Ranula, Excision, Mucous retention cyst

1. CERVICAL RANULA –TRANS
CERVICAL APPROACH
Dr Ajay Manickam MS,DNB,FIHNO

2. Rare, benign, acquired cystic lesions that
occur at the floor of mouth as sublingual or
minor salivary gland retention cysts.

3. Classification of Ranula
■Simple ranula
■Cervical ranula - plunging ranula

4. Case history
■ 15 yrs old male patient presented with complaints of swelling
in the neck for the past 2 months
■ No c/o trauma
■ No c/o pain
■ No c/o excessive salivation
■ No c/o ulcer
■ No c/o intra oral swelling
■ No c/o trismus
■ No c/o difficulty in speech/ swallowing

5. Clinical Examination
■ ECOG 1
■ Examination of oral cavity – Mouth
opening adequate, mobility of
tongue not restricted, no swelling,
growth seen.
■ Examination of neck – Swelling seen
over the submental and left
submandibular region, Fluctuant,
trans illuminant, not fixed to
underlying structure, skin over the
swelling normal

6. ■Video otoscopy,
nasal endoscopy,
video laryngoscopy
WNL

7. MRI scan

8. ■All routine blood investigations and
Pre Anesthesia checkup was done

9. Plan
■Excision of Ranula + excision of
sublingual gland –Trans cervical
approach under GA

14. ■ Pt was started on IV antibiotics - InjTaxim 1g IV BD x
5days
■ Inj Metrogyl 500 mg IVTDS
■ Analgesics
■ Mouth wash
■ Neck drain was removed on day 3
■ Sutures removed on day 7
■ HPR – Mucous retention cyst – salivary gland

15. Thank you