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Updated: May 20, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Congenital epulis
Vlasta Merglová1, Petr Mukensnabl, Pavel Andrle
1Dentistry Department, Medical Faculty, Charles University in Prague, Pilsen, Czech Republic. merglovav@fnplzen.cz
Insights
Congenital epulis, a rare benign oral tumor in newborns, requires surgical removal. This case study details successful surgical excision and highlights the importance of histopathological confirmation for this congenital condition.
Area of Science:
- Dentistry
- Oral Pathology
- Pediatric Surgery
Background:
- Congenital epulis is a rare, benign soft-tissue tumor presenting at birth.
- Typically arising from the alveolar mucosa, it occurs more frequently in the maxilla.
- Potential complications include interference with respiration, feeding, and lip closure.
Observation:
- A case of a female infant with a solid ovoid mass protruding from the oral cavity is presented.
- The mass originated from the alveolar mucosa.
- The infant presented with symptoms potentially interfering with feeding and respiration.
Findings:
- Surgical excision was performed as the primary treatment.
- Histopathological examination confirmed the clinical diagnosis of congenital epulis.
- Post-surgical follow-up revealed no recurrence after 5 months.
Implications:
- Surgical intervention is the definitive treatment for congenital epulis.
- Early diagnosis and management are crucial to prevent complications.
- Long-term follow-up is necessary to monitor for potential recurrence or developmental anomalies.
Abstract:
Congenital epulis is a rare, soft-tissue benign condition that presents at birth. It arises from the alveolar mucosa and occurs more frequently in the maxilla, mainly in the frontal region. This condition may interfere with respiration, feeding or lip closure. Surgical excision is the only possible treatment, although spontaneous regression has been reported. This article presents the case of a female infant with a solid ovoid mass protruding from the oral cavity. Treatment of this lesion was surgical, and histopathological examination confirmed the clinical diagnosis of congenital epulis. Postsurgical follow-up was without complications; examination of the infant 5 months later has revealed only mild left frontal alveolar ridge hypoplasia without any sign of recurrence.
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