Anesthesia Management of a Case of a Huge Ranula: A Case Report

JOURNAL TITLE: Research and Innovation in Anesthesia

Author
1. Harprit K Madan
2. Hema C Solanki
3. Latika S Kumar Singh
4. Sunil K Gvalani
5. Pallavi Kharat
ISSN
DOI
10.5005/jp-journals-10049-0086
Volume
5
Issue
2
Publishing Year
2020
Pages
3
Author Affiliations
    1. Department of Anesthesia, HinduHrudaySamrat Balasaheb Thackarey Medical College and Dr RN Cooper Hospital, Mumbai, Maharashtra, India
    1. Department of Anaestheisa, HinduHridaySamrat Balasaheb Thackeray Medical College and Dr Rustom Narsi Cooper Municipal General Hospital, Mumbai, Maharashtra, India
    1. Department of Anesthesia, Hinduhridaysamrat Balasaheb Thackeray Medical College and Dr. Rustom Narsi Cooper Municipal General Hospital, Mumbai, Maharashtra, India
    1. Department of Anaestheisa, HinduHridaySamrat Balasaheb Thackeray Medical College and Dr Rustom Narsi Cooper Municipal General Hospital, Mumbai, Maharashtra, India
    1. Department of Anesthesiology, HinduHridaySamrat Balasaheb Thackeray Medical College and Dr Rustom Narsi Cooper Municipal General Hospital, Mumbai, Maharashtra, India
  • Article keywords
    Difficult airway, Fiberoptic intubation, Plunging ranula

    Abstract

    Ranulas are mucous retention cysts arising out of submandibular and sublingual salivary glands.1 They usually occupy the floor of the mouth, lifting the tongue upward, and causing potential airway obstruction. They turn out to be a challenge for airway management for anesthesiologists. A 43-year-old male patient presented with a recurrent swelling in the floor of the mouth pushing the tongue upward and to the left side and completely obstructing the view of the posterior pharyngeal wall. He was operated on for the same swelling 2 years ago and had a recurrence for the last 8 months. He was planned for complete excision of the swelling under general anesthesia. We present a case report of successful management of difficult airway by using awake fiberoptic intubation of a patient posted for excision of large plunging ranula under general anesthesia.

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