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Fulvio Urso-Baiarda, MRCS; Natarajan Saravanappa, FRCS; Robert Courteney-Harris, FRCS
City General Hospital, Hartshill, Stoke on Trent, England

Arch Otolaryngol Head Neck Surg. 2003;129:490.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 16-YEAR-OLD girl presented with difficulty in swallowing that was caused by a rapidly increasing swelling of the floor of the mouth. She had become aware of this swelling 6 weeks earlier, but it had not become troublesome until shortly before presentation, when it enlarged more rapidly and started to interfere with swallowing. Physical examination revealed a large, nontender, fluctuant swelling filling the entire floor of the mouth. The results of the rest of the physical examination were normal. Aspiration of the swelling yielded 0.5 mL of amorphous material, which was reported as necrotic with no elements present for assessment.

The swelling subsided incompletely following a course of parenteral antibiotics. A contrast-enhanced computed tomographic scan of the neck (Figure 1) revealed a well-defined, unilocular, cystic mass in the floor of the mouth, inferior to the tongue, demonstrating homogeneous low . . . [Full Text of this Article]

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