Migrating ingested wooden toothpick presenting as a neck lump: A case report

Foreign bodies (FB) are most often lodged in the upper digestive tract and amongst the common encounter in outpatient clinic. In most instances, the ingested FB passes uneventfully through the gastrointestinal tract without any harm but in certain cases, it can migrate extraluminally and lead to serious complication. Long standing migrated FB can cause devastating complications like neck abscess and injuries to the major blood vessels. In the present case, a wooden toothpick had migrated to the soft tissue of the neck. A careful and detailed history with clinical-radiographic investigation helped to locate the ingested FB and aided in its successful removal.

Plunging Epidermoid Cyst of the Floor of the Mouth Mimicking a Ranula

Plunging epidermoid cyst of the floor of mouth is indeed an uncommon entity. A 34-year old Malay gentleman had presented to our centre with a floor of mouth lesion that extended into the submental region. Clinical findings and imaging studies pointed towards the impression of a plunging ranula. Histopathological examination of a completely excised mass via intraoral approach, confirmed the diagnosis of an epidermoid cyst. He was well on follow up with no subsequent recurrence. We discuss the nature of epidermoid cyst and its surgical management.