A rarė case of the congenital form of Ranula

D. Edgar Flinn
1890 Transactions of the Royal Academy of Medicine in Ireland  
Found]ing Hospital at Moscow four or tire cases of congenital ranula llad been observed during a period of seven years in about 80,000 children; and the Londou Medical Record of December, 1877~ makes mention of the fact that, up to that period~ there were only two known instances of this affection on record--one pub]ished by Dubois in 1833, and a second~ of more recent date, by M. Lombard. Mr. Bryant records two cases; both were, 1)robab]y~ he states, congenital~ and carne under his notice when
more » ... der his notice when the patients were about twenty years old. Sir W. Ferguson records one case. Ranula was formerly thought to be due to an obstruction of the salivary ducts; but recent authorities seem to favour the theory that it is caused by obstruction of one of the mucous glands that are situated beneath the tongue. Fairlie Clarke, in his work on ~~ Diseases of the Tongue," speaking of the larger tumours that are occasionally, but rarely~ found lying between the tongue and the lower jaw, says that, '~Although the term ranula is applied to them~ they are analogous to the sebaceous tumours which are so frequently met with on the skin, and, like them, contain a thick gritty, putty-like substance, somewhat offensive in odour. The mucous membrane beneath tt~e tongue is~ furthermore, often the seat of cystic formations, which take their origin sometimes in the ducts of the sublingual and submaxillary glands, sometimes in the areolar spaces, and, possibly~ also sometimes in the bursa, between
doi:10.1007/bf03169483 fatcat:nffehssr25h6nn5tvf7u7ww73u