Navarrete-Arellano M, Soto-Fernández AE

Language: Spanish
References: 5
Page: 85-89
PDF size: 311.33 Kb.

ABSTRACT

Introduction: epignathus is a congenital teratoma of the oropharyngeal cavity, is presented as a mass of tissue is exposed on the outside through the oral cavity, the histology is benign and can cause severe obstruction of the airway and / or digestive tract. At birth it is essential to secure the airway and then removed the tumor. We present this case because it is very rare.
Case report: A newly born female, obtained via cesarean for prenatally detected tumor apparently chin, the mouth showed tumor protrusion. He secured the airway with Guedel airway. Establishing a diagnosis of intraoral teratoma: Epignatus. The histopathological report was intraoral teratoma. The evolution to date is satisfactory with 6 months follow up.
Discussion: epignatus is a teratoma of the oral cavity is rare and protrudes through the mouth. It is a benign, but mortality is high because it causes airway obstruction at birth. Prenatal diagnosis can be established with USG or MRI, and treatment is surgical resection. Because of its benign histology is virtually free from recurrence

REFERENCES

1. Martínez Ferro M, Cannizzaro C, Rodríguez S, Rabasa C: Neonatología quirúrgica. Patología quirúrgica de cabeza y cuello del recién nacido. Buenos Aires: Grupo Guía, 2004:259-265.

2. Escobar I, Poblete A, Becker J, Zavala A, Kattan J, Urzúa S, Carvajal J: Epignathus: reporte de un caso y revisión de la literatura. Rev Chil Obstet Ginecol 2005;70(3):173-179.

3. Pino Rivero V, Cano Cortés M, Pando Pinto JM, Rejas Ugena E, Blasco Huelva A: Epignatus. A propósito de un caso y revisión de la literatura. Acta Otorrinolaringol Esp 2003; 54: 305-308.

4. Marwan A, Crombleholme TM. The EXIT procedure: principles, pitfalls, and progress. Sem ped surg 2006;15:107-115.

5. Kumar B, Shyam BS: Neonatal oral tumors: congenital epulis and epignathus. J Pediatr Surg 2008;43(9):9-11.