Epignathus Leading to Fatal Airway Obstruction in a Neonate
Published: January 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/24956.9283
Shruti Sudhir Jadhav, Charusheela Sujit Korday, Sushma Malik, Vivek Kishor Shah, Shilpa Kapil Lad
1. Ex-Assistant Professor, Neonatology Division, Department of Pediatrics, TN Medical College and BYL Nair Hospital, Mumbai, Maharashtra, India.
2. Ex-Associate Professor, Neonatology Division, Department of Pediatrics, TN Medical College and BYL Nair Hospital, Mumbai, Maharashtra, India.
3. Professor and Incharge Neonatology, Neonatology Division, Department of Pediatrics, TN Medical College and BYL Nair Hospital, Mumbai, Maharashtra, India.
4. Ex-Resident, Neonatology Division, Department of Pediatrics, TN Medical College and BYL Nair Hospital, Mumbai, Maharashtra, India.
5. Associate Professor, Department of Pathology, TN Medical College and BYL Nair Hospital, Mumbai, Maharashtra, India.
Correspondence
Dr. Shruti Sudhir Jadhav,
102, Wing 4, Everglade Society Near Hyundai Showroom Kharadi, Pune-411014, Maharashtra, India.
E-mail: mailme_shrutus@rediffmail.com
Teratomas are benign tumours containing cells from ectodermal, mesodermal and endodermal layers with an incidence of about 1 in every 4,000 births. Their commonest site is sacro-coccygeal region, followed by anterior mediastinum. The incidence of teratomas localised to the head and neck region is around 2–9% of all cases. Epignathus is a rare congenital oropharyngeal teratoma originating from the base of the skull. Here we present a rare case of oropharyngeal teratoma in a neonate who was referred to our institute with an ill-defined oral mass protruding through a cleft in the hard palate. Computed tomography scan showed a contrast-enhanced solid mass with areas of calcification and fat extending to oropharynx and nasal cavity with hard palate defect suggestive of a teratoma. Unfortunately, the patient succumbed due to respiratory compromise before the biopsy could be done. Postmortem histopathological examination confirmed diagnosis of benign teratoma consisting of mature tissue.
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