Anesthetic management of congenital epulis in a newborn: a case report

Abstract

Introduction: The epulis of the newborn is a granular cell tumor that originates from the mucosa of the gingiva. Case presentation: The authors report a case of a 4-day-old neonate with a large mass arising from the right upper gingival area and occupying most of the oral cavity who presented for surgery with a potentially difficult airway. Intubation was achieved uneventfully using a gaseous induction with an appropriate-size facemask and displacement of the epulis to allow cautious laryngoscopy. Discussion: General anesthesia offers good airway protection and also alleviates the stress and pain associated with the surgery. Conclusion: Congenital epulis is a relatively rare congenital tumor of a newborn, which is one of the causes of difficult airways in neonates and children. However, after slight manipulation of the tumor, endotracheal intubation for the administration of general anesthesia is attainable.

A Clinical Observation Report on Prenatal Management and Postnatal Treatment of Congenital Granular Cell Epulis

“…10 Immunohistochemical analysis typically shows negative expression for S-100, smooth muscle actin, desmin, calponin, cytokeratin, chromogranin A, inhibin, nerve growth factor receptor, CD31, CD34, laminin, and CD68. [2][3][4]11 CGCE can be easily confused with GCTs in histology. Granular cell tumors are more common in adults, typically occurring between the ages of 20 and 60, with the tongue being the most frequent location.…”