title: Rapid development of a simple ranula in a child.
abstract: OBJECTIVE
  A simple ranula is a gradually progressive, benign condition of the salivary gland. The report here describes a very rare case of a simple ranula enlarging in an acute fashion, resulting in airway obstruction.
  
  
  METHODS
  A 7-year-old girl presented with swelling in the floor of the mouth, pushing the tongue upward and backward, requiring immediate nasotracheal intubation. Magnetic resonance imaging suggested a simple ranula requiring urgent surgery. The patient was followed up 4 weeks after discharge, at which time she was doing well.
  
  
  CONCLUSIONS
  To the best of the authors' knowledge, this is the first case reported of a simple ranula presenting in an acute fashion, leading to airway compromise in a pediatric patient. The literature is reviewed and features of diagnosis and treatment are presented.
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research (MAPIMS), Melmaruvathur, Tamil Nadu, India dinesh.sathanantham@gmail.com.
authors.forename: Dinesh Kumar
authors.initials: DK
authors.lastname: Sathanantham
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Gopi B
authors.initials: GB
authors.lastname: Shah
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Seckin
authors.initials: S
authors.lastname: Ulüalp
mesh_terms: D000208:Acute Disease; D000402:Airway Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D019647:Oral Surgical Procedures / Q000379:methods*; D011900:Ranula / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D012466:Salivary Gland Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D013997:Time Factors; D014057:Tomography, X-Ray Computed
keywords: acute presentation; airway obstruction; floor of the mouth swelling; ranula; rapid development of swelling; simple ranula