Giant epignathus of the palate: a case report

Filho, Marcelo P. Menezes; Simão, Nábia Maria M. S.

doi:10.5935/1676-2444.20150055

Cited by 3 publications

(7 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The presence of the larger tumor was found during the ultrasound exam in the 34th week of pregnancy, similar to other reports 9,10,12,16,19 in which the diagnosis also occurred in the third trimester. Other studies 7,8,20,23 reported the presence of teratoma in the second trimester of pregnancy, and in some 2,14,15 , only after birth.…”

Section: Discussionsupporting

confidence: 90%

“…In this case, the removal of the teratoma was performed early, o the 17th day of life, requiring removal of the residual teratoma two weeks later. The tumor described in this case was classified anatomically and pathologically as mature, as well as the tumors reported by most authors 2,4,6,9,11,12,14,16,19,21,22 . However, even though it is an uncommon occurrence, Kumar et al 7 and Chung et al 8 reported cases of immature teratoma.…”

Section: Discussionsupporting

confidence: 69%

“…Most studies 2,4,[6][7][8][9][10][11][12][13][14][15] report some characteristics of teratoma and its removal, without describing the consequences in the oral cavity. Whereas congenital oropharyngeal teratoma develops early in intrauterine life, thus affecting the growth and development of adjacent structures, the purpose of this case report is to present the sequelae of this tumor in a child's oral cavity.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Sequelae of congenital oropharyngeal teratoma in the oral cavity of the child

Qualhato

Peixoto

Marques

et al. 2021

Int J Innov Educ Res

View full text Add to dashboard Cite

Congenital oropharyngeal teratoma is a rare tumor subtype with cells from the three germ layers, majorly being benign. Whereas teratoma develops early in intrauterine life, thus affecting the growth and development of adjacent structures, the purpose of this case report is to present the sequelae of this tumor in a child's oral cavity. Female child, 2 years and 3 months old referred by the otorhinolaryngologist for dental evaluation. The mother´s main complaint was the the child could not close her mouth. According to the child's medical record, at 34th week of gestation, during the routine ultrasound examination, the presence of the anechoic tumor mass was observed without Doppler signal, presenting a 3.2cm x 2.4cm diameter outside through the oral cavity. At 17 and 32 days of life, respectively, the excision of the largest and residual tumor located on the floor of the mouth was performed. Upon anatomopathological examination, the tumor with was classified as a mature teratoma. In the intraoral examination, a deep and atresia palate incomplete cleft palate, bone growth in the region of the posterior alveolar ridge of the maxilla, and in the posterior region of the mandible on the left side, "V" shaped mandible and microglossia, crowding were observed dental agenesis of the lower lateral incisors, absence of caries lesions, gingivitis and enamel development defects. The child will remain under the regular dental pediatric follow-up. Several sequelae were observed in the child's oral cavity and the need for multi-professional follow-up after excision of congenital oropharyngeal teratoma.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 69%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Sequelae of congenital oropharyngeal teratoma in the oral cavity of the child

Qualhato

Peixoto

Marques

et al. 2021

Int J Innov Educ Res

View full text Add to dashboard Cite

show abstract

“…The newborn must therefore benefit from oxygenation and feeding by nasogastric tube while awaiting surgery. Complete surgical excision is the definitive treatment [ 5 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…If located in the upper aerodigestive tract, they are high risk, frequently causing life-threatening complications from compromise of the airway. Because of this, they have a high mortality rate, and prenatal diagnosis may allow for better preparation to help optimize care at the time of birth [ 3 – 5 ].…”

Section: Introductionmentioning

confidence: 99%

Congenital epignathus associated with a cleft palate: a case report

Mutombo¹,

Kikuhe

Mwanamolo³

et al. 2021

J Med Case Reports

View full text Add to dashboard Cite

Background Epignathus is a rare, benign, congenital teratoma of the hard palate with an estimated incidence of 1 in 200,000 live births. Epignathus frequently leads to a high mortality (80–100%) due to airway obstruction in the neonatal period. Case presentation We report a case of successful management of a rare oropharyngeal teratoma in a African newborn girl who was referred to our institute with a large protruding intraoral mass, combined with cleft palate, causing some respiratory compromise. The palatal mass was removed on the fifth day after birth, and a palatoplasty performed on day 30. Conclusion Epignathus is a life-threatening condition at the time of delivery. Appropriate management begins with securing the airway, followed by complete resection of the tumor.

show abstract

An Approach to Nasopharyngeal Mass in Newborns: Case Series and Systematic Literature Review

Noy¹,

Borenstein-Levin²,

Gordin³

2022

Rambam Maimonides Med J

View full text Add to dashboard Cite

Objective: Congenital nasopharyngeal masses (CNMs) are rare. Presenting symptoms vary, and the differential diagnoses cover a wide spectrum of possibilities. As it is uncommon, most examples discussed in literature are described as case reports or series. Guidelines on CNM patient management do not exist. In this study, we present two (2) cases of neonates with CNMs that were encountered at our tertiary center. Additionally, to best elaborate a comprehensive, case-based approach to CNM management, we offer an up-to-date, diagnosis-to-treatment review of current literature. Methods: Case series and systematic literature review. Results: Twenty-eight (28) studies are included since January 2000 to October 2021, with a total of 41 cases. Most common diagnosis was teratoma (78%). Female-to-male ratio was 2.5:1. Twenty percent of cases presented prenatally with polyhydramnios or elevated alpha-fetoprotein. Postnatally, the presenting symptoms most frequently encountered were respiratory distress (78%), oral mass (52%), and feeding difficulties (29%). Seventy-five percent of affected newborns showed symptoms within the first 24 hours of life. Forty percent of cases had comorbidities, especially in the head and neck region. Conclusions: Congenital nasopharyngeal masses can be detected antenatally, or symptomatically immediately after birth. Airway protection is a cornerstone in the management. Selecting the right imaging modality and convening a multidisciplinary team meeting are important toward the planning of next steps/therapeutic approach. Typically, a transnasal or transoral surgical approach will be deemed sufficient to address the problem, with a good overall prognosis.

show abstract

Giant epignathus of the palate: a case report

Cited by 3 publications

References 14 publications

Sequelae of congenital oropharyngeal teratoma in the oral cavity of the child

Sequelae of congenital oropharyngeal teratoma in the oral cavity of the child

Congenital epignathus associated with a cleft palate: a case report

An Approach to Nasopharyngeal Mass in Newborns: Case Series and Systematic Literature Review

Contact Info

Product

Resources

About