title: Sublingual dermoid causing stertor in an infant.
abstract: Sublingual dermoids are uncommon lesions in the floor of mouth. The most common age of presentation is early adulthood, but presentation in infancy has also been reported. This report highlights the clinical presentation and treatment challenges in infants. An 8-month-old infant presented with inability to close mouth, intermittent stertor and snoring. MRI suggested a sublingual dermoid which was confirmed on histopathology of the surgically enucleated specimen. Sublingual dermoids are uncommon lesions of the floor of mouth. The age of presentation of a sublingual dermoid depends on the initial size of the lesion. Large sublingual dermoids in neonates can present with respiratory embarrassment and need early surgical intervention. Surgical enucleation via an intraoral approach is the treatment of choice with external approach reserved for very large cysts below the mylohyoid. Large sublingual cysts can present with anaesthetic challenges and may need fibreoptic intubation.
authors.affiliation: Department of ENT, Christian Medical College and Hospital Vellore, Vellore, Tamil Nadu, India.
authors.forename: P
authors.initials: P
authors.lastname: Naina
authors.affiliation: Department of Otorhinolaryngology, Head & Neck Surgery, Christian Medical College and Hospital Vellore, Vellore, Tamil Nadu, India.
authors.forename: Kamran Asif
authors.identifier: http://orcid.org/0000-0003-1331-1775
authors.initials: KA
authors.lastname: Syed
authors.affiliation: Department of ENT, Christian Medical College and Hospital Vellore, Vellore, Tamil Nadu, India.
authors.forename: Lisa
authors.initials: L
authors.lastname: Koshy
authors.affiliation: Department of ENT, Christian Medical College, Vellore, Tamil Nadu, India.
authors.forename: Suma Susan
authors.initials: SS
authors.lastname: Mathews
mesh_terms: D003251:Constriction, Pathologic / Q000150:complications / Q000601:surgery*; D003884:Dermoid Cyst / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D009060:Mouth Floor / Q000473:pathology*; D009062:Mouth Neoplasms / Q000175:diagnosis* / Q000601:surgery; D012913:Snoring; D016896:Treatment Outcome