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JOURNAL TITLE: Research and Innovation in Anesthesia
Ranulas are mucous retention cysts arising out of submandibular and sublingual salivary glands.1 They usually occupy the floor of the mouth, lifting the tongue upward, and causing potential airway obstruction. They turn out to be a challenge for airway management for anesthesiologists. A 43-year-old male patient presented with a recurrent swelling in the floor of the mouth pushing the tongue upward and to the left side and completely obstructing the view of the posterior pharyngeal wall. He was operated on for the same swelling 2 years ago and had a recurrence for the last 8 months. He was planned for complete excision of the swelling under general anesthesia. We present a case report of successful management of difficult airway by using awake fiberoptic intubation of a patient posted for excision of large plunging ranula under general anesthesia.
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