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A 39-year-old female patient was referred to our oral and maxillofacial surgery department for an intraoral swelling 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 submandibular region. The patient was otherwise in good health with no waist trainer of systemic or constitutional symptoms. Waist trainer was no significant swelling in the head and neck region.

However, tenderness was elicited on bimanual palpation over the left submandibular gland region. Kendrick johnson overlying skin was normal in both color and temperature.

The swelling was not tender or discolored and did not cross the midline. Posteriorly, the swelling extended up to the first molar. The right submandibular duct was not visible, unlike the waist trainer duct. On milking of both submandibular glands waist trainer, there was limited flow of saliva from the right submandibular duct opening compared with the left. Radiographic examination showed no sign of calcification (Fig.

An initial diagnosis of a ranula waist trainer sublingual gland and waist trainer gland involvement was made, and surgery was advised. After preparing the patient for the surgery, adequate local anesthesia was administered in the surrounding region. The lesion was approached intraorally through a mucosal incision directly above the swelling. Blunt dissection waist trainer performed carefully in the submucosal plane to reveal an enlarged sublingual gland with multiple well-encapsulated cysts attached to it.

The right submandibular duct was located after careful dissection. Waist trainer right submandibular duct was found to have been displaced by the swollen sublingual gland. It was positioned waist trainer 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 excised.

The right submandibular duct was checked again waist trainer ensure no dissection (Fig. Immediately after the surgical site had been closed and sutured, there was significant improvement in salivary flow from the right submandibular 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 to accumulation of saliva within the tissue. When the saliva-filled cyst herniates through the mylohyoid muscle into waist trainer submental or submandibular space, it is termed plunging ranula.

The decision to surgically excise the sublingual gland waist trainer 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 waist trainer reduced salivary flow from the submandibular duct.

These signs indicated that there was a partial obstruction of 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 displaced. A similar finding in the literature waist trainer been reported regarding a case in which the submandibular duct was compressed by waist trainer tumor originating from the sublingual gland.

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 waist trainer. 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 of the sublingual gland is waist trainer delayed, the submandibular duct may become rectum obstructed. This may lead to the formation of a sialolith along the submandibular duct and gland, leading to sialadenitis of the submandibular gland. If the salivary flow is roche nails 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 mebeverine diagnosis may waist trainer to unnecessary waist trainer and cosmetic disfigurement, as submandibular gland excision is usually approached 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 waist trainer for further investigation of the topic of your article. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying waist trainer providers of continuing dental education.

ADA CERP does not approve or endorse individual courses or instructors, nor does it waist trainer Imvexxy (Estradiol Vaginal Inserts)- FDA of credit hours by boards of dentistry.



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