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Cysts of the soft tissues
- Epidermoid cyst
- Rare
- May manifest during infancy or childhood
- Most commonly midline of FOM
- Treatment with enucleation, recurrences are rare
- Heterotropic gastrointestinal cyst
- Extremely rare
- Usually present at birth or soon after
- Cystic swelling in the anterior floor of mouth
- Enucleation, rare recurrence
- Lymphoepithelial cyst (Oral tonsil)
- Rare
- Any age
- Yellowing, circumscribed swelling, asymptomatic
- Floor of mouth and ventral tongue
- Nasolabial cyst
- Rare
- Mainly diagnosed during adulthood
- Paramedian swelling in the upper mucobuccal fold. May show some radiographic erosion. May see swelling of nasolabial groove and bluish swelling intranasally
- Enucleation through an intraoral approach
- Mucous retention phenomenon (Mucocele, Ranula)
- Traumatic obstruction of the duct
- Common, any age
- Bluish, non painful, recurre
- Mainly Lower lip (Mucocele) or floor of mouth (Ranula) involving the sublingual gland
- Plunging ranula herniates through the mylohyoid muscle presenting as a submental or submandibular swelling.
- Lower lip enucleation
- Ranula marsupualisation. If recurrence, removal of the sublingual gland may be indicated
- Plunging ranula, removal of the gland should resolve the issue
- Thyroglossal duct cyst
- Rare, usually manifests during childhood
- Any site along the thyroglossal tract: Extraorally in the neck midline or intraorally in the foramen caecum (Posterior of the median sulcus of the tongue dorsum) or tongue dorsum
- Enucleation, may need to include portion of the hyoid bone to prevent recurrence
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