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Mouth Diseases

Growth under tongue - Ranula? Cyst?

11/21/2006

Question:

Daughter 11 years, notice growth ( about 1/2cm under tongue) - right in the middle a few month ago.No pain at all. Growth slightly hard, not mobile. Nothing happen when a needle is inserted in it. surgery postphone as she`s having fever and cough. now trying traditional Rx. - chinese herbs to avoid surgery.

Any complication or side effects after surgery? - like unable to speak properly or others. What`s your advice.

Not much to read about ranula under tongue or picture to see.

Answer:

This certainly could be an organizing mucous retention phenomenon (ranula or mucocele).  Most mucoceles/ranulas feel as if they are filled with fluid (mucous), but there is usually a host response to the mucous in the tissue, resulting in inflammatory cells and granulation tissue intermingling with the mucous, making the lump feel more firm. 
 
It would be very unusual for the patient to have any long-term side effects or complications if the lesion is treated by a Board-certified oral and maxillofacial surgeon, although the area would naturally be a little tender for a few days following the removal.

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Response by:

Carl M Allen, DDS, MSD Carl M Allen, DDS, MSD
Professor Emeritus of Oral Pathology
College of Dentistry
The Ohio State University