case_images: PMC10874684_01
case_images: Extraoral view: right and left submandibular swelling
case_images: cureus-0016-00000052590-i01.jpg
case_images: PMC10874684_01_cureus-0016-00000052590-i01.jpg
case_images: FIG1
case_images: Intraoral view: swelling in one side of the lingual frenum (right floor of the mouth)
case_images: cureus-0016-00000052590-i02.jpg
case_images: PMC10874684_01_cureus-0016-00000052590-i02.jpg
case_images: FIG2
case_images: In intraoral examination, there was a smooth and movable mass in the mouth's floor and lingual frenum's right side (Figure 2).
case_images: (A) Coronal CT image showing hypodense fluid collection above (white star) and below (blue star) the mylohyoid muscle. (B) Axial CT image with contrast, showing well-defined swelling in the right and left submandibular region (white star). (C) Axial CT image showing "tail sign" phenomenon (white arrow)
case_images: cureus-0016-00000052590-i03.jpg
case_images: PMC10874684_01_cureus-0016-00000052590-i03.jpg
case_images: FIG3
case_images: It revealed a 66 x 77 x 40 mm hypodense, homogeneous fluid collection in the right and left submandibular regions, with a deep inferolateral extension through the submental area (Figure 3), close to the right sublingual gland, and a nodular lesion compatible with an accessory lobe of the gland (Figure 4).
case_images: (A) Axial CT image showing the accessory lobe of the right sublingual gland (white arrow). (B) Coronal CT image showing accessory lobe of the right sublingual gland (blue arrow)
case_images: cureus-0016-00000052590-i04.jpg
case_images: PMC10874684_01_cureus-0016-00000052590-i04.jpg
case_images: FIG4
case_images: It revealed a 66 x 77 x 40 mm hypodense, homogeneous fluid collection in the right and left submandibular regions, with a deep inferolateral extension through the submental area (Figure 3), close to the right sublingual gland, and a nodular lesion compatible with an accessory lobe of the gland (Figure 4).
case_images: Resected specimen of the right sublingual gland with a white solid nodule (white arrow)
case_images: cureus-0016-00000052590-i05.jpg
case_images: PMC10874684_01_cureus-0016-00000052590-i05.jpg
case_images: FIG5
case_images: The whole right sublingual gland was resected (Figure 5), the lingual nerve was secured, and the surgical exploration of the submylohyoid space was followed by spontaneous transoral drainage of the ranula's content with copious viscous mucin.