# Surgical Management of Huge Ranula Resembling Double Tongue in Pediatric Patients: A Successful Treatment of Two Cases

## TL;DR

This paper presents two successful surgical treatments of large ranulas in young girls, emphasizing the importance of removing affected glands to prevent recurrence.

## Contribution

The paper contributes two pediatric case studies demonstrating effective surgical management of huge ranulas.

## Key findings

- Surgical excision of ranulas along with affected sublingual glands led to successful outcomes in two pediatric cases.
- No recurrence was observed during post-operative follow-up in either case.

## Abstract

Ranula is a fluid collection in a pseudo cystic wall secondary to the damage of the sublingual salivary gland causing blockage of salivary flow, leading to the extravasation phenomena. The growth rate of ranula varies depending on its severity. Due to its tendency to recur, the gold standard management of ranula has yet to be decided. The authors described two cases of young girls with huge ranulas on the floor of the mouth (FOM) resembling double tongue, which caused pain and discomfort during mastication. Following surgical excision of the ranulas along with the affected sublingual glands, both cases demonstrated successful treatment outcomes with no recurrence observed during post-operative follow-up. These cases highlight the importance of surgical excision of ranulas and removal of affected sublingual glands to prevent recurrence.