AAOMP case challenge: A maxillary swelling in an infant

Area of Science:

• Pediatric Medicine
• Oral and Maxillofacial Surgery
• Infant Health

Background:

• A two-month-old infant presented with a rapidly developing, asymptomatic swelling.
• The swelling was localized to the left anterior maxilla.
• Facial asymmetry, including nasal alae elevation, was observed.

Purpose of the Study:

• To document the clinical presentation of a rapidly developing maxillary swelling in an infant.
• To highlight the importance of vigilant observation in pediatric physical examinations.

Main Methods:

• Clinical observation and parental reporting of the swelling's onset and characteristics.
• Physical examination of the infant, noting facial changes.

Main Results:

• The swelling appeared between the one-month and two-month well-baby checkups.
• The lesion caused noticeable elevation of the left nasal ala and upper lip asymmetry.
• The swelling was asymptomatic, with no reported pain or functional impairment.

Conclusions:

• Rapidly developing maxillary swelling in infants requires prompt medical evaluation.
• Early detection of such changes is crucial for timely diagnosis and management.
• This case underscores the potential for significant, yet asymptomatic, localized growths in infants.