Epignathus as an incidental ultrasound finding: A case report

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DOI:

https://doi.org/10.37980/im.journal.revcog.20221909

Keywords:

teratoma, ultrasonography, anomalies of the stomatognathic system

Abstract

Concept: Epignathus is an infrequent form of rare congenital orofacial teratoma that can arise from the sphenoid region, the palate or the pharynx, which can be related to different malformations. This entity leads to a high mortality rate secondary to significant airway obstruction in the neonatal period. The purpose is to report a case of antenatal ultrasound diagnosis of epignathus as an incidental finding.

Case presentation: 17-year-old primipregnant woman, who attends an ultrasound control to perform a first ultrasound, where a solid tumor of heterogeneous echogenicity is evidenced in the lower 2/3 of the face where echogenic zones are observed that alternate with isoechogenic zones. which extends from the lower edge of the orbits to the upper third of the thorax (compromising the nasal and oropharyngeal region) of approximately 61x50 mm, suggestive of epignathus.

Conclusion: The prenatal diagnosis of this entity is ultrasound and it is essential to be able to plan an adequate management in the first postnatal hours, improving the neonatal survival rate.

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Published

2022-08-24

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Section

Casos Clínicos