This report describes an interesting case providing a brief review of the literature and highlighting the complexity in management and definitive treatment of a premature neonate with an obstructive epignathus teratoma and polydactyly bilaterally. Additionally, this case is unique because of the extremely large size of the oral tumor in relation to the neonate's total body size.
ChattopadhyayA., PatraR.Vijaykumar. Oral tumors in newborn.Indian J Pediatr.2003; 70: 587–588.
2.
GeraN., BhatiaA.. Epignathus: a case report with review of literature.Indian J Pathol Microbiol.1994; 37(suppl): S50–S51.
3.
HaghighiK., MillesM., ClevelandD., ZiccardiV.. Epignathus teratoma with bifid tongue and median glossal salivary mass: report of a case.J Oral Maxillofac Surg.2004; 62: 379–383.
HoltG., HoltJ., WeaverR.. Dermoids and teratomas of the head and neck.Ear Nose Throat J.1979; 58: 520–531.
6.
IzadiK., SmithM., AskariM., HackamD., HameedA.A., BradleyJ.P.. A patient with an epignathus: management of a large oropharyngeal teratoma in a newborn.J Craniofac Surg.2003; 14: 468–472.
7.
JawadA.J., KhattakA., al RabeeahA., ZakzoukS.M., Ur-RahmanN., Izzidien al-SamarraiA.Y.. Congenital nasopharyngeal teratoma in newborn: case report and review of literature.Z Kinderchir.1990; 45: 375–378.
LevineA.B., AlvarezM., WedgewoodJ., BerkowitzR.L., HolzmanI.. Contemporary management of potentially lethal anomaly: a successful perinatal approach to epignathus.Obstet Gynecol.1990; 76: 962–966.
10.
MaedaK., YamamotoT., YoshiuraH., ItohH.. Epignathus: a report of two neonatal cases.J Pediatr Surg.1989; 24: 395–397.
11.
MarxR.E., SternD.. Oral And Maxillofacial Pathology: A Rationale For Diagnosis And Treatment.Chicago: Quintessence Publishing;2003: 630–631.
12.
NogalesF.F., GascaL., LiamasR., BlancoA., SanzJ.F.. Case report: epignathus, clinical, radiologic, and pathologic considerations.Int J Gynaecol Obstet.1977; 15: 41–43.
13.
TapperD., LackE.. Teratomas in infancy and childhood. A 54 year experience at the Children's Hospital Medical Center.Ann Surg.1983; 198: 398–410.
14.
VandenhauteB., LeteurtreE., Lecomte-HouckeM., PellerinP., NuytsJ.P., CuissetJ.M., Soto-AresG.. Epignathus teratoma: report of three cases with a review of the literature.Cleft Palate Craniofac J.2000; 37: 83–91.
15.
WardR.F., AprilM.. Teratomas of the head and neck.Pediatr Otolaryngol.1989; 22: 621–629.
16.
ZakariaM.A.. Epignathus (congenital teratoma of the hard palate): a case report.Br J Oral Maxillofac Surg.1986; 24: 272–276.
