(Neumann tumour) 

Rare benign neonatal tumor, generally solitary and pediculated, flesh-colored, developed from the mucosa of the gingiva on the alveolar edge of the maxilla or mandible . A few cases have been reported that originate from the tongue. Sporadic pathology , more frequent in female and in the Caucasians.

Histology: granular cells with an eosinophilic cytoplasm.

Differential diagnosis: oropharyngeal teratoma, congenital fibrosarcoma, hemangioma, myoblastoma.

Anesthetic implications: 

risk of obstruction of the upper airway and difficult intubation. Neonatal anesthesia.

References : 

-        Küpers AM, Andriessen P, van Kempen MJP, van, der Tol IGH, Baart JA, Dumans AG, van der Waal I.
Congenital epulis of the jaw : a series of five cases and review of literature. 
Pediatr Surg Int 2009; 25: 207-10.

-          Kumar P, Kim HHS, Zahtz GD, Valderrama E, Steele AM. 
Obstructive congenital epulis: prenatal diagnosis and perinatal management. 
The Laryngoscope 2002; 112: 1935-9.

-          Canavan-Holliday KS, Lawson RA. 
Anaesthetic management of the newborn with multiple congenital epulides. 
Br J Anaesth 2004; 93: 742-5.

-         Cheong SP, Fah CJ, Craigie MJ. 
Anaesthesia for excision of an intraoral mass in a neonate: use of a laryngeal mask during removal of congenital epulis. 
Anaesth Intensive Care 2008; 36: 116-8.

Updated: June 2019