Sublinguale, livide Schwellung am Mundboden eines Neugeborenen

Abstract

Ranulas are cystic lesions in the floor of the mouth. They are either retention cysts of the excretory duct of the sublingual gland or pseudocysts formed by excretory duct rupture followed by extravasation and accumulation of mucus in the surrounding tissue. We report the case of a premature newborn with a congenital ranula in the floor of mouth. The ranula caused no discomfort or complications, so that immediate intervention was not necessary. The cyst resolved completely by the age of 4 months. Complications in newborns especially include airway obstruction and feeding difficulties. Surgical treatment options are needle aspiration, excision of the ranula, marsupialization, cryosurgery, and--in addition to excision of the cyst--removal of the ipsilateral sublingual gland. Sclerotherapy has shown good results as well. As many congenital cysts resolve or rupture spontaneously, they should be observed for potential resolution for several months in uncomplicated cases.

A Rare Case of Congenital Simple Cystic Ranula in a Neonate

“…The previous three cases reported in neonates were asymptomatic, and in one case needle aspiration was done, while the other two cases have resolved spontaneously over a period of time [9, 10]. Thus, from the aforesaid discussion we conclude that (i) congenital ranula can be symptomatic in a neonate, (ii) an MRI scan helps to clinch the diagnosis, (iii) such lesions should be treated surgically to prevent recurrence.…”

Cryosurgery for the treatment of pediatric plunging ranula: a conservative management

“…Some authors 15 mentioned that a logical treatment is excision of the sublingual gland followed by transoral drainage of the pluging ranula. Marsupialization, cryosurgery, CO(2) laser excision 5 and micro-marsupialisation can be also recommended primarily to treat oral ranulas 8 . Although surgery is the first choice of therapy for plunging ranula, it is associated with technical difficulties mainly in pediatric patients.…”

“…Another surgical treatment options are needle aspiration, excision of the ranula, cryosurgery, andin addition to excision of the cyst-removal of the ipsilateral sublingual gland 5 and CO(2) laser excision.…”

Unusual Presentation of a Congenital Ranula Cyst in a Newborn

“…Management of congenital ranula cysts in newborns typically involves surgical excision, with intraoral or extraoral approaches depending on the location and size of the cyst. Early diagnosis and treatment are crucial to prevent complications such as infection, feeding difficulties, and airway obstruction [ 3 ]. In this article, we present a case of a congenital ranula cyst in a newborn.…”