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Congenital epulis. Case report

H Sarihan1, Y Gedík, H Mocan

  • 1Department of Pediatric Surgery, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey.

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
|March 1, 1995
PubMed
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A congenital epulis, a rare newborn tumor, was surgically removed from a baby boy's maxilla. The infant also had congenital goiter and hypothyroidism, both successfully treated.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Pediatric Endocrinology
  • Developmental Biology

Background:

  • Congenital epulis is a rare, benign tumor of the oral cavity that presents at birth.
  • Maxillary congenital epulis can cause feeding difficulties and cosmetic concerns in newborns.
  • Concurrent conditions like congenital goiter and hypothyroidism require comprehensive management.

Observation:

  • A newborn male infant presented with a pinkish-red, solid mass (3 x 2.5 x 2 cm) on the anterior maxillary ridge.
  • The mass interfered with feeding and caused aesthetic concerns.
  • The infant was also diagnosed with stage II congenital goiter and hypothyroidism.

Findings:

  • Histological examination confirmed the mass as a congenital epulis.

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  • The congenital epulis was successfully excised under local anesthesia on day 2 of life.
  • The infant's hypothyroidism was effectively managed with L-thyroxine sodium.
  • Implications:

    • Early diagnosis and surgical intervention are crucial for managing congenital epulis.
    • Multidisciplinary care is essential for addressing associated endocrine disorders in neonates.
    • Complete excision of congenital epulis typically leads to favorable outcomes with no recurrence.