Multilobulated congenital epulis protruding from the maxillary anterior alveolar ridge in a four-day-old newborn: A case report

Congenital epulis is an exceedingly uncommon neoplasm that manifests in the oral cavity of neonates. The advancement in prenatal diagnostic techniques such as ultrasound and magnetic resonance imaging (MRI) allows for detection prior to birth. The most frequent site of manifestation is the anterior...

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Main Authors: Khalid Almutairi, Rana Alshagroud, Fares Alrawashedah, Tariq Wahass
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Oral and Maxillofacial Surgery Cases
Online Access:http://www.sciencedirect.com/science/article/pii/S2214541925000057
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author Khalid Almutairi
Rana Alshagroud
Fares Alrawashedah
Tariq Wahass
author_facet Khalid Almutairi
Rana Alshagroud
Fares Alrawashedah
Tariq Wahass
author_sort Khalid Almutairi
collection DOAJ
description Congenital epulis is an exceedingly uncommon neoplasm that manifests in the oral cavity of neonates. The advancement in prenatal diagnostic techniques such as ultrasound and magnetic resonance imaging (MRI) allows for detection prior to birth. The most frequent site of manifestation is the anterior alveolar ridge of the maxilla, succeeded by the alveolar ridge of the mandible, and in rare cases, the tongue. There exist several theoretical proposals studying its histogenesis and potential causes, but they remain elusive. The case under discussion is a four-day-old female patient exhibiting a multilobulated, firm, pedunculated, mucosal-colored mass originating from the right anterior maxillary ridge and extending out from the mouth. The lesion posed an obstacle to normal feeding, although it fortunately did not impede the airway or respiration. The lesion was excised under general anesthesia and the specimen was forwarded to the histopathology laboratory where the diagnosis was confirmed. Seven weeks post-operation, the patient returned to our clinic exhibiting a fully healed wound. The prognosis for such a lesion is highly favorable, with no instances of recurrence documented in the literature. A multidisciplinary approach is required for the effective management of congenital epulis.
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spelling doaj-art-b551d32e26934a35a7bd71d4b627ff832025-08-20T01:47:28ZengElsevierOral and Maxillofacial Surgery Cases2214-54192025-03-0111110039010.1016/j.omsc.2025.100390Multilobulated congenital epulis protruding from the maxillary anterior alveolar ridge in a four-day-old newborn: A case reportKhalid Almutairi0Rana Alshagroud1Fares Alrawashedah2Tariq Wahass3Department of Oral and Maxillofacial Surgery, King Saud Medical City, Riyadh, Kingdom of Saudi ArabiaDepartment of Oral Medicine and Diagnostic Science, King Saud University, Riyadh, Kingdom of Saudi ArabiaDepartment of Oral and Maxillofacial Surgery, King Saud Medical City, Riyadh, Kingdom of Saudi ArabiaDepartment of Oral and Maxillofacial Surgery, King Saud Medical City, Riyadh, Kingdom of Saudi Arabia; Corresponding author. Department of Oral and Maxillofacial Surgery, King Saud Medical City, Ishbiliyah District, 4078, Riyadh, Saudi Arabia.Congenital epulis is an exceedingly uncommon neoplasm that manifests in the oral cavity of neonates. The advancement in prenatal diagnostic techniques such as ultrasound and magnetic resonance imaging (MRI) allows for detection prior to birth. The most frequent site of manifestation is the anterior alveolar ridge of the maxilla, succeeded by the alveolar ridge of the mandible, and in rare cases, the tongue. There exist several theoretical proposals studying its histogenesis and potential causes, but they remain elusive. The case under discussion is a four-day-old female patient exhibiting a multilobulated, firm, pedunculated, mucosal-colored mass originating from the right anterior maxillary ridge and extending out from the mouth. The lesion posed an obstacle to normal feeding, although it fortunately did not impede the airway or respiration. The lesion was excised under general anesthesia and the specimen was forwarded to the histopathology laboratory where the diagnosis was confirmed. Seven weeks post-operation, the patient returned to our clinic exhibiting a fully healed wound. The prognosis for such a lesion is highly favorable, with no instances of recurrence documented in the literature. A multidisciplinary approach is required for the effective management of congenital epulis.http://www.sciencedirect.com/science/article/pii/S2214541925000057
spellingShingle Khalid Almutairi
Rana Alshagroud
Fares Alrawashedah
Tariq Wahass
Multilobulated congenital epulis protruding from the maxillary anterior alveolar ridge in a four-day-old newborn: A case report
Oral and Maxillofacial Surgery Cases
title Multilobulated congenital epulis protruding from the maxillary anterior alveolar ridge in a four-day-old newborn: A case report
title_full Multilobulated congenital epulis protruding from the maxillary anterior alveolar ridge in a four-day-old newborn: A case report
title_fullStr Multilobulated congenital epulis protruding from the maxillary anterior alveolar ridge in a four-day-old newborn: A case report
title_full_unstemmed Multilobulated congenital epulis protruding from the maxillary anterior alveolar ridge in a four-day-old newborn: A case report
title_short Multilobulated congenital epulis protruding from the maxillary anterior alveolar ridge in a four-day-old newborn: A case report
title_sort multilobulated congenital epulis protruding from the maxillary anterior alveolar ridge in a four day old newborn a case report
url http://www.sciencedirect.com/science/article/pii/S2214541925000057
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AT ranaalshagroud multilobulatedcongenitalepulisprotrudingfromthemaxillaryanterioralveolarridgeinafourdayoldnewbornacasereport
AT faresalrawashedah multilobulatedcongenitalepulisprotrudingfromthemaxillaryanterioralveolarridgeinafourdayoldnewbornacasereport
AT tariqwahass multilobulatedcongenitalepulisprotrudingfromthemaxillaryanterioralveolarridgeinafourdayoldnewbornacasereport