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- Title
Surgical management of palatal teratoma (epignathus) with the use of virtual reconstruction and 3D models: a case report and literature review.
- Authors
Gonzalez-Cantu, Cynthia Minerva; Moreno-Peña, Pablo Juan; Salazar-Lara, Mayela Guadalupe; Flores García, Pablo Patricio; Montes-Tapia, Fernando Félix; Cervantes-Kardasch, Victor Hugo; Castro-Govea, Yanko
- Abstract
Epignathus is a rare congenital orofacial teratoma that arises from the sphenoid region of the palate or the pharynx. It occurs in approximately 1:35,000 to 1:200,000 live births representing 2% to 9% of all teratomas. We present the case of a newborn of 39.4 weeks of gestation with a tumor that occupied the entire oral cavity. The patient was delivered by cesarean section. Oral resection was managed by pediatric surgery. Plastic surgery used virtual 3-dimensional models to establish the extension, and depth of the tumor. Bloc resection and reconstruction of the epignathus were performed. The mass was diagnosed as a mature teratoma associated with cleft lip and palate, nasoethmoidal meningocele that conditions hypertelorism, and a pseudomacrostoma. Tridimensional technology was applied to plan the surgical intervention. It contributed to a better understanding of the relationships between the tumor and the adjacent structures. This optimized the surgical approach and outcome.
- Subjects
TERATOMA; CESAREAN section; PEDIATRIC surgery; LITERATURE reviews; PLASTIC surgery; GERM cell tumors
- Publication
Archives of Plastic Surgery, 2021, Vol 48, Issue 5, p518
- ISSN
2234-6163
- Publication type
Article
- DOI
10.5999/aps.2021.00318