Oropharyngeal Teratoma – A Congenital Malformation with Atypical Computed Tomography Findings: Unique and Dangerous
- Author:
Chandran NADARAJAN
;
Mohamad Irfan Bin MOHD ZAMRI
;
Nor Adibah RAZALI
;
Mohd Nazir Bin OTHMAN
;
Hashimah Binti ISMAIL
;
Murni Hartini Binti JAIS
- Publication Type:Case Report
- Keywords:
Oropharyngeal;
Teratoma;
Cyst;
Epignathus;
Computed Tomography scan I Chandran NADARAJAN1;
2*;
Mohamad Irfan Bin MOHD ZAMRI1;
2;
Nor Adibah RAZALI3;
Mohd Nazir Bin OTHMAN4;
Hashimah Binti ISMAIL4;
Murni Hartini Binti JAIS5
- From:
Brunei International Medical Journal
2025;21():213-217
- CountryBrunei Darussalam
- Language:English
-
Abstract:
Newborn oropharyngeal teratomas are extremely rare disorders. Epignathus tumour is a congenital malformation characterised as a 'mature teratoma' located at the oropharyngeal region. Teratomas in the upper respiratory airway give rise to abnormal life -threatening airway obstruction during the neonatal period. It is associated with high morbidity and mortality, requiring proper and cautious planning and prompt surgery. We describe a rare case of oropharyngeal teratoma in a premature male neonate (35 weeks gestation) who presented with difficult intubation. On flexible laryngoscopy, it appeared as a large vallecular cyst, while the computed tomography scan demonstrated a posterior pharyngeal wall cystic lesion causing oropharynx narrowing. The patient was operated on 8th day postpartum. Histopathological examination was compatible with mature cystic teratoma.
