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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

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Congenital Orbital Teratoma.

Fernando Pellerano¹, Elvis Guillermo², Gloreley Garrido²

¹Ocular Diagnostic Unit, Clínica Oftalmológica de Santo Domingo, Santo Domingo, Dominican Republic; Universidad Iberoamericana (UNIBE) School of Medicine, Santo Domingo, Dominican Republic.

Ocular Oncology and Pathology

|March 10, 2017

Summary

This case report details a rare congenital orbital teratoma in a newborn. The infant presented with a large facial mass, requiring surgical removal and confirming the teratoma diagnosis.

Keywords:

Congenital teratoma Orbital tumor Proptosis in a neonate

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Area of Science:

Ophthalmology
Pediatric Oncology
Pathology

Background:

Congenital orbital teratomas are rare tumors presenting at birth.
Early diagnosis and management are crucial for preserving vision and function.

Observation:

A 3-day-old male infant presented with a large, vascularized, proptotic mass distorting the left midface.
Elevated serum alpha-fetoprotein levels and imaging revealed a multiloculated, heterogeneous orbital lesion.
Clinical presentation included exposure keratopathy and corneal perforation, leading to vision loss.

Findings:

Computed tomography demonstrated a lesion encompassing the entire orbit with bony wall expansion.
Histopathological examination confirmed a mature cystic teratoma.
The tumor did not extend to surrounding structures.

Implications:

This case highlights the importance of recognizing congenital orbital teratomas based on clinical, imaging, and laboratory findings.
Prompt surgical intervention, such as orbital exenteration, may be necessary in advanced cases with complications.
Understanding the characteristics of these rare tumors aids in appropriate patient management and prognosis.