Plunging XXXX : an unusual multilocular presentation.

@entity1 @entity3329 @entity29542 @entity2133 @entity645
A 32-year-old male @entity1 who was @entity645 positive presented at the Wits Oral Health Centre complaining of a large swelling of the left submandibular region of three years' duration. The swelling was nontender, soft and doughy on palpation and appeared to be crossing the midline. Bilateral submandibular and @entity3329 was present. Intraorally the lesion caused considerable elevation of the @entity2133 and impaired the flow of saliva. Fluid from the lesion was aspirated and the @entity1 sent for MRI examination. These images revealed a multilocular cystic lesion causing disruption of the mylohyold muscle. The aspirate consisted of a thick, bloody fluid which tested positive for salivary amylase. A provisional diagnosis of plunging @entity29542 was made. The multilocular nature of the lesion seen on MRI prompted a more extensive surgical approach in order to prevent recurrence. Consequently the sublingual gland was removed via an intraoral approach while the multilocular cyst was dissected by means of a submandibular approach in order to effect complete removal. Microscopic examination of the submitted specimen confirmed the clinical diagnosis of a plunging @entity29542 .
