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Clinical Note |

Massive Extraoral and Parapharyngeal Teratoma With Middle Cranial Fossa Extension in a Premature Infant

David P. Crampsey, MBChB, MRCS(Glasg); Elliot Benjamin, BSc(Hons), FRCS(ORL-HNS); Christian Martin Bailey, BSc, FRCS; Benjamin E. J. Hartley, BSc, FRCS(ORL-HNS)
Arch Otolaryngol Head Neck Surg. 2007;133(3):290-292. doi:10.1001/archotol.133.3.290.
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We report herein the case of a premature infant diagnosed with a massive teratoma antenatally and whose planned delivery with an extrauterine intrapartum treatment procedure was altered emergently by premature labor.

The child was born at 31 weeks' gestation, having been diagnosed with a massive teratoma of the left oral cavity, maxillary sinus, infratemporal fossa, middle cranial fossa, and pterygopalatine region. The child was delivered vaginally and underwent serial excision of this large tumor. A massive extraoral component was removed as an emergency procedure when it induced sepsis. Subsequently, an extensive resection was performed to remove the parapharyngeal and intracranial components of the tumor.

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Figure 1.

Patient intubated with 8 × 8 × 5-cm extraoral teratoma visible.

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Figure 2.

Sagittal computed tomographic scan of the parapharyngeal and extraoral teratoma.

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Figure 3.

Coronal magnetic resonance image showing the intracranial extension of the teratoma.

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