PMC4173585_01
External view of ranula
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F1
The mass was gradually increasing in size and extending to the submental and submandibular region occupying the upper anterior part of the neck [Figure 1].
Intraoral view
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F2
The intraoral part of the mass was extending more toward the left, deviating the tongue toward right and making the uvula and soft palate invisible thus graded as Mallampati IV [Figure 2].
Computed tomography scan of ranula
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F3
Lateral X-ray neck showed soft-tissue shadow at upper part of the neck and computed tomography scan of the neck showed a cystic lesion with septae not involving any part of trachea or larynx [Figure 3].
After nasal intubation
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F4
A 6.5 mm well lubricated poly vinyl chloride cuffed endotracheal tube (ETT) was introduced gently through nasal route into the trachea hearing patient's breath sound, fixed after confirming the position by capnography and chest auscultation [Figure 4].