Update Course Rewind 2025: Neck Pathologies - The Diagnostic Challenge
▶Ep 3 · 1:14
clinicalIt can be really hard to differentiate a giant ranula from a lymphatic malformation.↗
▶Ep 3 · 1:14
quoteIt can be really hard to differentiate a giant granula from a lymphatic malformation.↗
▶Ep 3 · 1:24
quoteThe lab tends to have trouble running this thick fluid.↗
▶Ep 3 · 1:24
clinicalThe lab tends to have trouble running thick fluid from aspirated neck masses.↗
▶Ep 3 · 1:28
clinicalLymphatic malformations near glandular tissue can have leaching of saliva into them, resulting in false positive amylase testing.↗
▶Ep 3 · 1:28
quoteAnd you can also have lymphatic malformations near glandular tissue that have leaching of the saliva into it and you get a false positive.↗
▶Ep 3 · 2:10
guidelineRemoval of the sublingual gland has been the best practice for ranula treatment.↗
▶Ep 3 · 2:10
quoteSo from a granular perspective, removal of the sublingual gland has been the best practice.↗
▶Ep 3 · 2:16
quoteWhen you have a cervical component, you can aspirate that and as long as you remove the sublingual gland, it should go away.↗
▶Ep 3 · 2:16
clinicalWhen a ranula has a cervical component, you can aspirate that and as long as you remove the sublingual gland, it should go away.↗
▶Ep 3 · 2:25
clinicalMicromarsupialization is a new technique for treating ranula with an intraoral component, involving placement of silk sutures through the cyst for 30 days to develop a fistula that spontaneously drains into the mouth.↗
▶Ep 3 · 2:53
clinicalGene panels now guide medical therapy for lymphatic malformations, particularly PIK3CA mutations which suggest that alpelisib (a PI3K alpha inhibitor) can be useful.↗
▶Ep 3 · 3:15
clinicalFor congenital developmental neck masses, you have to deal with the embryological component and etiology to prevent recurrence, not just excise the mass.↗