Case Reports | Challenge Journal of Perioperative Medicine

Perioperative ventricular dysrhythmia management in ranula cyst excision surgery

Merve Yaman, Tayfun Aydın, Osman Pala

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Ranula cyst is one of the most common pathologies of the sublingual salivary gland. It is formed as a result of damage to the gland ducts and is a retention cyst filled with mucus. Methods such as drainage, excision or cryosurgery are used in the treatment. During surgical treatment, it may cause various dysrhythmias due to its anatomical relationship with the vagus nerve. In this study, we aimed to present our response to arrhythmias seen during ranula cyst excision and resistant to IV administration with local lidocaine administration.


lidocaine; ventricular arrhythmia; ranula; vagus


Gontarz M, Bargiel J, Gąsiorowski K, Marecik T, Szczurowski P, Zapała J, et al. Surgical treatment of sublingual gland ranulas. Int Arch Otorhinolaryngol 2023; 27(02):e296–301.

Çankaya H, Kutluhan A, Kırış M, İçli M. Basit ranula: Olgularımız ve tedavi yaklaşımlarının değerlendirilmesi. Van Med J 2001; 8(4):128-130.

Yapıcı Yavuz G, Yavuz MS, Koparal M. Sublingual ranula: Case report. Adıyaman Univ J Health Sci 2016; 2(2):287–96.

Kayaalp O. Medical pharmacology in the direction of rational treatment. Anti Arrhythmic Drugs 2002; 510–51.

Hearse DJ. Ischemia, reperfusion, and the determinants of tissue injury. Cardiovasc Drugs Ther [Internet] 1990; Suppl 4:767–76.

Sorgun MH. Anatomy of Cranial Nerves. Anatomy Department, Ankara University, 2011.

Ergün AC, Kök S, Öztürk S. Vagal nerve stimulation: Surgical technique and complications. Turk Neurosurg J 2021; 31(3):368-373.

Kenny BJ, Bordoni B. Neuroanatomy, Cranial Nerve 10 (Vagus Nerve); 2023. [accessed 16 November 2023]

Nur Gökçe E. The secret of a longevity: The vagus nerve. İstanbul Bilim University Florence Nightingale Journal of Medicine 2018; 4(3):154–165.

Bahşi I. Nervus Hypoglossus; 2023. [accessed 16 November 2023]

Ye P, He C, Chen Y, Wu H, Li Y, Cai C, et al. Cervical vagal nerve schwannoma induced arrhythmia: a rare case report and literature review. BMC Neurol 2022; 22(1).

Wood BM, Mcneil WT. Schwannoma of the vagus nerve. Anaesthesia 1986; 41(11):1130–1132.

Hacking C. Pulmonary plexus. In:; 2022.


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