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Congenital granular cell epulis causing polyhydramnios.

D Ophir1, G Marshak

  • 1Dept. of Otolaryngology, Kaplan Hospital, Rehovot, Israel.

Head & Neck Surgery
|May 1, 1985
PubMed
Summary
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A newborn experienced a large granular cell epulis on the maxillary alveolar ridge, causing mouth obstruction and polyhydramnios. This rare oral lesion was detected prenatally and successfully removed after birth.

Area of Science:

  • Oral pathology
  • Neonatal medicine
  • Developmental biology

Background:

  • Granular cell epulis is a rare benign oral tumor.
  • Maxillary alveolar ridge lesions in newborns can cause significant complications.
  • Prenatal diagnosis of congenital oral masses is crucial for management.

Observation:

  • An extremely large granular cell epulis was identified on the maxillary alveolar ridge of a neonate.
  • The epulis obstructed the infant's oral cavity, leading to feeding difficulties.
  • Polyhydramnios was diagnosed in utero, suspected to be related to the epulis.

Findings:

  • The lesion's size increased significantly during the latter stages of pregnancy.
  • Ultrasonography enabled prenatal detection of the epulis.

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  • Surgical removal in the delivery room resulted in a satisfactory outcome.

    • Implications:

    • Early detection and intervention are vital for managing congenital epulis.
    • This case highlights the potential for significant fetal complications from oral masses.
    • Further research into the histogenesis of granular cell epulis is warranted.