Nasopharyngeal mature teratoma in the newborn

Bayır, Ömer; Günerı, Enis Alpin; Dilek, Mustafa; Özer, Erdener; Çakmakçı, Handan; Erdağ, Taner Kemal

doi:10.5152/tpa.2014.87

Cited by 8 publications

(9 citation statements)

References 9 publications

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“…The age of the 9 patients ranged from 1 d to 48 years, with a median of 10-mo-old. The cases had various clinical manifestations, as follow: foul-smelling left otorrhea[ 8 ], peripheral palsy of the seventh cranial nerve[ 5 ], a tongue-like structure which protruded when the patient cried and retracted into the mouth when swallowing[ 9 ], a history of refractory otitis media and a nasopharyngeal mass[ 3 ], a discharging left ear since infancy[ 10 ], respiratory distress in a premature infant[ 11 ] with recurrent otitis media and chronic otorrhea of the left ear[ 12 ], and a history of chronic otitis of the right ear from infancy[ 13 ]. However, all these manifestations were due to obstruction of the channel or oppression of the surrounding structures.…”

Section: Discussionmentioning

confidence: 99%

Eustachian tube teratoma: A case report

Li¹,

Sun²,

Hu³

et al. 2022

WJCC

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BACKGROUND Mature teratoma composed of all three basic germ cell layers of the head and neck is a rare disease. Teratomas involving the temporal bone are particularly scarce. CASE SUMMARY A 48-year-old male patient with a history of chronic otitis of the left ear from infancy, for which he had been operated on twice, was referred to our hospital for chronic otitis, cholesteatoma and a middle ear mass. Computed tomography (CT) scan and magnetic resonance imaging (MRI) revealed a eustachian tube teratoma, in which the anterior lower part and posterior upper part were connected by a thin membranaceous tissue. The mass was removed completely under general anesthesia by mastoidectomy. As of last follow-up (2 years post-surgery), the disease had not relapsed. CONCLUSION Pre-operative CT and MRI are necessary for eustachian tube teratoma. Complete surgical resection provided excellent prognosis.

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Section: Discussionmentioning

confidence: 99%

Eustachian tube teratoma: A case report

Li¹,

Sun²,

Hu³

et al. 2022

WJCC

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“…Prenatally, CNMs may present with polyhydramnios due to impaired swallowing. 6,11,19,23,24,29 Elevated maternal alpha-fetoprotein levels may also be present. 10,11,17,30 Ultrasound may detect these lesions.…”

Section: Discussionmentioning

confidence: 99%

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

Noy¹,

Borenstein-Levin²,

Gordin³

2022

Rambam Maimonides Med J

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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.

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“…Six cases with head and neck region teratoma were reported in 2014, all requiring surgical excision without any malignant transformation 7. Another case reported in 2008 mentioned about a facial mature teratoma, which was surgically excised and had a normal development in long-term follow-up 8. MRI and CT scan are the imaging modalities, which are used for diagnosing teratomas.…”

Section: Discussionmentioning

confidence: 99%

Case of nasopharyngeal teratoma: challenges in the management

Mandelia

Naranje

Singh³

2019

BMJ Case Rep

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Teratomas are tumour with tissue or organ components resembling normal derivatives of more than one germ layer. The most common site of congenital teratoma is sacrococcygeal region. Teratomas in head and neck region are rarer. We report a 4-day-old male baby who presented with nasopharyngeal mass, which led to respiratory distress and feeding difficulty. It was managed with surgical excision with multidisciplinary approach.

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Nasopharyngeal mature teratoma in the newborn

Cited by 8 publications

References 9 publications

Eustachian tube teratoma: A case report

Eustachian tube teratoma: A case report

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

Case of nasopharyngeal teratoma: challenges in the management

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