Nasopharyngeal epignathus causing nasal airway blocking in a 4-year old child

Congenital oral teratoma or epignathus is a very rare lesion, especially in older children. We report on a 4-year old female infant presenting with na sal blocking, little watery dischaarge and recurrent otitis. First adenoids were suspected. An endoscopic examination of the nose and nasopharynx demo nstrated an irregular mass in the nasopharynx, covered partly by mucosa. A MRI-scan (T1-weighted) showed fat-intensity. Histological examination revea led a teratomatous malformation. Although rare, teratoma should be included in the differential diagnosis of a nasopharyngeal mass in the paediatric age group.