Surgical approach to congenital superficial ranula coexisting with short lingual frenulum in infant

Background: Congenital superficial ranulas (CSR) are very uncommon entities in neonates, corresponding to 0.74% in contrast to lingual frenulum alterations ranging from 2.8 to 10.7%. Both anomalies should be appropriately diagnosed and treated. Methods: This paper introduces the case of an 8-week infant with CSR and short lingual frenulum, successfully managed by surgical marsupialization during a frenotomy procedure. After the comprehensive oral examination, we have identified the primary cause of feeding issues. Ranula was diagnosed by classic clinical presentation, ultrasound, and presence of typical mucous during the surgical management. Results: The healing was uneventful, and we did not observe recurrence during the 6-month follow-up. Post-surgery, the infant could breastfeed easily [4]. Conclusion: CSR in case of concomitant ankyloglossia should be identified and surgically treated by marsupialization in the first 6 months before transitioning to solid food.