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Case Report
Congenital epulis in a female newborn
1 Doctor of Medicine, Al-Quds University, Jerusalem, Palestine
2 ENT Specialist, Department of ENT, Istishari Arab Hospital, Ramallah, Palestine
3 Consultant ENT, Head and Neck Surgeon, Department of ENT, Istishari Arab Hospital, Ramallah, Palestine
Address correspondence to:
Mustafa Khawaja
Doctor of Medicine, Al-Quds University, Jerusalem,
Palestine
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Article ID: 101406Z01MK2023
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Khawaja M, Hishmeh A, Asfour A. Congenital epulis in a female newborn. Int J Case Rep Images 2023;14(2):32–36.ABSTRACT
Introduction: Congenital epulis, also known as Neumann’s tumor, is a benign soft-tissue lesion with an unclear cause. Congenital epulis manifests as a pink lump with a smooth surface in the mucosa of the maxillary or mandibular alveolar ridges. The lesion is more common in women and occurs more commonly in the maxillary alveolus than in the mandibular alveolus. Multiple theories have been proposed regarding the causes of congenital epulis; however, the etiology is still ambiguous.
Case Report: A 1-day-old female neonate was delivered via normal spontaneous vaginal delivery and referred to our hospital as an oral mass for surgical evaluation and intervention. It was discovered on a detailed prenatal ultrasound. Postnatal brain magnetic resonance imaging (MRI) was performed, the mass was characterized, laser excision was performed, and a histopathological examination confirmed the diagnosis. The patient underwent postoperative follow-up and was normal.
Conclusion: Congenital epulis is a rare, neonatal, congenital, and benign tumor. It requires removal by either surgical resection or laser excision owing to problems in feeding and respiration. Clinicians should always perform routine oral examinations for all newborns for the early diagnosis of this gingival tumor before it interferes with oral function.
Keywords: Benign tumor, Congenital epulis, Laser excision, Neumann’s tumor, Oral mass
SUPPORTING INFORMATION
Author Contributions
Mustafa Khawaja - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Amer Hishmeh - Substantial contributions to conception and design, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Adel Asfour - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Mustafa Khawaja et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
