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Updated: Aug 19, 2025

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
Unusual Cause of Neonatal Stertor
Sophia Amalanathan1,2, Suma Susan Mathews1, V Rupa1
1Department of Otorhinolaryngology, Christian Medical College, Vellore, 632004 India.
Neonatal respiratory distress in a newborn was caused by an epignathus, a rare mouth tumor. A multidisciplinary approach led to a successful outcome, despite the condition's high mortality rate.
Area of Science:
- Medical Science
- Pediatric Oncology
- Neonatology
Background:
- Epignathus is a rare congenital tumor originating from the basisphenoid, often protruding from the oral cavity.
- This condition is associated with significant perinatal mortality due to potential airway obstruction.
- Oropharyngeal teratomas, including epignathus, present unique diagnostic and management challenges in neonates.
Purpose of the Study:
- To report a case of neonatal respiratory distress secondary to epignathus.
- To describe the unique clinico-radiological findings in this rare neonatal tumor.
- To emphasize the importance of a multidisciplinary approach for successful management and review current literature.
Main Methods:
- Case report detailing a neonate with respiratory distress.
- Clinical and radiological assessment including imaging studies.
- Review of existing literature on oropharyngeal teratomas and epignathus.
Main Results:
- Successful management of neonatal respiratory distress caused by epignathus.
- Identification of specific clinico-radiological features aiding diagnosis.
- Demonstration of a successful multidisciplinary team approach in managing a rare congenital tumor.
Conclusions:
- Epignathus can cause severe neonatal respiratory distress, necessitating prompt diagnosis and intervention.
- A coordinated multidisciplinary strategy is crucial for improving outcomes in cases of epignathus.
- Further understanding of oropharyngeal teratomas can refine current management protocols for affected neonates.
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