Abstract
We are presenting a case report of 2 yrs. old male child with large sublingual ranula causing difficulty in airway management during general anaesthesia. we intubated the child after induction with sevoflurane , preserving spontaneous respiration. Muscle relaxant was not used for laryngoscopy and intubation.
Highlights
A ranula is a mucus filled cavity, a mucocele, in the floor of the mouth in relation to the sublingual gland[1,2]
We present a case report of a ranula in 2 yrs. old child causing difficulty in airway management during anaesthesia
Airway management during general anaesthesia was a challenge in this patient as the ranula was pushing the tongue towards hard palate thereby making laryngoscopy and intubation difficult
Summary
A ranula is a mucus filled cavity, a mucocele, in the floor of the mouth in relation to the sublingual gland[1,2]. The name “ranula” has been derived from the Latin word “rana” which means “frog.” The swelling resembles a frog's translucent underbelly or air sacs. Ranulas are characteristically large (>2 cm) and appear as a tense fluctuant dome-shaped vesicle, sometimes with a blue hue. The most common site is the lateral floor of the oral cavity. Ranulas usually presents in children and young adults. We present a case report of a ranula in 2 yrs. Old child causing difficulty in airway management during anaesthesia We present a case report of a ranula in 2 yrs. old child causing difficulty in airway management during anaesthesia
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