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Epignathus (Palatal teratoma):A case report
I K Nuamah1, G Parkins, E V Badoe
1Departments of Oral and Maxillofacial Surgery, Korle-Bu Teaching Hospital, University of Ghana.
West African Journal of Medicine
|April 3, 2018
Summary
A rare congenital epignathus teratoma was successfully managed in a newborn in Ghana. This case highlights the importance of a multidisciplinary approach for rare congenital anomalies.
Area of Science:
- Medical Science
- Pediatric Surgery
- Oncology
Background:
- Epignathus, a rare congenital teratoma originating from the palate, presents unique surgical challenges.
- Congenital teratomas are germ cell tumors that can occur anywhere on the body, with epignathus being a specific oral manifestation.
- This report details the first documented case of epignathus in Ghana, a region with limited prior literature on this condition.
Observation:
- A term neonate weighing 2.7kg presented with a large epignathus at birth.
- The neonate was delivered via spontaneous vaginal delivery (SVD).
- The congenital anomaly was significant, requiring immediate medical attention.
Findings:
- The neonate with epignathus survived due to prompt and coordinated multidisciplinary care.
- Surgical intervention and post-operative management were critical for a positive outcome.
- This case underscores the feasibility of managing complex congenital tumors in resource-limited settings.
Implications:
- Early diagnosis and intervention are crucial for improving survival rates in infants with epignathus.
- Multidisciplinary team collaboration is essential for optimizing the management of rare congenital teratomas.
- This case report contributes valuable data to the understanding and treatment of epignathus in African populations.
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