A Case of Congenital Palatal Teratoma Associated with Cleft Palate.

Song, Hyun Suk; Park, Dong Ha; Pae, Nam Suk; Park, Myong Chul

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2007;34(4):497-499.
Published online July 1, 2007.

A Case of Congenital Palatal Teratoma Associated with Cleft Palate.

Hyun Suk Song, Dong Ha Park, Nam Suk Pae, Myong Chul Park

Department of Plastic and Reconstructive Surgery, School of Medicine, Ajou University, Suwon, Korea. mpark@ajou.ac.kr

Abstract

PURPOSE
The oral teratoma is found approximately in live birth at the rate from 1:35,000 to 1:200,000. In a review of literature 16 cases of midline teratoma with cleft palate were reported. We report a case of congenital palatal teratoma with cleft palate in a 1-year-old girl. METHODS: A 1-year-old girl was admitted our institution for the closure of cleft palate. On the intraoperative findings there was 4x1x0.5cm sized hairy soft mass at the midline and complete cleft palate. We did incisional biopsy intraoperatively and its pathology revealed heterotopic brain tissue. The excision of remaining mass and palatoplasty with Sommerlad's method were performed. The final pathology of the mass was mature cystic teratoma.
RESULTS
After the operation there were neither recurrence nor oronasal regurgitation.
CONCLUSION
We report for one patient with congenital palatal teratoma associated with cleft palate and obtained an excellent result.

Keywords: Palatal teratoma; Cleft palate; Heterotropic brain tissue