Emergency management of a congenital teratoma of the oral cavity at birth and three-year follow-up.
Teratomas are congenital malformations that are rarely located in the head and neck region. We report a case of congenital teratoma of the oral cavity, which was causing an airway obstruction and was treated at the time of birth. This teratoma was discovered at 27 gestational weeks by ultrasonography. A multidisciplinary team was consulted for antenatal diagnosis; the options of therapeutic abortion or management of the birth with the prevention of respiratory distress were debated. However, preterm labour at 32 gestational weeks accelerated the parental and the medical decisions. The parents agreed to the birth. The various disciplines coordinated their work, and the predefined treatment plan for clearing the airway obstruction was applied to manage the birth. The reestablishment of patency of the airway was performed during delivery and removal of the tumour was performed immediately afterwards. The follow-up of this case over 3 years is also presented.
Department of Maxillofacial Surgery and Stomatology, University Hospital Amiens, France. Electronic address: dr.stephanie.dakpe@gmail.com.
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Dakpé
Department of Prenatal Diagnosis, Gynaecology and Obstetrics, University Hospital Amiens, France; Department of Medical Genetics, Rare Disease Centre, University Hospital Amiens, France.
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Demeer
Department of Anatomopathology, University Hospital Amiens, France.
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Cordonnier
Department of Maxillofacial Surgery and Stomatology, University Hospital Amiens, France.
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Devauchelle
D000328:Adult; D000402:Airway Obstruction / Q000151:congenital; D002585:Cesarean Section; D002972:Cleft Palate / Q000601:surgery*; D004638:Emergency Treatment; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D008297:Male; D009062:Mouth Neoplasms / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D011247:Pregnancy; D013724:Teratoma / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D016216:Ultrasonography, Prenatal
EXIT procedure; antenatal diagnosis; cleft palate; epignathus; neonatal surgery; teratoma