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Meneses-Parra AL, Tarazona-Bueno RE, Aragón-Mendoza RL, Altman-Restrepo M. Teratoma nasofaríngeo inmaduro con diagnóstico prenatal: reporte de un caso y revisión de la literatura. REVISTA COLOMBIANA DE OBSTETRICIA Y GINECOLOGÍA 2023; 74:68-86. [PMID: 37093940 PMCID: PMC10174717 DOI: 10.18597/rcog.3906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Accepted: 01/16/2023] [Indexed: 03/30/2023]
Abstract
Objetivos: reportar el caso de una gestante con diagnóstico de feto con teratoma nasofaríngeo inmaduro y realizar una revisión describiendo el pronóstico de esta patología.
Materiales y métodos: se reporta el caso de una gestante de 27 años, atendida en la Unidad de Ginecología y Obstétrica de un centro de referencia en Bogotá (Colombia), por hallazgo durante el control prenatal de un feto con evidencia de polihidramnios secundario a teratoma nasofaríngeo. Se realizó una búsqueda bibliográfica en las bases de datos Medline vía PubMed, Scopus, SciELO y ScienceDirect, restringiendo tipo de idioma (inglés y español) y por fecha de publicación (enero de 2001 a enero de 2021). Se incluyeron reportes de caso y series de casos que abarcaran el pronóstico de esta patología.
Resultados: la búsqueda recuperó 168 títulos, de los cuales 55 cumplieron con los criterios de inclusión. En total se reportó el resultado perinatal de 58 fetos con diagnóstico de teratoma nasofaríngeo inmaduro detectado en etapa prenatal. En los casos identificados, la mortalidad perinatal fue del 25,4 % y el porcentaje de óbito fue cercano al 3,6 %.
Conclusiones: el teratoma nasofaríngeo inmaduro es una patología poco frecuente. La literatura disponible sugiere que el pronóstico fetal depende del grado de compromiso de las estructuras intracraneales y de la posibilidad de resección de la lesión. Se requieren más estudios que evalúen el pronóstico de los fetos con teratoma nasofaríngeo inmaduro.
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Lele Mutombo F, Nzanzu Kikuhe J, Kasereka Mwanamolo N, Erickson MH, Wetzig N, Kabuyaya Kakule M. Congenital epignathus associated with a cleft palate: a case report. J Med Case Rep 2021; 15:422. [PMID: 34340710 PMCID: PMC8330006 DOI: 10.1186/s13256-021-03007-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Accepted: 07/09/2021] [Indexed: 01/04/2023] Open
Abstract
Background Epignathus is a rare, benign, congenital teratoma of the hard palate with an estimated incidence of 1 in 200,000 live births. Epignathus frequently leads to a high mortality (80–100%) due to airway obstruction in the neonatal period. Case presentation We report a case of successful management of a rare oropharyngeal teratoma in a African newborn girl who was referred to our institute with a large protruding intraoral mass, combined with cleft palate, causing some respiratory compromise. The palatal mass was removed on the fifth day after birth, and a palatoplasty performed on day 30. Conclusion Epignathus is a life-threatening condition at the time of delivery. Appropriate management begins with securing the airway, followed by complete resection of the tumor.
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Affiliation(s)
| | - Jason Nzanzu Kikuhe
- ENT Department, GOMA Provincial Referral Hospital, Goma, Democratic Republic of Congo
| | | | - Marc H Erickson
- Surgery Department, Fort Memorial Hospital, Milwaukee, Wisconsin, USA
| | - Neil Wetzig
- Surgery Department, Heal Africa Hospital, Goma, Democratic Republic of Congo
| | - Médard Kabuyaya Kakule
- Surgery Department, Heal Africa Hospital, Goma, Democratic Republic of Congo.,Faculty of Medicine, Surgery Department, University of Goma, Goma, Democratic Republic of Congo
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Diakité C, Bénateau H, Dakpé S, Guerreschi P, Galinier P, Veyssière A. Management of nasopharyngeal teratomas associated with cleft palate. Int J Oral Maxillofac Surg 2018; 48:291-297. [PMID: 30243829 DOI: 10.1016/j.ijom.2018.07.024] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2018] [Revised: 05/29/2018] [Accepted: 07/11/2018] [Indexed: 12/29/2022]
Abstract
Nasopharyngeal teratomas are rare tumours, responsible for a high birth mortality rate from acute respiratory distress. Palatine localization can lead to an embryopathogenic mechanical obstacle responsible for a cleft palate. The aim of this study was to update current knowledge concerning the management of this rare pathological association. We conducted a multicentre, retrospective study by case analysis. The inclusion criteria were patients of any age under care for a nasopharyngeal teratoma associated with a velopalatine cleft. The diagnosis of the teratoma was confirmed by histological analysis. Seven cases were included in the study: three cases from the University Hospital of Lille, one from the University Hospital of Caen, one from of the University Hospital of Toulouse, and two from of the University Hospital of Amiens. Approximately 30% of patients experienced acute respiratory distress at birth, necessitating oro- or nasotracheal intubation. The surgical excision was performed in the first 5 months of life for all patients and in a single operative time for 70%. There was no recurrence. Therapeutic management of nasopharyngeal teratomas associated with cleft palate at birth is multidisciplinary and is based on surgical excision. In the absence of other associated pathologies, the prognosis is favourable.
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Affiliation(s)
- C Diakité
- Department of Maxillofacial and Plastic Surgery, Caen University Hospital, 14000 Caen, France.
| | - H Bénateau
- Department of Maxillofacial and Plastic Surgery, Caen University Hospital, 14000 Caen, France
| | - S Dakpé
- Department of Maxillofacial Surgery, Amiens University Hospital, 80000 Amiens, France
| | - P Guerreschi
- Department of Plastic Surgery, Lille University Hospital, 59000 Lille, France
| | - P Galinier
- Department of Pediatric Surgery, Toulouse University Hospital, 31000 Toulouse, France
| | - A Veyssière
- Department of Maxillofacial and Plastic Surgery, Caen University Hospital, 14000 Caen, France
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Wolter NE, Siegele B, Cunningham MJ. Cystic cervical teratoma: A diagnostic and management challenge. Int J Pediatr Otorhinolaryngol 2017; 95:97-100. [PMID: 28576544 DOI: 10.1016/j.ijporl.2017.02.016] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2016] [Revised: 02/08/2017] [Accepted: 02/11/2017] [Indexed: 02/07/2023]
Abstract
Cervical teratomas are relatively rare congenital tumors pathologically defined by their three germ cell layer composition. Classically they manifest as solid or mixed solid-cystic lesions. Purely cystic teratomas pose a diagnostic challenge due to their clinical and radiologic similarity to lymphatic vascular malformations. Sclerotherapy, rather than operative excision, may be offered as therapy. We present an unusual cystic neck mass to highlight this dilemma.
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Affiliation(s)
- Nikolaus E Wolter
- Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, MA, USA.
| | - Bradford Siegele
- Department of Pathology, Boston Children's Hospital, Boston, MA, USA
| | - Michael J Cunningham
- Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, MA, USA; Department of Otolaryngology, Harvard Medical School, Boston, MA, USA
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Moreddu E, Pereira J, Vaz R, Lena G, Triglia JM, Nicollas R. Combined endonasal and neurosurgical resection of a congenital teratoma with pharyngeal, intracranial and orbital extension: Case report, surgical technique and review of the literature. Int J Pediatr Otorhinolaryngol 2015; 79:1991-4. [PMID: 26590006 DOI: 10.1016/j.ijporl.2015.10.056] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2015] [Revised: 10/28/2015] [Accepted: 10/29/2015] [Indexed: 11/26/2022]
Abstract
OBJECTIVES This study reports a patient with a large teratoma involving the oropharynx, the nasopharynx and the left orbit, with intracranial extension. This case represents one of the first reported instances of such an association. A literature review reporting head and neck teratomas with intracranial involvement is also presented. CASE REPORT The authors describe a case of a neonate presenting with a huge teratoma causing respiratory distress due to upper airway obstruction. The child was operated on at 3 months of age with a combined neurosurgical and endonasal endoscopic-assisted approach. After more than 1-year follow-up, the child has no recurrence and no complications of surgery. DISCUSSION This type of teratoma is very rare and surgical morbidity is common. The diagnosis may be apparent before birth, which will facilitate the planning of respiratory management. The combined neurosurgical and otolaryngologic approach for a neonatal teratoma has not previously been described. Using an endoscopic-assisted approach for intranasal tumors removal in neonates and infants is a very rare surgical challenge. CONCLUSION Large nasopharyngeal teratomas of infancy with sinonasal and intracranial extension may be managed using a combined endoscopic-assisted endonasal and neurosurgical procedure.
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Affiliation(s)
- Eric Moreddu
- Department of Pediatric Otolaryngology, Head and Neck Surgery, La Timone Children's Hospital, Aix-Marseille University, 264 rue Saint Pierre, F-13385 Marseille Cedex 5, France.
| | - Josue Pereira
- Department of Neurosurgery, Hospital S João, Porto, Portugal.
| | - Rui Vaz
- Department of Neurosurgery, Hospital S João, Porto, Portugal.
| | - Gabriel Lena
- Department of Pediatric Neurosurgery, La Timone Children's Hospital, Aix-Marseille University, 264 rue Saint Pierre, F-13385 Marseille Cedex 5, France.
| | - Jean-Michel Triglia
- Department of Pediatric Otolaryngology, Head and Neck Surgery, La Timone Children's Hospital, Aix-Marseille University, 264 rue Saint Pierre, F-13385 Marseille Cedex 5, France.
| | - Richard Nicollas
- Department of Pediatric Otolaryngology, Head and Neck Surgery, La Timone Children's Hospital, Aix-Marseille University, 264 rue Saint Pierre, F-13385 Marseille Cedex 5, France.
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Sellami M, Mnejja M, Ayadi L, Charfeddine I, Boudawara T, Hammami B, Ghorbel A. Congenital teratoma of the neck: A case report and literature review. ACTA ACUST UNITED AC 2015. [DOI: 10.1016/j.ejenta.2014.10.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Aubin A, Pondaven S, Bakhos D, Lardy H, Robier A, Lescanne E. Oropharyngeal teratomas in newborns: Management and outcome. Eur Ann Otorhinolaryngol Head Neck Dis 2014; 131:271-5. [DOI: 10.1016/j.anorl.2012.05.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2011] [Revised: 01/18/2012] [Accepted: 05/14/2012] [Indexed: 02/07/2023]
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Head and neck teratoma: from diagnosis to treatment. J Craniomaxillofac Surg 2014; 42:1598-603. [PMID: 24954765 DOI: 10.1016/j.jcms.2014.04.028] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2014] [Revised: 03/20/2014] [Accepted: 04/22/2014] [Indexed: 12/29/2022] Open
Abstract
INTRODUCTION Head and neck teratoma is a rare entity. Its prognosis mostly depends on the risk of neonatal respiratory distress, its extension and potential malignancy. Surgical management must be as complete as possible to avoid recurrences and malignant transformation. The authors present a retrospective analysis of 6 cervicofacial teratomas and a review of the literature. The aim of the study was to analyse prenatal, neonatal and postnatal management of teratoma. MATERIALS AND METHODS Charts of children presenting with a head and neck teratoma, managed by our maxillofacial and plastic surgery unit, were analysed and antenatal, clinical, biological, radiological and pathological characteristics were collected. Surgical treatment, recurrences and surgical outcomes were analysed. RESULTS Six patients were included: 2 with a cervical teratoma, 2 with a facial teratoma and 2 with intraoral teratomas. In 2 cases, the lesions were diagnosed antenatally and both patients required neonatal resuscitation. All the patients underwent early surgery, and 3 with complete excisions. All patients with an initial incomplete excision eventually presented a recurrence and therefore second look surgery. No malignant transformation was noted. CONCLUSION Early prenatal diagnosis is crucial to neonatal care. Early surgery and meticulous follow-up are critical in the long-term favourable outcome.
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Dakpé S, Demeer B, Cordonnier C, Devauchelle B. Emergency management of a congenital teratoma of the oral cavity at birth and three-year follow-up. Int J Oral Maxillofac Surg 2014; 43:433-6. [PMID: 24467932 DOI: 10.1016/j.ijom.2013.09.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2013] [Revised: 07/02/2013] [Accepted: 09/03/2013] [Indexed: 12/30/2022]
Abstract
Teratomas are congenital malformations that are rarely located in the head and neck region. We report a case of congenital teratoma of the oral cavity, which was causing an airway obstruction and was treated at the time of birth. This teratoma was discovered at 27 gestational weeks by ultrasonography. A multidisciplinary team was consulted for antenatal diagnosis; the options of therapeutic abortion or management of the birth with the prevention of respiratory distress were debated. However, preterm labour at 32 gestational weeks accelerated the parental and the medical decisions. The parents agreed to the birth. The various disciplines coordinated their work, and the predefined treatment plan for clearing the airway obstruction was applied to manage the birth. The reestablishment of patency of the airway was performed during delivery and removal of the tumour was performed immediately afterwards. The follow-up of this case over 3 years is also presented.
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Affiliation(s)
- S Dakpé
- Department of Maxillofacial Surgery and Stomatology, University Hospital Amiens, France.
| | - B Demeer
- Department of Prenatal Diagnosis, Gynaecology and Obstetrics, University Hospital Amiens, France; Department of Medical Genetics, Rare Disease Centre, University Hospital Amiens, France
| | - C Cordonnier
- Department of Anatomopathology, University Hospital Amiens, France
| | - B Devauchelle
- Department of Maxillofacial Surgery and Stomatology, University Hospital Amiens, France
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Ben Regaya L, Abbes Z, Fatnassi R, Fekih M, Memmi A, Bouguizene S, Chaieb A, Bibi M, Ghannouchi S, Khairi H. Les masses cervicomédiastinales : problèmes du diagnostic prénatal et de la prise en charge néonatale. À propos de deux observations. IMAGERIE DE LA FEMME 2010. [DOI: 10.1016/j.femme.2010.04.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
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