Sublingual dermoids are uncommon lesions in the floor of mouth. The most common age of presentation is early adulthood, but presentation in infancy has also been reported. This report highlights the clinical presentation and treatment challenges in infants. An 8-month-old infant presented with inability to close mouth, intermittent stertor and snoring. MRI suggested a sublingual dermoid which was confirmed on histopathology of the surgically enucleated specimen. Sublingual dermoids are uncommon lesions of the floor of mouth. The age of presentation of a sublingual dermoid depends on the initial size of the lesion. Large sublingual dermoids in neonates can present with respiratory embarrassment and need early surgical intervention. Surgical enucleation via an intraoral approach is the treatment of choice with external approach reserved for very large cysts below the mylohyoid. Large sublingual cysts can present with anaesthetic challenges and may need fibreoptic intubation.
Küttner's tumor (KT) remains an underdiagnosed medical identity and is often confused as a malignancy or a metastatic lymph node. It is a benign identity involving the salivary glands and is also known as chronic sclerosing sialadenitis (CSS). Histopathological examination of these tumors demonstrates features of chronic inflammation and fibrosis. We report a case of KT of the left submandibular gland in view of developing insights about diagnosing and managing this rare clinical entity.
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