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KMID : 1038220210480050518
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Archives of Plastic Surgery
2021 Volume.48 No. 5 p.518 ~ p.523
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Surgical management of palatal teratoma (epignathus) with the use of virtual reconstruction and 3D models: a case report and literature review
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Gonzalez-Cantu Cynthia Minerva
Moreno-Pena Pablo Juan
Salazar-Lara Mayela Guadalupe
Garcia Pablo Patricio Flores
Montes-Tapia Fernando Felix
Cervantes-Kardasch Victor Hugo
Castro-Govea Yanko
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Abstract
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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.
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KEYWORD
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Teratoma, Pediatric plastic surgery, 3D reconstruction computed tomography, Improved surgical approach
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