Jeyashanth Riju¹*, Kiran Babu², Regi Thomas³ and Amey Baitule⁴

¹Associate Professor, Department of Head and Neck Surgery, Christian Medical College, Vellore, India
²Senior Resident, Department of ENT, Sree Narayana Institute of Medical Science, Chalaka, Ernakulam, India
³Professor, Department of ENT, Christian Medical College, Vellore, India
⁴Specialty Doctor, Hull University Teaching Hospitals NHS Trust, India

*Corresponding Author: Jeyashanth Riju, Associate Professor, Department of Head and Neck Surgery, Christian Medical College, Vellore, India.

Received: May 02, 2024; Published: June 17, 2024

Abstract

Background: Epidermoid cyst of a floor of mouth is very rare comprising less than 0.01% of oral cavity cysts. The occurrence of such a cyst presenting similarly to a plunging ranula is very uncommon and can pose a clinical dilemma in management.

Clinical Description: We describe a 16-year-old girl and a 19-year-old boy who presented with a painless smooth mucosa covered cystic swelling in the floor of mouth which was slowly increasing in size, on examination it was found to be contiguous with right level 1b region swelling.

Management and Outcome: Complete surgical excision of cyst was done by trans oral route. The maximum dimension of both cyst was over 5cm. The patients are currently under follow-up with no evidence of disease.

Conclusions: A cystic swelling in the floor of the mouth predominantly points to a ranula and the occurrence of congenital cysts in floor of mouth should be kept in mind. Marsupialization as the choice of treatment in floor of mouth cystic lesion should not be considered especially in an unproven cyst. Complete excision of an epidermoid cyst can give an excellent cure with negligible recurrence.

 Keywords: Epidermoid Cyst; Ranula; Floor of mouth; Cysts; Transoral Excision

References

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Citation

Citation: Jeyashanth Riju., et al. “Epidermoid Cyst Presenting As Plunging Ranula – A Rare Presentation of Two Cases".Acta Scientific Otolaryngology 6.7 (2024): 10-13.

Copyright

Copyright: © 2024 Jeyashanth Riju., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.