Surgical management of palatal teratoma (epignathus) with the use of virtual reconstruction and 3D models: a case report and literature review
Epignathus is a rare congenital orofacial teratoma that arises from the sphenoid region of the palate or the pharynx. It occurs in approximately 1:35,000 to 1:200,000 live births representing 2% to 9% of all teratomas. We present the case of a newborn of 39.4 weeks of gestation with a tumor that occ...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2021-09-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2021.00318 |
| _version_ | 1811303055248850944 |
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| author | Cynthia Minerva Gonzalez-Cantu Pablo Juan Moreno-Peña Mayela Guadalupe Salazar-Lara Pablo Patricio Flores García Fernando Félix Montes-Tapia Victor Hugo Cervantes-Kardasch Yanko Castro-Govea |
| author_facet | Cynthia Minerva Gonzalez-Cantu Pablo Juan Moreno-Peña Mayela Guadalupe Salazar-Lara Pablo Patricio Flores García Fernando Félix Montes-Tapia Victor Hugo Cervantes-Kardasch Yanko Castro-Govea |
| author_sort | Cynthia Minerva Gonzalez-Cantu |
| collection | DOAJ |
| description | Epignathus is a rare congenital orofacial teratoma that arises from the sphenoid region of the palate or the pharynx. It occurs in approximately 1:35,000 to 1:200,000 live births representing 2% to 9% of all teratomas. We present the case of a newborn of 39.4 weeks of gestation with a tumor that occupied the entire oral cavity. The patient was delivered by cesarean section. Oral resection was managed by pediatric surgery. Plastic surgery used virtual 3-dimensional models to establish the extension, and depth of the tumor. Bloc resection and reconstruction of the epignathus were performed. The mass was diagnosed as a mature teratoma associated with cleft lip and palate, nasoethmoidal meningocele that conditions hypertelorism, and a pseudomacrostoma. Tridimensional technology was applied to plan the surgical intervention. It contributed to a better understanding of the relationships between the tumor and the adjacent structures. This optimized the surgical approach and outcome. |
| first_indexed | 2024-04-13T07:39:52Z |
| format | Article |
| id | doaj.art-2361ded064f14a228fb41d578021f367 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-13T07:39:52Z |
| publishDate | 2021-09-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-2361ded064f14a228fb41d578021f3672022-12-22T02:55:55ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712021-09-01480551852310.5999/aps.2021.003183892Surgical management of palatal teratoma (epignathus) with the use of virtual reconstruction and 3D models: a case report and literature reviewCynthia Minerva Gonzalez-Cantu0Pablo Juan Moreno-Peña1Mayela Guadalupe Salazar-Lara2Pablo Patricio Flores García3Fernando Félix Montes-Tapia4Victor Hugo Cervantes-Kardasch5Yanko Castro-Govea6Plastic, Aesthetic and Reconstructive Surgery Service, University Hospital “Dr. José Eleuterio González”, Faculty of Medicine, Autonomous University of Nuevo Leon, Monterrey, MexicoFaculty of Medicine, Autonomous University of Nuevo Leon, Monterrey, MexicoFaculty of Medicine, Autonomous University of Nuevo Leon, Monterrey, MexicoFaculty of Medicine, Autonomous University of Nuevo Leon, Monterrey, MexicoPediatric Surgery Service, University Hospital “Dr. José Eleuterio González”, Faculty of Medicine, Autonomous University of Nuevo Leon, Monterrey, MexicoLaboratory of Tissue Engineering, Faculty of Medicine, University of Colima, Colima, MexicoPlastic, Aesthetic and Reconstructive Surgery Service, University Hospital “Dr. José Eleuterio González”, Faculty of Medicine, Autonomous University of Nuevo Leon, Monterrey, MexicoEpignathus is a rare congenital orofacial teratoma that arises from the sphenoid region of the palate or the pharynx. It occurs in approximately 1:35,000 to 1:200,000 live births representing 2% to 9% of all teratomas. We present the case of a newborn of 39.4 weeks of gestation with a tumor that occupied the entire oral cavity. The patient was delivered by cesarean section. Oral resection was managed by pediatric surgery. Plastic surgery used virtual 3-dimensional models to establish the extension, and depth of the tumor. Bloc resection and reconstruction of the epignathus were performed. The mass was diagnosed as a mature teratoma associated with cleft lip and palate, nasoethmoidal meningocele that conditions hypertelorism, and a pseudomacrostoma. Tridimensional technology was applied to plan the surgical intervention. It contributed to a better understanding of the relationships between the tumor and the adjacent structures. This optimized the surgical approach and outcome.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2021.00318teratomapediatric plastic surgery3d reconstruction computed tomographyimproved surgical approach |
| spellingShingle | Cynthia Minerva Gonzalez-Cantu Pablo Juan Moreno-Peña Mayela Guadalupe Salazar-Lara Pablo Patricio Flores García Fernando Félix Montes-Tapia Victor Hugo Cervantes-Kardasch Yanko Castro-Govea Surgical management of palatal teratoma (epignathus) with the use of virtual reconstruction and 3D models: a case report and literature review Archives of Plastic Surgery teratoma pediatric plastic surgery 3d reconstruction computed tomography improved surgical approach |
| title | Surgical management of palatal teratoma (epignathus) with the use of virtual reconstruction and 3D models: a case report and literature review |
| title_full | Surgical management of palatal teratoma (epignathus) with the use of virtual reconstruction and 3D models: a case report and literature review |
| title_fullStr | Surgical management of palatal teratoma (epignathus) with the use of virtual reconstruction and 3D models: a case report and literature review |
| title_full_unstemmed | Surgical management of palatal teratoma (epignathus) with the use of virtual reconstruction and 3D models: a case report and literature review |
| title_short | Surgical management of palatal teratoma (epignathus) with the use of virtual reconstruction and 3D models: a case report and literature review |
| title_sort | surgical management of palatal teratoma epignathus with the use of virtual reconstruction and 3d models a case report and literature review |
| topic | teratoma pediatric plastic surgery 3d reconstruction computed tomography improved surgical approach |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2021.00318 |
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