By Published On: October 31, 2022

Oral Ranula: A Case Report

 Eldhose K G, Paul Steaphen, Anu Jose, Sumary Abraham

Department of Oral and Maxillofacial Surgery, Annoor Dental College and Hospital, Muvattupuzha, Kerala

Address for correspondence: Dr. Anu JoseSenior Lecturer, Dept of Oral and Maxillofacial Surgery, Annoor Dental College and Hospital, Muvattupuzha, Kerala

E-mail –

Received : 5-03-2022

Revised: 12-03-2022

Accepted : 20-03-2022

This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-Noncommercial ShareAlike 4.0 license, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

 How to cite this article: Eldhose K G, Steaphen P, Jose A, Abraham S. Oral Ranula: A Case Report. J Oral Biomed Sci. 2022; 1:50-2.

Key words: Ranula, sublingual gland, extravasation cyst

A ranula by definition is a mucocele originating in sublingual gland by extravasation of saliva1. They commonly present as an asymptomatic swelling or cystic mass on floor of mouth2. Three modalities of treatment were described in the literature which include excision(25% recurrence rate), marsupilization (36.4% recurrence rate) and excision with removal of sublingual gland(0% recurrence rate)2,3. Here we present a case of oral ranula in a 19 years old female patient.

Fig 1: Intraoral Photograph: A frog’s belly like swelling; bluish colour on floor of mouth not crossing the midline.


Fig 2: Occlusal Radiograph was taken to rule out any calcific obstruction. It showed no abnormal changes


Fig 3: Marsupialization was done under local anaesthesia


Fig 4: Mucous extravasation phenomenon: Histopathology shows a fibrovascular connective tissue with cystic space bordered by chronic granulation tissue

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1)      Gupta A, Karjodkar FR. Plunging ranula: A case report. Int Sch Res Notices. 2010; 2011.

2)      Choi MG. Case report of the management of the ranula. J Korean Assoc Oral Maxillofac Surg 2019; 45(6):357-63.

3)      Yoshimura Y, Obara S, Kondoh T, Naitoh S. A comparison of three methods used for treatment of ranula. J Oral Maxillofac Surg1995;53:280–282


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