Trigerminal teratoma of the tonsil

Teratomas of the head and neck in infants and children, though uncommon, should be included in the differential diagnosis of head and neck masses in this age group. Roentgenographic examinations should be an integral part of the initial evaluation. Characteristic tooth-like calcifications are often present within teratomas. Sonographic procedures may be useful in differentiation of cystic, solid, or mixed tumors. Computerized tomography may be recommended to evaluate the extent of the lesion and to assess intracranial involvement. As in the case we have presented, surgical excision is curative. Complications of surgery have been due to hemorrhage and/or respiratory difficulties.