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Vieira SS, Silva JS. Congenital imperforate submandibular duct in a neonate. J Paediatr Child Health 2024. [PMID: 39096203 DOI: 10.1111/jpc.16633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2024] [Revised: 07/23/2024] [Accepted: 07/24/2024] [Indexed: 08/05/2024]
Affiliation(s)
| | - Jorge Santos Silva
- Department of Neonatology, Unidade Local de Saúde de São João, Porto, Portugal
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2
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Patel M, Ramamurthi A, Jones K, North P, Lin KYK. Rare Congenital Upper Lip Pit. J Craniofac Surg 2024:00001665-990000000-01706. [PMID: 38861357 DOI: 10.1097/scs.0000000000010403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2024] [Accepted: 05/15/2024] [Indexed: 06/13/2024] Open
Abstract
Congenital lip pits are characterized by sinuses or fistulas in the lips that can occur in isolation or as part of a genetic disorder. A 6-year-old girl with a right upper lip lesion present at birth presented with recurrent swelling and occasional erythema. Examination revealed a mildly swollen punctum at the right upper wet/dry vermillion with expressible serous drainage. There were no other phenotypic or cognitive concerns. The lesion was surgically excised using vertical wedge resection. The postoperative course showed well well-healed incision. The pathology report confirmed a lip pit. The family was referred to genetics for further evaluation. Van der Woude syndrome (VWS) is a genetic disorder associated with abnormal development of the paramedian lip. Most congenital lip pits are primarily found on the lower lips, with paramedian lip pits being the most common. Upper lateral lip pits with or without accompanying lip pits are considerably rarer. Though VWS is commonly associated with mutations in the interferon regulatory factor 6 or grainyhead-like protein 3 genes, ~25% of affected individuals lack an identified genetic etiology. A high index of suspicion for VWS is warranted if lip pits are present in the absence of other phenotypic abnormalities and should prompt genetic testing for interferon regulatory factor 6 and grainyhead-like protein 3 mutations. Multidisciplinary teams should consider patient self-esteem, quality of life, and potential family planning when deciding on surgical intervention for lip pits. Surgical management of pits should entail tissue-preserving techniques such as vertical wedge resection and inverted T-lip reduction to prevent whistle-lip deformity.
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Affiliation(s)
- Milan Patel
- Department of Plastic Surgery, Medical College of Wisconsin, Milwaukee
| | - Aishu Ramamurthi
- Department of Plastic Surgery, Medical College of Wisconsin, Milwaukee
| | - Kelly Jones
- Division of Genetics, Department of Pediatrics, Medical College of Wisconsin
| | - Paula North
- Department of Pathology, Medical College of Wisconsin, Milwaukee, WI
| | - Kant Y K Lin
- Department of Plastic Surgery, Medical College of Wisconsin, Milwaukee
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Sahai A, Narkhede K, Shriwastav P, Gaikwad A, Marfatia H. Mature Cystic Oral Teratoma in a Neonate- A Case Report. Indian J Otolaryngol Head Neck Surg 2024; 76:1994-1997. [PMID: 38566646 PMCID: PMC10982191 DOI: 10.1007/s12070-023-04336-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Accepted: 11/01/2023] [Indexed: 04/04/2024] Open
Abstract
BACKGROUND Neonatal oral cavity masses present complex diagnostic and management challenges, often involving respiratory distress. We present a case of a 1-day-old male neonate with an oral cavity mass and respiratory distress, whose antenatal scan revealed polyhydramnios and a nasopalatine cyst. CASE REPORT Clinical examination revealed a 5 * 5 cm cystic swelling arising from the right hard palate. CT scans confirmed an intraoral cystic lesion with a complete cleft palate and excluded oropharyngeal/neck extension. Aspiration of cystic fluid facilitated surgical excision, leading to a histopathological diagnosis of mature cystic teratoma. Primary closure of the soft palate defect was performed. Histopathological examination revealed it to be mature cystic teratoma. CONCLUSION This case underscores the intricate interplay between antenatal imaging, clinical assessment, and surgical intervention in managing neonatal oral cavity masses. The successful excision and histopathological confirmation of a mature cystic teratoma highlights the significance of accurate diagnosis and timely intervention. The complexities surrounding neonatal oral cavity masses necessitate a comprehensive approach to optimize patient outcomes.
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Affiliation(s)
- Anoushka Sahai
- Department of ENT and Head-Neck Surgery, Seth G.S. Medical College and KEM Hospital, Mumbai, India
| | - Kartik Narkhede
- Department of ENT and Head-Neck Surgery, Seth G.S. Medical College and KEM Hospital, Mumbai, India
| | - Pooja Shriwastav
- Department of ENT and Head-Neck Surgery, Seth G.S. Medical College and KEM Hospital, Mumbai, India
| | - Ashwinikumar Gaikwad
- Department of ENT and Head-Neck Surgery, Seth G.S. Medical College and KEM Hospital, Mumbai, India
| | - Hetal Marfatia
- Department of ENT and Head-Neck Surgery, Seth G.S. Medical College and KEM Hospital, Mumbai, India
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4
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Nanu DP, Favre NM, Walsh J, Farsar C, Le TA, Carr MM. Palatal Supernumerary Tooth in a Pediatric Patient. Cureus 2023; 15:e49751. [PMID: 38161813 PMCID: PMC10757672 DOI: 10.7759/cureus.49751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/30/2023] [Indexed: 01/03/2024] Open
Abstract
This report describes the case of a child with a congenital palatal lesion that grew rapidly in the first year of life and was found to be a supernumerary tooth. A 14-month-old male presented with a congenital midline palatal lesion visible behind his newly erupted maxillary central incisors. The lesion had been present since birth and was round, raised, firm, and covered with normal-appearing mucosa. The results from CT imaging indicated the lesion was a rudimentary tooth crown. It was excised and confirmed to be a supernumerary tooth. The patient healed without complications. Congenital palatal lesions with this appearance are most commonly hamartomas, cysts, epulides, and teratomas. Congenital midline palatal lesions are uncommon, and supernumerary teeth are not typically in the differential diagnosis. Imaging is helpful for the management of congenital palatal lesions.
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Affiliation(s)
- Douglas P Nanu
- Otolaryngology, Washington State University, Spokane, USA
| | - Nicole M Favre
- Otolaryngology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, USA
| | - Jeremy Walsh
- Otolaryngology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, USA
| | - Cameron Farsar
- Emergency Medicine, Arrowhead Regional Medical Center, Colton, USA
| | - Tyler A Le
- Education, American University of the Caribbean, Cupecoy, SXM
| | - Michele M Carr
- Otolaryngology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, USA
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5
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Menezes CR, Raju R, John DS, Mahadevaiah S. Atraumatic intraoral buccal fat pad herniation in a neonate. BMJ Case Rep 2023; 16:e254165. [PMID: 37068841 PMCID: PMC10111923 DOI: 10.1136/bcr-2022-254165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/19/2023] Open
Abstract
An approximately 2-day-old neonate was brought with a fleshy intraoral mass and an inability to suckle adequately, without a preceding history of trauma. Contrast-enhanced CT revealed a fat density mass-like lesion occupying and partially filling the oral cavity. Following detection of a defect in the buccinator muscle with associated herniation of the buccal pad of fat into the mouth, a surgical approach was adopted to tackle the condition. Intraoperatively, the defects in the buccinator muscle and buccal mucosa were repaired after excision of the prolapsed fat pad. Age-appropriate feeding practices were initiated following surgery without residual anatomical or functional limitation. Early radiological diagnosis directing surgical intervention was helpful in management of a benign but functionally impeding lesion.
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Affiliation(s)
| | - Rajkiran Raju
- Paediatric Surgery, St John's Medical College Hospital, Bangalore, Karnataka, India
| | - Deepa Susan John
- Radiology, St John's Medical College Hospital, Bangalore, Karnataka, India
| | - Shubha Mahadevaiah
- Paediatric Surgery, St John's Medical College Hospital, Bangalore, Karnataka, India
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6
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Horvat Aleksijević L, Prpić J, Muhvić Urek M, Pezelj-Ribarić S, Ivančić-Jokić N, Peršić Bukmir R, Aleksijević M, Glažar I. Oral Mucosal Lesions in Childhood. Dent J (Basel) 2022; 10:214. [PMID: 36354659 PMCID: PMC9689283 DOI: 10.3390/dj10110214] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 11/04/2022] [Accepted: 11/07/2022] [Indexed: 06/22/2024] Open
Abstract
Childhood diseases are a continuous source of interest in all areas of general and dental medicine. Congenital, developmental, and hereditary diseases may either be present upon birth or appear in early childhood. Developmental anomalies, although often asymptomatic, may become grounds for different infections. Furthermore, they can indicate certain systemic disorders. Childhood age frequently brings about benign tumors and different types of traumatic lesions to the oral mucosa. Traumatic lesions can be caused by chemical, mechanical, or thermal injury. Mucocele and ranula are, by definition, traumatic injuries of the salivary glands or their ducts. Recurrent aphthous lesions are the most common type of ulcerations in childhood, and their etiology is considered multifactorial. Oral mucosal lesions in children require different treatment approaches depending on etiological factors and clinical presentation. Clinicians should have adequate knowledge of oral anatomy in order to diagnose and treat pathological conditions.
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Affiliation(s)
- Lorena Horvat Aleksijević
- Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia
| | - Jelena Prpić
- Clinic of Dental Medicine, Clinical Hospital Center Rijeka, Krešimirova 42, 51000 Rijeka, Croatia
- Department of Oral Medicine, Faculty of Dental Medicine, University of Rijeka, Krešimirova 40, 51000 Rijeka, Croatia
| | - Miranda Muhvić Urek
- Clinic of Dental Medicine, Clinical Hospital Center Rijeka, Krešimirova 42, 51000 Rijeka, Croatia
- Department of Oral Medicine, Faculty of Dental Medicine, University of Rijeka, Krešimirova 40, 51000 Rijeka, Croatia
| | - Sonja Pezelj-Ribarić
- Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia
- Clinic of Dental Medicine, Clinical Hospital Center Rijeka, Krešimirova 42, 51000 Rijeka, Croatia
- Department of Oral Medicine, Faculty of Dental Medicine, University of Rijeka, Krešimirova 40, 51000 Rijeka, Croatia
| | - Nataša Ivančić-Jokić
- Clinic of Dental Medicine, Clinical Hospital Center Rijeka, Krešimirova 42, 51000 Rijeka, Croatia
- Department of Pediatric Dentistry, Faculty of Dental Medicine, University of Rijeka, Krešimirova 40, 51000 Rijeka, Croatia
| | - Romana Peršić Bukmir
- Clinic of Dental Medicine, Clinical Hospital Center Rijeka, Krešimirova 42, 51000 Rijeka, Croatia
- Department of Restorative Dentistry and Endodontics, Faculty of Dental Medicine, University of Rijeka, Krešimirova 40, 51000 Rijeka, Croatia
| | - Marko Aleksijević
- Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia
| | - Irena Glažar
- Clinic of Dental Medicine, Clinical Hospital Center Rijeka, Krešimirova 42, 51000 Rijeka, Croatia
- Department of Oral Medicine, Faculty of Dental Medicine, University of Rijeka, Krešimirova 40, 51000 Rijeka, Croatia
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Jarjanazi M, Martini N, Abbas W, Molhem Y, Morjan M. Congenital granular cell mass of the alveolar ridge in a newborn. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2022. [DOI: 10.1016/j.epsc.2022.102517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Hall J, Aly FZ, Comer J, Gebhard MP, Schrepfer T. A Rare Case of Ectopic Colonic Mucosa Presenting With Airway Compromise in a Neonate. Cureus 2022; 14:e27031. [PMID: 35989776 PMCID: PMC9388194 DOI: 10.7759/cureus.27031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/30/2022] [Indexed: 11/05/2022] Open
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Kajal A, Tandon S, Sharma M, Lalchandani CM. Minimal Invasive Approach for Management of Lingual Swelling on Ventral Surface of Tongue. Int J Clin Pediatr Dent 2020; 13:S102-S104. [PMID: 34434023 PMCID: PMC8359886 DOI: 10.5005/jp-journals-10005-1786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Pediatric dentistry is a speciality of dentistry focusing mainly on oral health care of children. Early diagnosis and prompt treatment is key of a good treatment plan and effective results. Sometimes in infants, it is not possible to make a confirmatory diagnosis due to lack of cooperation, which is the biggest challenge of kids dentistry. In such cases, we need to take into consideration the psychological and physiologic aspect of child to find an alternative treatment plan, which is time saving and painless. Here, we present a unique case management of lingual swelling on the ventral surface of tongue in a 9-month-old girl child with a minimal invasive approach, thus avoiding a time-consuming and invasive surgical treatment plan. How to cite this article: Kajal A, Tandon S, Sharma M, et al. Minimal Invasive Approach for Management of Lingual Swelling on Ventral Surface of Tongue. Int J Clin Pediatr Dent 2020;13(S-1):S102–S105.
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Affiliation(s)
- Anupama Kajal
- Department of Pediatric and Preventive Dentistry, RUHS College of Dental Sciences, Jaipur, Rajasthan, India
- Anupama Kajal, Department of Pediatric and Preventive Dentistry, RUHS College of Dental Sciences, Jaipur, Rajasthan, India, Phone: +91 9660791404, e-mail:
| | - Sandeep Tandon
- Department of Pediatric and Preventive Dentistry, RUHS College of Dental Sciences, Jaipur, Rajasthan, India
| | - Meenakshi Sharma
- Department of Pedodontics and Preventive Dentistry, RUHS College of Dental Sciences, Jaipur, Rajasthan, India
| | - Chahita M Lalchandani
- Department of Pediatric and Preventive Dentistry, RUHS College of Dental Sciences, Jaipur, Rajasthan, India
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10
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Bois E, Thierry B. Life-Threatening Oropharyngeal Teratoma. Otolaryngol Head Neck Surg 2020; 165:232-233. [PMID: 33201777 DOI: 10.1177/0194599820973649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Emilie Bois
- Pediatric Otorhinolaryngology Department, Hôpital Necker-Enfants-Malades, Paris, France
| | - Briac Thierry
- Pediatric Otorhinolaryngology Department, Hôpital Necker-Enfants-Malades, Paris, France
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11
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Merglova V, Hauer L, Broukal Z, Dort J, Koberova Ivancakova R. General and oral health status of preterm one-year-old very low and extremely low birthweight infants (a cross - sectional study). Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2020; 165:209-215. [PMID: 32188959 DOI: 10.5507/bp.2020.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2019] [Accepted: 03/03/2020] [Indexed: 11/23/2022] Open
Abstract
AIMS The aim of the present study was to evaluate the general and oral health status of a group of preterm one-year-old very low (VLBW) and extremely low birthweight (ELBW) infants and make a comparison with full-term one-year-old normal birthweight infants (NBW). METHODS A cross-sectional study was conducted in 102 one-year-old preterm VLBW and ELBW infants, and the data obtained were compared to 87 one-year-old full-term NBW infants. The infants' medical histories were obtained from hospital records and interviews with the mothers. The oral cavities of all infants were examined under the same conditions. The chi-square test, Pearson's chi-square test of independence and Mann-Whitney test were used for the statistical evaluation, with P < 0.05 considered statistically significant. Relative risk (RR) and 95% confidence interval (CI) estimates for variables significantly associated with oral findings were calculated. RESULTS Both perinatal variables (gestational age, mode of delivery, birthweight, Apgar score, resuscitation, orotracheal intubation and presence of intraoral pathology) and neonatal variables (antibiotic treatment and infections) had a significant association with prematurity, VLBW and ELBW. The one-year-old preterm VLBW and ELBW infants frequently suffered from general diseases, frequently received regular medication and had fewer erupted primary teeth; they also had a higher prevalence of developmental defects of the enamel and deformations of the hard palate. CONCLUSION This study confirmed anamnestic, medical and oral differences between one-year-old preterm VLBW and ELBW and full-term NBW infants.
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Affiliation(s)
- Vlasta Merglova
- Department of Dentistry, Faculty of Medicine in Pilsen, Charles University and University Hospital in Pilsen, Czech Republic
| | - Lukas Hauer
- Department of Dentistry, Faculty of Medicine in Pilsen, Charles University and University Hospital in Pilsen, Czech Republic
| | - Zdenek Broukal
- Institute of Clinical and Experimental Dental Medicine, 1st Faculty of Medicine, Charles University in Prague, Czech Republic
| | - Jiri Dort
- Department of Neonatology, Faculty Hospital in Pilsen, Czech Republic
| | - Romana Koberova Ivancakova
- Department of Dentistry, Faculty of Medicine in Hradec Kralove, Charles University and University Hospital in Hradec Kralove, Czech Republic
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12
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Mecarini F, Fanos V, Crisponi G. Anomalies of the oral cavity in newborns. J Perinatol 2020; 40:359-368. [PMID: 31925320 DOI: 10.1038/s41372-019-0585-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/04/2019] [Revised: 12/06/2019] [Accepted: 12/21/2019] [Indexed: 11/09/2022]
Abstract
Examination of the oral cavity should be an essential part of the newborn assessment. Early detection of congenital disorders is essential to begin appropriate medical or surgical therapy and to prevent complications that could profoundly affect a child's life. The present review aims to describe the main anomalies of the oral cavity in infants and provide images in order to help the physician in current clinical practice.
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Affiliation(s)
- Federico Mecarini
- Neonatal Intensive Care Unit, AOU Cagliari, University of Cagliari, Cagliari, Italy.
| | - Vassilios Fanos
- Neonatal Intensive Care Unit, AOU Cagliari, University of Cagliari, Cagliari, Italy
| | - Giangiorgio Crisponi
- Neonatal Intensive Care Unit, AOU Cagliari, University of Cagliari, Cagliari, Italy
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Bhalla S, Acharya V, Ally M, Taghi A. Acute presentation of an intraoral dermoid cyst causing airway compromise in a young child. BMJ Case Rep 2019; 12:12/4/e228421. [PMID: 31023732 DOI: 10.1136/bcr-2018-228421] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
A 4-month-old boy presented with a cystic swelling at the floor of the mouth causing acute airway compromise. The only previous history of note, was a tongue tie release at 3 days old. CT scan suggested a dermoid cyst with extensive floor of mouth abscess. He had an excision of the cyst and drainage of the superimposed abscess and made a good recovery. The histology report revealed a dermoid cyst which is a rare diagnosis in a child, particularly within the oral cavity. Early treatment is required to remove these lesions especially when they cause airway compromise or swallowing difficulties. This is the first case to our knowledge which suggests tongue tie release procedures causes a predisposition to the development of dermoid cysts in the oral cavity.
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Affiliation(s)
- Sanjana Bhalla
- Department of Surgery and Cancer, Imperial College London, London, UK
| | - Vikas Acharya
- General Surgery, Luton and Dunstable Hospital NHS Trust, Luton, UK
| | - Munira Ally
- Department of Otolaryngology, Charing Cross Hospital, London, UK
| | - Ali Taghi
- Ear, Nose and Throat Surgery, Imperial College Healthcare NHS Trust, London, UK
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Diode Laser-Assisted Surgical Therapy for Early Treatment of Oral Mucocele in a Newborn Patient: Case Report and Procedures Checklist. Case Rep Dent 2018; 2018:3048429. [PMID: 29854481 PMCID: PMC5941754 DOI: 10.1155/2018/3048429] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2017] [Revised: 02/28/2018] [Accepted: 03/07/2018] [Indexed: 11/18/2022] Open
Abstract
Mucocele (also known as ranula or salivary gland mucous cyst) of the newborn is a lesion present on the intraoral cavity, with the potential to interfere with respiration and feeding. In the present report, a case of mucocele in a 4-month female patient has been described. As conventional surgery can be followed by several complications such as intraoperative bleeding, difficulties in wound healing, and maintenance of sterility during surgery, in the present case, the use of diode laser has been planned. A topic anesthesia with lidocaine gel was performed. A diode laser (810 nm wavelength, continuous wave mode, power output of 3 watt, and 0.4 mm diameter fiber optic) was set for excising the lesion. The tip was directed at an angle of 10 to 15°, moving around the base of the lesion with a circular motion. The procedure was completed in 3 minutes. The patient was visited with a follow-up of 2 weeks and 4 months after excision. The intraoral wound healed without complications, and no signs of infection or mass recurrence were noted. The histopathological examination confirmed the diagnosis of mucocele. On the basis of the results of the present case report, the use of diode laser can be easily performed also in a noncompliant newborn patient for successful excision of mucocele lesions, and checklist of clinical procedures has been described.
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