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Perinatal Airway Management
Published in John C Watkinson, Raymond W Clarke, Christopher P Aldren, Doris-Eva Bamiou, Raymond W Clarke, Richard M Irving, Haytham Kubba, Shakeel R Saeed, Paediatrics, The Ear, Skull Base, 2018
Pensée Wu, May M.C. Yaneza, Haytham Kubba, W. Andrew Clement, Alan D. Cameron
Fetal nasal masses amenable to prenatal ultrasound diagnosis include congenital midline nasal masses, such as dermoids, gliomas and encephalocoeles (extranasal or intranasal), and abnormal nasal anatomy seen in 22q11 deletion syndromes. In the case of fetal oral masses, congenital epulis (granular cell tumours), epignathi (teratoma of the oropharynx) and dermoid cysts of the floor of mouth or tongue base may be detected.12,19,20
Clinical Applicability in the Fetal Face
Published in Reem S. Abu-Rustum, A Practical Guide to 3D Ultrasound, 2014
There is a multitude of facial tumors where volume sonography has been utilized to further characterize the mass in question, and to aid in planning the intrapartum and postpartum care of these babies. One of the earliest reports was by Shaw et al. in 2004 in a case of congenital epulis, a gingival granular cell tumor. In this case, 3D aided in the visualization of the mass; however, it was misleading in giving the impression that an EXIT procedure was needed, where in reality it was not (Shaw et al. 2004). An EXIT procedure (ex utero intrapartum treatment) is performed at the time of cesarean delivery whenever fetal airway obstruction is suspected. Using EXIT, the fetal airway is secured prior to clamping the umbilical cord.
Congenital Epulis Diagnosed Antenatally
Published in Fetal and Pediatric Pathology, 2023
Chiraz Regaieg, Meriam Triki, Manel Charfi, Slim Charfi, Fathi Karray, Mohamed Abdelmoula, Tahya Boudawara, Amel Ben Hamed, Nedia Hmida
Congenital epulis is a benign intraoral tumor that occurs only in the newborn. It arises predominantly from the maxillary or mandibular alveolar ridges and usually regresses spontaneously without recurrence [1]. Prenatal detection of this tumor has facilitated the narrowing down of differential diagnoses and proper treatment planning through a multidisciplinary approach [2]. We describe a congenital epulis in which the diagnosis was suggested at antepartum ultrasonography (US) and that was successfully resected after birth. This case was remarkable because of early identification at 30 weeks of gestation and for the necessity of immediate resection because of large size and possible airway compromise.
Large Congenital Epulis: A Neonatal Tumour with Striking Appearance, but Simple Management
Published in Fetal and Pediatric Pathology, 2022
Charu Tiwari, Nilesh Nagdeve, Rajendra Saoji, Nilesh Nama, Sneha Joshi
Congenital epulis is a benign tumor of the upper gingiva with a predilection for female neonates. Larger lesions interfere with mouth closing and normal feeding, and may obstruct airways. Although worrisome to parents, surgical excision offers the cure. We present a neonate with a large epulis.