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Multidisciplinary Management of an Anterior Skull Base Teratoma in a Neonate.

Plast Reconstr Surg Glob Open

March 2025

From the Division of Plastic Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL.

Teratomas are embryonal neoplasms composed of 2 or 3 germ layers. We present the case of a female neonate who had a rare, mature, skull base teratoma that was managed surgically by fetal surgery, neurosurgery, otolaryngology, and plastic surgery. Imaging revealed an anterior skull base teratoma with extension into the nasopharynx, resulting in gross enlargement of the right nostril and sinonasal cavity.

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Giant encephalocele is a rare pediatric surgical entity that poses unique challenges. Few cases have been reported in the medical literature, and its cause is unknown. Factors that increase the likelihood of developing this pathology are radiation, infections, hyperinsulinemia, vitamin deficiencies related to neural tube closure defects, maternal smoking, alcohol, and anticonvulsants.

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Preventing neurodevelopmental impairment after extremely preterm birth remains challenging. While breast milk feeding is linked to better neurodevelopment, the underlying mechanisms are unclear. This study explored the association between individual human milk oligosaccharides (HMO) and neurodevelopment at two years of age in extremely preterm children.

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