Congenital Oropharyngeal Teratoma: A Rare Cause of Respiratory and Feeding Difficulties

Teratomas are rare germ cell tumors composed of mature and/or immature tissues derived from all three germ cell layers. Oropharyngeal teratomas are especially uncommon and can cause life-threatening airway and feeding difficulties. This report presents an 11-month-old female patient with intermittent respiratory noise and early feeding challenges. Imaging revealed a polypoid mass in the left oropharynx, which was surgically excised. Histopathological examination confirmed a mature teratoma. Postoperatively, the patient showed marked improvement in both respiration and feeding, with no signs of recurrence after three months and one year of clinical follow-up. This case highlights the importance of including teratoma in the differential diagnosis of oropharyngeal masses. Early imaging, particularly MRI, is crucial for evaluating tumor composition and extent. Complete surgical resection is critical to prevent recurrence and resolve airway and feeding problems. Although typically benign, pharyngeal teratomas can be life-threatening if undiagnosed or inadequately managed. A multidisciplinary approach integrating pediatrics, otolaryngology, radiology, and pathology is vital for optimal outcomes.