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Synchronous Contralateral Oral and Cervical Ranula

Ranulas arise as a result of extravasation of saliva from the sublingual gland. They are usually unilateral and relatively uncommon. Two varieties of ranula have been reported: a superficial or oral ranula and a cervical or plunging ranula. The exact pathogenesis of ranula is still unknown. Bilateral ranulas are quite rare. There have been 2 reports of a single case of bilateral plunging ranula that arose asynchronously.1,2 We report a rare case of 2 types of ranulas, oral and cervical, presenting synchronously and contralaterally. The possible pathogenesis and surgical management of the patient are described.