A newborn with an oral mass on maxillary alveolar ridge: A case report
Highlights
Congenital epulis is a rare benign tumor in newborns, with limited published data on its clinical presentation, diagnostic approach, surgical management, and long-term outcomes.
This case report details a comprehensive diagnostic process, successful surgical excision, and a follow-up period extending over two years.
Understanding congenital epulis is crucial for pediatric dentists to ensure timely diagnosis, develop appropriate treatment plans, and anticipate potential long-term outcomes.
Abstract
A congenital epulis, also known as a granular cell tumor of the newborn or Neumann’s tumor, is a rare benign lesion observed in newborns. Literature on its diagnosis, treatment, and particularly long-term follow-up findings remains limited. This unique tumor typically arises from the maxillary alveolar ridge, potentially interfering with feeding and, in some cases, obstructing the airway. Careful management is crucial to achieving successful outcomes. This case report describes the diagnosis, management, and follow-up of a congenital epulis until 28 months of age. A healthy female newborn presented soon after birth with a large mass protruding from the anterior maxilla. Magnetic resonance imaging with contrast was performed to accurately delineate the lesion’s borders and rule out vascular involvement. Imaging revealed a hypointense mass in the left anterior maxilla measuring approximately 2 cm in all dimensions, with no vascular involvement. The lesion was surgically excised at two weeks of age using electrosurgery and sharp dissection under general anesthesia. Follow-up at 28 months revealed no recurrence of the mass; however, unique sequelae were observed. The primary left central incisor was absent, and the primary left lateral incisor was malformed.
Keywords: Congenial Epulis; Deciduous Tooth; Imaging; Infant; Oral Pathology
Author Affiliations
- Pediatric Dental Resident, Bon Secours St Mary’s Hospital Program for Advanced Pediatric Dental Education, USA
- Research Course Director, Bon Secours St Mary’s Hospital Program for Advanced Pediatric Dental Education, USA (Correspondence:elizabeth_berry@bshsi.org)
- Director, Department of Pediatric Dentistry, Bon Secours St Mary’s Hospital Program for Advanced Pediatric Dental Education, USA
- Reconstructive Plastic Surgery, Bon Secours St Mary’s Hospital Program for Advanced Pediatric Dental Education, USA
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Article Info
Contemp Pediatr Dent 2024:5(3):158-163
Received: 25 September 2024
Accepted: 09 December 2024
Online First: 19 December 2024
DOI: 10.51463/cpd.2024.52
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How to Cite
Bethany White, Elizabeth J. Berry, John H. Unkel, Sharline Aboutanos. A newborn with an oral mass on maxillary alveolar ridge: A case report. Contemp Pediatr Dent 2024:5(3):158-163.
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