A Congenital True Teratoma With Cleft Lip, Palate, and Columellar Sinus

Abstract

Teratomas, the most common extragonadal germ cell tumor of childhood, involve at least two of the ectodermal, mesodermal, and endodermal layers. Of the teratomas seen in the first 2 months of life, 82% are sacrococcygeal. The head and neck region is the second most common location for teratomas in early infancy, accounting for five (14%) of those cases. We describe a female neonate with a teratoma of the nasopharyngeal area, bilateral cleft palate/lip, and columellar sinus pathologies. The mass, which was 8 x 5 x 7 cm and soft in consistency, blocked the airway and prevented oral feeding. On macroscopic examination of the excised mass, there was a notable typical cilia arrangement and lower eyelid appearance. The patient, who was diagnosed with a well-differentiated teratoma after the pathologic examination, did not have any complications in the postoperative period.

Missed nasopharyngeal teratoma: A cause for recurrent respiratory distress in a neonate

“…[4] It may be associated with other anomalies such as cleft palate, microcephaly, atresia of left common carotid, and cardiac abnormalities. [5] The differential diagnosis of the nasopharygeal mass includes lymphatic malformation, congenital rhabdomyosarcoma, haemangioma, intranasal glioma, meningomyelocoele, and encephalocoele.…”

Congenital Epignathus Associated With a Tricuspid Incompetence

“…Initial treatment should be directed toward airway management and nutrition. Surgical airway and feeding should be considered early [16][17][18]. In our case, the mass on the palate made oral feeding difficult and had to be surgically removed (Figures 6, 7).…”

Functional Reconstruction of Epignathus with Cleft Palate Using Part of a Mature Teratoma

“…In relatively mild cases, tumor excision must be followed by functional reconstructions, keeping the ultimate outcome in mind from the primary treatment stage. When treating epignathus with cleft palate (Choulakis et al, 2001; Becker et al, 2007; Isken et al, 2007), it is particularly important to consider velopharyngeal function and maxillary growth after surgical repair (Karabekmez et al, 2009). A good functional outcome is a goal of surgical therapy in epignathus with cleft palate.…”