Ranula: Difference between revisions
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==Background== | ==Background== | ||
*A type of mucocele | [[File:Illu quiz hn 02.jpg|thumb|Salivary glands: #1 Parotid gland, #2 Submandibular gland, #3 Sublingual gland.]] | ||
*A type of mucocele of the sublingual gland | |||
==Clinical Features== | ==Clinical Features== | ||
[[File:Ranula human 09.jpg|thumb|Ranula under tongue]] | [[File:Ranula human 09.jpg|thumb|Ranula under tongue]] | ||
''Mostly seen in young children and adolescents'' | ''Mostly seen in young children and adolescents'' | ||
*Swelling in floor of mouth | *Swelling in floor of mouth to side of frenulum (typically unilateral) | ||
** Color is pale blue with semi transparent appearance | ** Color is pale blue with semi transparent appearance | ||
** Surface is smooth and mucous membrane is mobile over the swelling | ** Surface is smooth and mucous membrane is mobile over the swelling | ||
** Size varies from 1 – 5 cm in diameter | ** Size varies from 1 – 5 cm in diameter | ||
** Tenderness is absent | ** Tenderness is absent | ||
** | ** Positive fluctuation and transillumination (if performed) | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Facial swelling DDX}} | |||
==Evaluation== | ==Evaluation== | ||
===Workup=== | |||
*None required | |||
===Diagnosis=== | |||
*Typically a clinical diagnosis | |||
==Management== | ==Management== | ||
*Does not typically require ED treatment | |||
==Disposition== | ==Disposition== | ||
Latest revision as of 22:18, 21 February 2019
Background
- A type of mucocele of the sublingual gland
Clinical Features
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
- Buccal space infections
- Dental problems
- Canine space infection
- Facial cellulitis
- Herpes zoster
- Masticator space infections
- Maxillofacial trauma
- Neoplasm
- Parapharyngeal space infection
- Salivary gland diagnoses
- Parotitis
- Ranula
- Sialoadenitis
- Sialolithiasis
- Superior vena cava syndrome
Evaluation
Workup
- None required
Diagnosis
- Typically a clinical diagnosis
Management
- Does not typically require ED treatment
Disposition
- Outpatient follow up with ENT