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Updated: Jun 25, 2026

Image Acquisition using Portable Sonography for Emergency Airway Management
Published on: September 28, 2022
Sonographic evaluation of epignathus
I Tsitouridis1, D Sidiropoulos, M Michaelides
1Department of Diagnostic and Interventional Radiology, Papageorgiou General Hospital, Thessaloniki, Greece.
Epignathus, a rare teratoid tumor, can obstruct a newborn's airway, often proving fatal. Early prenatal diagnosis via ultrasound is crucial for planning management and potential neonatal surgery.
Area of Science:
- Medical Science
- Oncology
- Genetics
Background:
- Epignathus is an exceedingly rare teratoid tumor originating from the palate or pharynx near the basisphenoid region.
- These tumors fill the buccal cavity and protrude from the mouth, posing significant risks to neonatal survival.
Observation:
- A case of epignathus originating from the hard palate is presented.
- The tumor was identified in a female infant delivered at 33 weeks gestation via cesarean section due to increasing hydramnios.
Findings:
- The teratoid tumor presented as a large mass originating from the hard palate.
- The condition necessitated delivery via cesarean section due to complications arising from the tumor and hydramnios.
Implications:
- Prenatal sonographic diagnosis of epignathus is vital for genetic counseling and obstetric management.
- Early detection allows for planning of potential neonatal surgical interventions, improving outcomes for affected infants.
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