title: Obstructive congenital epulis: prenatal diagnosis and perinatal management.
abstract: OBJECTIVE
  To describe a multidisciplinary approach for delivery room management of congenital epulis.
  
  
  METHODS
  Case reports.
  
  
  METHODS
  Reporting of two cases of congenital epulis and review of the literature.
  
  
  RESULTS
  Antepartum ultrasonography demonstrated massive intraoral masses in two fetuses whereby concerns regarding the patency of the airway at birth necessitated development of a multidisciplinary team of maternal-fetal medicine, neonatal-perinatal medicine, anesthesiology, and otolaryngology. Surgical excision was performed before delivery in one infant and after complete delivery in the other without a need for endotracheal intubation and general anesthesia. Feeding was started early, and both infants were discharged after brief hospital stays. Pathological findings were consistent with congenital epulis. Differential diagnosis and options for surgical intervention are discussed, including ex utero intrapartum treatment.
  
  
  CONCLUSIONS
  A multidisciplinary approach to antenatally identified congenital intraoral masses facilitates care at birth. Surgical treatment in this milieu may be simple and complete at the time of delivery.
authors.affiliation: Division of Neonatal-Perinatal Medicine, Schneider Children's Hospital, Long Island Jewish Medical Center, The University Hospital and Long Island Campus for the Albert Einstein College of Medicine, New Hyde Park, New York 11040, USA.
authors.forename: Pankaj
authors.initials: P
authors.lastname: Kumar
authors.forename: Harold Hyon Soo
authors.initials: HH
authors.lastname: Kim
authors.forename: Gerald D
authors.initials: GD
authors.lastname: Zahtz
authors.forename: Elsa
authors.initials: E
authors.lastname: Valderrama
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Steele
mesh_terms: D000328:Adult; D000402:Airway Obstruction / Q000209:etiology; D003937:Diagnosis, Differential; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging* / Q000473:pathology; D005887:Gingival Neoplasms / Q000150:complications / Q000151:congenital / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D010348:Patient Care Team; D011247:Pregnancy; D011296:Prenatal Diagnosis; D016216:Ultrasonography, Prenatal