Surgical Management of Extensive Plunging Ranula in a Newborn with A Review of Literature
Published: October 1, 2019 | DOI: https://doi.org/10.7860/JCDR/2019/40030.13237
Ana Luiza Lima Medeiros Paz, Carlos Rodrigo Barros de Siqueira, Adalberto Novaes, Ana Thereza Saboia de Campos Neves, Luiz Evaristo Ricci Volpato
1. Mrs., Department of Dentistry, Hospital de Câncer de Mato Grosso, Cuiabá, MT, Brazil.
2. Mr., Hospital Universitário Julio Muller, Cuiabá, MT, Brazil.
3. Dr., Hospital Universitário Julio Muller, Cuiabá, MT, Brazil.
4. Mrs., Program in Integrated Dental Sciences, Universidade de Cuiabá, MT, Brazil.
5. Dr., Program in Integrated Dental Sciences, Universidade de Cuiabá, MT, Brazil.
Correspondence
Luiz Evaristo Ricci Volpato,
R., Estevão de Mendonça, 317, Cuiabá, MT, Brazil.
E-mail: odontologiavolpato@uol.com.br
Ranula is an oral floor cyst, originating from the extravasation of salivary mucus from the sublingual gland due to obstruction of the gland ducts. This report presents the case of an extensive congenital plunging ranula in a 19-day-old male newborn. The infant presented easy fatigue, with delay in the time of the feedings during breastfeeding due to volumetric enlargement in mouth floor and ventral tongue regions since birth. The therapeutic proposal was marsupialization of the lesion. However, during surgery, due to the ranula’s location and the possibility of relapse, the enucleation of the lesion was performed. Infant was kept intubated in the neonatal ICU for three days and was under nasogastric fed for seven days. Excision of the ranula and maintenance of intubation was done until the reduction of post-operative oedema prevented intercurrences in the post-operative period and allowed a good clinical evolution of the child who recovered his respiratory and digestive function.
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