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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

Hema C Solanki, Harprit K Madan, Latika S Kumar Singh

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

DOI: 10.5005/jp-journals-10049-0086

License: CC BY-NC 4.0

Published Online: 01-04-2021

Copyright Statement:  Copyright © 2020; The Author(s).


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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  1. Sethi SK, Jain N, Khare A, et al. Anaesthetic management in a case of large plunging ranula with difficult airway: a case report. Egypt J Anaesthe 2017;33(2):209–212. DOI: 10.1016/j.egja.2016.09.002.
  2. Dhingra PL, Dhingra S. Chapter 77 Neck Masses. Diseases of Ear, Neck and Throat and Head and Neck Surgery. 6th ed., Reed Elsevier, India Private Limited; 2014. p. 392.
  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.
  4. Swaika S, Sheet J, Mandal A, et al. Anaesthesia management in a case of huge plunging ranula. Anaesthe, Essays Res 2014;8(1):114–116. DOI: 10.4103/0259-1162.128929.
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