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Congenital epulis.

Author(s)
Moghis-ur-Rehman Department of Paediatrics, Tawam Hospital, Al-Ain, United Arab Emirates
Muhammad Faisal Khanani Department of Paediatrics, Tawam Hospital, Al-Ain, United Arab Emirates
Gharid Bekdache Department of Obstetrics and Gynaecology, Tawam Hospital, Al-Ain, United Arab Emirates
Naveedur-Rehman Durrani Department of Paediatrics, Tawam Hospital, Al-Ain, United Arab Emirates
Altaf Jamil Department of Paediatrics, Tawam Hospital, Al-Ain, United Arab Emirates
Aiman Rahmani Department of Paediatrics, Tawam Hospital, Al-Ain, United Arab Emirates
Fares Chedid Department of Paediatrics, Tawam Hospital, Al-Ain, United Arab Emirates
Abstract
Epulis is a rare tumour, with female preponderance that is only seen in the newborns. It arises from the mucosa of the gingiva and protrudes out of the infants mouth. It can potentially obstruct the airways and may require an EXIT (ex-utero intrapartum treatment) procedure which involves establishing an airway before the feto-maternal circulation is interrupted. We present a female newborn with such a mass, which was diagnosed antenatally. A multidisciplinary team including the neonatologist, anaesthesiologist and ENT specialist should be present in the delivery room to establish the airways, which may require an EXIT procedure. Recommended treatment is early surgical resection. Recurrences of the tumour and damage to future dentition have not been reported, suggesting that radical excision is not warranted.
Publication Details
Page(s) 56-57
DOI DOI not available
Published Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 22, Issue: 1, Year: 2012

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