Dermoid cysts are benign congenital tumors of ectoderm origin usually arising from the midline where the fusion of embryonic structures of both sides occurs. However, dermoid cyst can occur on the lateral part of the floor of the mouth. Neck swellings are difficult to diagnose clinically and are close to vital structures. An adult female who presented with a swelling in the right submandibular region of 3-year duration was evaluated and treated surgically. Ranula is a type of mucocele, a disorder of salivary gland usually found in the floor of the mouth. We hereby present this rare mode of presentation of a dermoid cyst with a diagnostic dilemma and a surgical challenge.4
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