c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Ranula: 4

A D V E R T I S E M E N T

   
 

The specimen is shown.

Discussion: 

A ranula is a mucous retention cyst, commonly associated with the duct of the sublingual or submaxillary (as in this case) gland. It may result from a sialolith obstructing the duct. It presents as a soft swelling of the floor of the mouth and contains viscous mucinous material. Mucous retention cysts of the minor salivary glands are much more common than those associated with a major gland duct. It must be differentiated from cellulitis of the submandibular gland (Ludwig's angina). If the etiology of a ranula is stone, removal of the stone may result in resolution. If not, excision with restoration of mucosal continuity is the treatment for a localized process. Associated inflammation may necessitate removal of the entire gland.

Swellings of the oral cavity.
Van Dis ML - Dermatol Clin - 1996 Apr; 14(2): 355-70   

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This page was last modified on 1/16/2001.