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Updated: Jan 12, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
[A newborn with an abnormality on the upper jaw - congenital epulis]
M E H M Wagemans1, R de Ridder2, M M L de Win3
1Oral and Maxillofacial Surgery, Amsterdam UMC, Amsterdam, the Netherlands.
Abstract:
At the full-term birth of a healthy girl, a swelling was observed in her mouth. Clinical examination revealed a firm, elastic swelling, pedunculated to the superior alveolar process. The swelling, larger than 2 centimeters, hindered mouth closure and prevented normal feeding. It did not interfere with breathing. An MRI scan ruled out vascular malformations, after which the pedicle was surgically removed under general anaesthesia. Histopathological examination showed a subepithelial mass consisting of cells with abundant granular cytoplasm, consistent with the diagnosis of congenital epulis. Congenital epulis is a rare benign tumour, occurring on the upper jaw of newborns. The condition has an incidence of 6 in 1,000,000 and predominantly occurs in girls. Its aetiology is unknown. If there are no feeding or breathing issues, one can await spontaneous regression.
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