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. 2024 Apr;76(2):1994-1997.
doi: 10.1007/s12070-023-04336-6. Epub 2023 Nov 25.

Mature Cystic Oral Teratoma in a Neonate- A Case Report

Anoushka Sahai  1 , Kartik Narkhede  1 , Pooja Shriwastav  1 , Ashwinikumar Gaikwad  1 , Hetal Marfatia  1
Affiliations

Mature Cystic Oral Teratoma in a Neonate- A Case Report

Anoushka Sahai et al. Indian J Otolaryngol Head Neck Surg. 2024 Apr.

Abstract

Background: Neonatal oral cavity masses present complex diagnostic and management challenges, often involving respiratory distress. We present a case of a 1-day-old male neonate with an oral cavity mass and respiratory distress, whose antenatal scan revealed polyhydramnios and a nasopalatine cyst.

Case report: Clinical examination revealed a 5 * 5 cm cystic swelling arising from the right hard palate. CT scans confirmed an intraoral cystic lesion with a complete cleft palate and excluded oropharyngeal/neck extension. Aspiration of cystic fluid facilitated surgical excision, leading to a histopathological diagnosis of mature cystic teratoma. Primary closure of the soft palate defect was performed. Histopathological examination revealed it to be mature cystic teratoma.

Conclusion: This case underscores the intricate interplay between antenatal imaging, clinical assessment, and surgical intervention in managing neonatal oral cavity masses. The successful excision and histopathological confirmation of a mature cystic teratoma highlights the significance of accurate diagnosis and timely intervention. The complexities surrounding neonatal oral cavity masses necessitate a comprehensive approach to optimize patient outcomes.

Keywords: Antenatal Diagnosis; Coblation; Neonate; Teratoma.

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Conflict of interest statement

Competing Interests There are no competing interests among the authors.

Figures

Fig. 1
Fig. 1
1 day old male neonate presenting with a large oral cyst originating from the right side of the hard palate (a) along with the presence of an isolated complete cleft palate (b). Aspiration of the oral cyst led to the shrinkage of the cyst (c). Removal of the cyst from the attachments to the palate using a coblator wand (d)
Fig. 2
Fig. 2
(a) Aspiration of 45 cc of fluid from the cyst. (b) The entire cyst along with the cyst wall was removed. This led to prolapse of the soft tissue surrounding the cyst and this defect was closed using absorbable sutures. (The photo shows the prolapsed healthy soft tissue and not the remnant of the cyst) (c) The excised sample sent for Histopathological study
See this image and copyright information in PMC

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