Ranula

Background

Salivary glands: #1 Parotid gland, #2 Submandibular gland, #3 Sublingual gland.
  • A type of mucocele of the sublingual gland

Clinical Features

Ranula under tongue

Mostly seen in young children and adolescents

  • Swelling in floor of mouth to side of frenulum (typically unilateral)
    • Color is pale blue with semi transparent appearance
    • Surface is smooth and mucous membrane is mobile over the swelling
    • Size varies from 1 – 5 cm in diameter
    • Tenderness is absent
    • Positive fluctuation and transillumination (if performed)

Differential Diagnosis

Facial Swelling

Evaluation

Workup

  • None required

Diagnosis

  • Typically a clinical diagnosis

Management

  • Does not typically require ED treatment

Disposition

  • Outpatient follow up with ENT

See Also

External Links

References

Authors:

Ross Donaldson