Intraoral Approach for a Congenital Teratoma in the Orbit Extending into the Pterygopalatine Fossa

Ayumi Tsukamoto, MD; Shinji Kobayashi, MD; Yuichiro Yabuki, MD; Takayuki Yamada, MD; Susumu Itou, MD; Yukichi Tanaka, MD; Jiro Maegawa, MD; Toshihiko Satake, MD

doi:10.1097/GOX.0000000000003238

Plastic and Reconstructive Surgery, Global Open (Nov 2020)

Intraoral Approach for a Congenital Teratoma in the Orbit Extending into the Pterygopalatine Fossa

Ayumi Tsukamoto, MD,
Shinji Kobayashi, MD,
Yuichiro Yabuki, MD,
Takayuki Yamada, MD,
Susumu Itou, MD,
Yukichi Tanaka, MD,
Jiro Maegawa, MD,
Toshihiko Satake, MD

Affiliations

Ayumi Tsukamoto, MD: From the * Department of Plastic and Reconstructive Surgery, Kanagawa Children’s Medical Center, Kanagawa, Japan
Shinji Kobayashi, MD: From the * Department of Plastic and Reconstructive Surgery, Kanagawa Children’s Medical Center, Kanagawa, Japan
Yuichiro Yabuki, MD: From the * Department of Plastic and Reconstructive Surgery, Kanagawa Children’s Medical Center, Kanagawa, Japan
Takayuki Yamada, MD: From the * Department of Plastic and Reconstructive Surgery, Kanagawa Children’s Medical Center, Kanagawa, Japan
Susumu Itou, MD: † Department of Neurosurgery, Kanagawa Children’s Medical Center, Kanagawa, Japan
Yukichi Tanaka, MD: ‡ Department of Pathology, Kanagawa Children’s Medical Center, Kanagawa, Japan
Jiro Maegawa, MD: § Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital, Kanagawa, Japan
Toshihiko Satake, MD: ¶ Department of Plastic and Reconstructive Surgery, Toyama University Hospital, Toyama, Japan.

DOI: https://doi.org/10.1097/GOX.0000000000003238
Journal volume & issue: Vol. 8, no. 11
p. e3238

Abstract

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Summary. This article reports an intraoral approach for a congenital mature teratoma in the orbit, extending into the pterygopalatine fossa and the zygoma remodeling due to biological and functional matrix theory during the neonatal period. The operation took place on the 56th postnatal day due to gradual proptosis of the left eye from the socket. The entire orbital tumor could be surgically removed via the inferior orbital fissure, which had been expanded by the pressure of the tumor. This case suggests that orbital tumors expanding into pterygopalatine fossa can be removed by the intraoral approach because the bone of infants is so soft. The eyeball of the patient was temporarily depressed after the operation, but that was improved by tissue remodeling with time. Therefore, it is recommended that reconstructive surgery for an infant should be performed at the age of 12 months or older.

Published in Plastic and Reconstructive Surgery, Global Open

ISSN: 2169-7574 (Online)
Publisher: Wolters Kluwer
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: http://www.prsgo.com

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