[SavageGlow]

An 8-h-old newborn (birth weight, 2450g) was admitted to the neonatal intensive care unit by a gravida 1para 1mother (G1P1) without medical follow-up of her pregnancy (prenatal diagnosis has not been performed) and medical delivery was followed with good adaptation to extrauterine life.

The general examination found a toned pink newborn reactive.

Silverman score was estimated at 3/10th.

Clinical examination of the oral cavity revealed a 6 cm long mass with a pinkish, cystic and heterogeneous appearance associated with the visualization of hairs attached to the base of the tongue with a large implantation surface of about 2 cm. This formation exerts a traction effect on the tongue (Fig. 1, Fig. 2, Fig. 3, Fig. 4).

Fortunately, the mass did not cause severe respiratory distress, but it did cause feeding difficulties.

A CT scan was performed and confirmed the diagnosis of a teratoma located at the base of the tongue without extension into the oral cavity.

A successful resection of the lingual mass has been achieved. Histological examination showed a mixed mature and immature (7%) true teratoma with no evidence of malignant changes. The diagnosis of a congenital epignathus was confirmed.

There were no complications such as infection, bleeding or residual recurrence following surgery.

After 6 months follow-up, there was no recurrence of the epignathus.

[ride]

Not the best start to life. Lets hope it gets better from here.