Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a painless, fluctuant, bluish-translucent swelling in the floor of the mouth. Onset is reported as [duration]. Patient denies dysphagia, dyspnea, or significant pain, though reports a sensation of fullness and occasional rupture with subsequent recurrence of the lesion.
Clinical Examination Findings
Intraoral examination reveals a soft, compressible, dome-shaped swelling located lateral to the lingual frenum, consistent with a ranula. Lesion is non-tender to palpation, exhibits transillumination, and does not blanch. No evidence of secondary infection, cellulitis, or airway compromise. Submandibular and cervical lymph nodes are non-palpable.
Treatment Protocol
Treatment plan: [Marsupialization / Excision of the sublingual gland / Sclerotherapy]. Procedure explained to the patient, including risks of recurrence and injury to the Whartonโs duct or lingual nerve. Post-operative care includes chlorhexidine mouth rinses and soft diet for [number] days.