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JKM > Volume 37(3); 2016 > Article
Yang, Lee, and Yun: Three Cases of Oral Mucoceles Treated with Traditional Korean Medicine

Abstract

This is the first case report about oral mucoceles treated with traditional Korean medication in Korea. One case of Blandin-Nuhn mucocele and two cases of ranula were treated with Ondam-tang and Dohongsamul-tang respectively. No recurrence of ranula was found for 30 months in one case and 3 months in other recent case. According to this result, we suppose that consideration of “Blood stasis and heat” might be helpful to treat progressed or large mucoceles while common mucoceles are generally regarded as results of “Phlegm heat”. We suggest that traditional Korean medication can be an alternative to preserve salivary glands and to minimize complications of surgery. Further studies with more cases and longer observation period should be performed to establish proper prescriptions for oral mucocele and the evidence of treatment rate and recurrence rate.

Fig. 1
Photographs of Clinical Changes of Case 1.
A: 2013-05-11. Ranula on the right sublingual area, sized approximately 1.2cm×1.2cm.
B: 2013-08-31. No shrinkage was observed compared with A.
C: 2013-10-05. More than 50% shrinkage was observed.
D: 2013-11-26. The ranula was completely shrunk.
jkm-37-3-123f1.gif
Fig. 2
Photographs of Clinical Changes of Case 2.
A: 2015-11-23. Sublingual mucocele sized 1.0×1.1cm was observed.
B: 2015-12-12. The size was reduced to nearly 0.5×0.8cm.
C: 2016-01-02. The size was approximately 0.4×0.6cm.
D: 2016-01-23. The sublingual mucocele nearly disappeared.
jkm-37-3-123f2.gif
Fig. 3
Photographs of Clinical Changes of Case 3.
A: 2016-01-23. Plunging ranula about 3cm diameter was observed in the left submandibular area.
B: 2016-02-04. The diameter of the plunging ranula decreased to about 2.0cm.
C: 2016-02-22. The mass was not observed.
jkm-37-3-123f3.gif
Fig. 4
Ultrasonography of Case 3 on 2016-03-09.
The ultrasonography revealed there was no mass around the left submandibular gland. The picture only showed trace of inflammation with low-echo.
jkm-37-3-123f4.gif

참고문헌

1. Baurmash HD. Mucoceles and ranulas. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 2003; 61:3. 369–78.
crossref

2. Harrison J. Salivary mucoceles. Oral Surgery, Oral Medicine, Oral Pathology. 1975; 39:2. 268–78.
crossref

3. Park SG, Park NS, Cho CS, Kim AY, Chang DS, Lee HY, et al. Clinical and histological analysis of oral mucocele. Korean J Otorhinolaryngol-Head Neck Surg. 2013; 56:6. 359–64.
crossref

4. Adachi P, Soubhia AM, Horikawa FK, Shinohara EH. Mucocele of the glands of Blandin-Nuhn--clinical, pathological, and therapeutical aspects. Oral and maxillofacial surgery. 2011; 15:1. 11–3.
crossref

5. Harrison JD. Modern management and pathophysiology of ranula: literature review. Head & neck. 2010; 32:10. 1310–20.
crossref

6. Zhao YF, Jia Y, Chen XM, Zhang WF. Clinical review of 580 ranulas. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2004; 98:3. 281–7.
crossref

7. Patel MR, Deal AM, Shockley WW. Oral and plunging ranulas: what is the most effective treatment? The Laryngoscope. 2009; 119:8. 1501–9.
crossref

8. Zhao YF, Jia J, Jia Y. Complications associated with surgical management of ranulas. Journal of Oral and Maxillofacial Surgery. 2005; 63:1. 51–4.
crossref

9. Chae BY. Traditional Korean medical eye, ear, nose, throat science. Seoul: Chimmundang;2004. p. 491


10. Li GQ, Han Y. Three cases of ranula treated with Xīhuángwán. Information on traditional Chinese medicine. 1994; 03. 46


11. Hé SM, Zhang L. Case report of ranula. Journal of traditional Chinese Medicine. 1995; 06. 375


12. Sui J, Sui G. Mustard Seed treatment experience by phlegm. Journal of Traditional Chinese Medicine. 1998; 04. 197–8.


13. Chen T, Jiang SJ, Zheng F, Liu Q. One case treated with “Yin-fever” theory. Journal of Beijing University of Traditional Chinese Medicine(Clinical Medicine). 2013; 05. 49–50.


14. Wang Y, Xia L, Li H. Ranula. Journal of Shandong traditional Chinese medicine. 2001; 20:2.


15. Traditional dermatology and surgery textbook compilation committee. Text of Traditional Korean dermatology and surgery. Pusan: Sunwoo;2007. p. 211–22.


16. ZHOU ZY. On Stagnated Heat. Journal of Nanjing University of Traditional Chinese Medicine. 2006; 22:5. 273–6.


17. Park SW, Lee SW, Kangl’z BG, Leez I, Chou KH, Moon BS. The Effects of Dohongsamul-tang on Cytokine Production in Peripheral Blood Monocular Cells of Patients with Acute Cerebral Infarction. Korean J of Oriental Med. 2006; 27:4.


18. Lee JK, Song YK, Lim HH. Analgesic and anti-inflammatory effect of Scutellaria baicalensis. Korean Journal of Oriental Medicine. 2007; 28:4. 124–35.


19. Steelman R, Weisse M, Ramadan H. Congenital ranula. Clinical pediatrics. 1998; 37:3. 205–6.
crossref

20. Seo JH, Park JJ, Kim HY, Jeon SY, Kim JP, Ahn SK, et al. Surgical management of intraoral ranulas in children: An analysis of 17 pediatric cases. International journal of pediatric otorhinolaryngology. 2010; 74:2. 202–5.
crossref

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