Unilateral Periorbital Swelling in a Pediatric Patient

Ana Rosas Herrera; Ashley B Parker; Mark Chaskes; Frederic Askin; Aurelia S Monk; John R Stephens; Brian D Thorp; Charles S Ebert; Brent A Senior; Adam J Kimple; Keonho A Kong

doi:10.1177/11795476241255563

Clinical Medicine Insights: Case Reports (May 2024)

Unilateral Periorbital Swelling in a Pediatric Patient

Ana Rosas Herrera,
Ashley B Parker,
Mark Chaskes,
Frederic Askin,
Aurelia S Monk,
John R Stephens,
Brian D Thorp,
Charles S Ebert,
Brent A Senior,
Adam J Kimple,
Keonho A Kong

Affiliations

Ana Rosas Herrera: Department of Otolaryngology—Head and Neck Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
Ashley B Parker: Department of Pediatrics, University of North Carolina, Chapel Hill, NC, USA
Mark Chaskes: Department of Otolaryngology—Head and Neck Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
Frederic Askin: Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, NC, USA
Aurelia S Monk: Department of Otolaryngology—Head and Neck Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
John R Stephens: Department of Pediatrics, University of North Carolina, Chapel Hill, NC, USA
Brian D Thorp: Department of Otolaryngology—Head and Neck Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
Charles S Ebert: Department of Otolaryngology—Head and Neck Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
Brent A Senior: Department of Otolaryngology—Head and Neck Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
Adam J Kimple: Department of Otolaryngology—Head and Neck Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
Keonho A Kong: Department of Otolaryngology—Head and Neck Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

DOI: https://doi.org/10.1177/11795476241255563
Journal volume & issue: Vol. 17

Abstract

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Infratemporal fossa (ITF) tumors are rare in children and may present with a variety of symptoms. Teratomas are neoplasms derived from the 3 germ layers and approximately 6% to 10% are within the head and neck. Our study discusses one of the first reported cases of teratoma in the ITF in a pediatric patient. A 3-year-old girl presents with 2 years of recurrent monthly left periorbital swelling accompanied by fevers, skin discoloration, and pain. Prior episodes were treated with antibiotics with incomplete resolution. Imaging revealed a cystic lesion centered in the ITF. She was taken for endoscopic endonasal biopsy of the lesion and had no complications. Pathology revealed a mature teratoma composed primarily of pancreatic tissue. Providers should consider masses such as teratoma in the differential for ITF tumors and periorbital edema unresponsive to typical treatment.

Published in Clinical Medicine Insights: Case Reports

ISSN: 1179-5476 (Online)
Publisher: SAGE Publishing
Country of publisher: United Kingdom
LCC subjects: Medicine: Medicine (General)
Website: https://journals.sagepub.com/home/icr

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