MASSIVE ORBITAL TERATOMA IN THE NEWBORN

Teratomas are rare germ cell tumors that comprise similar to 1% of orb ital tumors in childhood. Review of the world literature revealed only 51 well-documented patients with true congenital orbital teratomas. W e present a newborn girl with a massive orbital teratoma that caused s ignificant orbital enlargement with inferior and lateral displacement of the zygoma and a thinning of the orbital roof. The ipsilateral maxi lla and palate were depressed inferiorly. No bony invasion was seen de spite its massive size. A craniofacial approach was used to safely and completely extirpate this tumor. Histological sections demonstrated d erivatives of all three germ cell layers. Recommendations for definiti ve treatment and a review of the literature are presented.