Research and Innovation in Anesthesia

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VOLUME 5 , ISSUE 2 ( July-December, 2020 ) > List of Articles

CASE REPORT

Anesthesia Management of a Case of a Huge Ranula: A Case Report

Pallavi Kharat, Hema C Solanki, Sunil K Gvalani, Harprit K Madan, Latika S Kumar Singh

Keywords : Fiberoptic intubation, Plunging ranula,Difficult airway

Citation Information : Kharat P, Solanki HC, Gvalani SK, Madan HK, Singh LS. Anesthesia Management of a Case of a Huge Ranula: A Case Report. Res Inno in Anesth 2020; 5 (2):46-48.

DOI: 10.5005/jp-journals-10049-0086

License: CC BY-NC 4.0

Published Online: 04-03-2021

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Ranulas are mucous retention cysts arising out of submandibular and sublingual salivary glands.1 They usually occupy the floor of the mouth, lifting the tongue upward, and causing potential airway obstruction. They turn out to be a challenge for airway management for anesthesiologists. A 43-year-old male patient presented with a recurrent swelling in the floor of the mouth pushing the tongue upward and to the left side and completely obstructing the view of the posterior pharyngeal wall. He was operated on for the same swelling 2 years ago and had a recurrence for the last 8 months. He was planned for complete excision of the swelling under general anesthesia. We present a case report of successful management of difficult airway by using awake fiberoptic intubation of a patient posted for excision of large plunging ranula under general anesthesia.


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  3. Bindra A, Kumar N, Yadav N, et al. Anaesthetic concerns in a huge congenital sublingual swelling obscuring airway access. Saudi J Anaesth 2015;9(2):202–203. DOI: 10.4103/1658-354X.152888.
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