoepidermoid sublingual carcinoma in whom a platysma flap was an efficient reconstructive surgical procedure after extirpation of the sublingual gland and oral cavity

2012 ◽  
Vol 22 (1) ◽  
pp. 53-57
Author(s):  
Yutaka Shima ◽  
Satoshi Iwasaki ◽  
Maiko Miyagawa ◽  
Hideaki Moteki ◽  
Yoshito Mishima ◽  
...  
Author(s):  
Masahiro Umeda ◽  
Hideki Komatsubara ◽  
Takashi Shigeta ◽  
Yasutaka Ojima ◽  
Tsutomu Minamikawa ◽  
...  

1989 ◽  
Vol 101 (1) ◽  
pp. 87-92 ◽  
Author(s):  
William S. Crysdale ◽  
Ann White

Management of drooling in the neurologically disabled individual has been accomplished with a team approach using surgical and nonsurgical methodology. Submandibular duct relocation has been the primary surgical procedure of choice in 194 patients during the past 10 years. Drooling has been reduced significantly in the majority of patients. Ranulas requiring intraoral sublingual gland excision occurred in 8% of patients. Persistent submandibular duct obstruction necessitating external excision of the submandibular gland occurred in 1% of the ducts relocated.


2002 ◽  
Vol 127 (1) ◽  
pp. 115-118 ◽  
Author(s):  
Rajiv T. Pandit ◽  
Albert H. Park

OBJECTIVE: Many surgical techniques to manage ranulas have been described in the literature. These techniques include excision of the cyst with or without excision of the ipsilateral sublingual gland, marsupialization, cryosurgery, and CO2 laser excision. Few studies have described the approach toward management in pediatric patients. METHODS: Six patients were treated for intraoral ranulas. Two patients had spontaneous resolution of their lesions. Four patients required dissection of the submandibular duct and lingual nerve to completely excise an oral cavity ranula and an ipsilateral sublingual gland. RESULTS: There were no recurrent lesions. One patient developed a lingual nerve injury but no numbness. The 2 patients with spontaneous resolution did not develop a subsequent lesion. CONCLUSION: Optimal management of pediatric oral cavity ranulas may include observation for 5 months for spontaneous resolution. If the lesion does not resolve or recurs repeatedly, surgical treatment is recommended. Submandibular duct dissection with relocation appears to enhance exposure to the floor of mouth. The pseudocyst and entire sublingual gland should be removed. Identification of the lingual nerve is necessary to accomplish this goal.


1991 ◽  
Vol 105 (8) ◽  
pp. 667-669 ◽  
Author(s):  
A. Balakrishnan ◽  
G. R. Ford ◽  
C. M. Bailey

AbstractSubmandibular duct transposition is now a standard surgical procedure for the treatment of severe drooling. However, this is our first experience of a plunging ranula arising as a complication of the technique. In the surgical management of this complication, the single most important step is excision of the sublingual gland to prevent recurrence.


2020 ◽  
pp. 106689692094160
Author(s):  
Laura Ardighieri ◽  
Michele Tomasoni ◽  
Simonetta Battocchio ◽  
Fabio Facchetti ◽  
Roberto Maroldi ◽  
...  

Carcinoma showing thymic-like differentiation (CASTLE) is a rare tumor most commonly occurring in the thyroid and soft tissues of the neck. We report the first case of CASTLE occurring in the sublingual gland. The patient, a 35-year-old healthy man, presented with a submucosal lesion located in the anterior right floor of the oral cavity and an ipsilateral neck mass. The lesion had been previously investigated by neck computed tomography and ultrasound-guided fine needle aspiration cytology and diagnosed as metastatic squamous cell carcinoma. After oral cavity magnetic resonance imaging, positron emission tomography, and a non-diriment, fine needle aspiration cytology of the sublingual mass, the patient was treated as affected by a sublingual gland malignancy with removal of primary tumor and neck dissection. Morphological and immunohistochemical findings were diagnostic for primary sublingual gland CASTLE. The patient received adjuvant radiotherapy and is free of disease 2 years after treatment. We describe the pathological features of the lesion and discuss the possible differential diagnoses.


2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Kenji Yamagata ◽  
Kousuke Ohki ◽  
Fumihiko Uchida ◽  
Naomi Kanno ◽  
Shogo Hasegawa ◽  
...  

A typical carcinoid is extremely rare in the oral cavity. We here present a case of a typical carcinoid arising in the sublingual gland of a 62-year-old woman. The tumor was removed by primary excision with 10 mm surgical margins and submandibular dissection. Examination of the tumor showed medium-sized tumor cells that were positive for CD56 and chromogranin A, with no necrosis, and with a mitotic count less than 1/10 HPF. A pathological diagnosis of typical carcinoid was made from both morphological and immunological examinations. One year after excision surgery, there was no tumor recurrence or neck metastasis.


2021 ◽  
Vol 15 (3) ◽  
pp. 198-202
Author(s):  
Vivian Mascella ◽  
Marina Frazatti Gallina ◽  
Larissa dos Santos ◽  
Natalia dos Santos Brilhante ◽  
Paulo Roberto Martin ◽  
...  

This case report described the use of tubular subdermal flap to dorsal nasal reconstruction of an old dolichocephalic dog. A nine-year-old Dachshund female dog-weighing 10 kg presented with deep and extensive wound in the dorsal nasal region was attended at veterinary clinic, Sorocaba city, São Paulo, Brazil. The reconstructive surgical procedure was performed in three stages with an interval time of 25 days, which included the preparation of the tubular subdermal flap; the advance of the flap to the region of the tissue defect, and the removal of excess flap. The region healed 14 days after the last stage. The tubular subdermal flap was effective for treating ulcerative epithelial wounds associated with interstitial lymphoplasmocyte dermatitis and vasculitis of the dorsal nasal region of an old Dachshund dog.


2020 ◽  
Vol 29 (2) ◽  
pp. 864-872
Author(s):  
Fernanda Borowsky da Rosa ◽  
Adriane Schmidt Pasqualoto ◽  
Catriona M. Steele ◽  
Renata Mancopes

Introduction The oral cavity and pharynx have a rich sensory system composed of specialized receptors. The integrity of oropharyngeal sensation is thought to be fundamental for safe and efficient swallowing. Chronic obstructive pulmonary disease (COPD) patients are at risk for oropharyngeal sensory impairment due to frequent use of inhaled medications and comorbidities including gastroesophageal reflux disease. Objective This study aimed to describe and compare oral and oropharyngeal sensory function measured using noninstrumental clinical methods in adults with COPD and healthy controls. Method Participants included 27 adults (18 men, nine women) with a diagnosis of COPD and a mean age of 66.56 years ( SD = 8.68). The control group comprised 11 healthy adults (five men, six women) with a mean age of 60.09 years ( SD = 11.57). Spirometry measures confirmed reduced functional expiratory volumes (% predicted) in the COPD patients compared to the control participants. All participants completed a case history interview and underwent clinical evaluation of oral and oropharyngeal sensation by a speech-language pathologist. The sensory evaluation explored the detection of tactile and temperature stimuli delivered by cotton swab to six locations in the oral cavity and two in the oropharynx as well as identification of the taste of stimuli administered in 5-ml boluses to the mouth. Analyses explored the frequencies of accurate responses regarding stimulus location, temperature and taste between groups, and between age groups (“≤ 65 years” and “> 65 years”) within the COPD cohort. Results We found significantly higher frequencies of reported use of inhaled medications ( p < .001) and xerostomia ( p = .003) in the COPD cohort. Oral cavity thermal sensation ( p = .009) was reduced in the COPD participants, and a significant age-related decline in gustatory sensation was found in the COPD group ( p = .018). Conclusion This study found that most of the measures of oral and oropharyngeal sensation remained intact in the COPD group. Oral thermal sensation was impaired in individuals with COPD, and reduced gustatory sensation was observed in the older COPD participants. Possible links between these results and the use of inhaled medication by individuals with COPD are discussed.


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