Rare congenital lingual lesion in a newborn: case report

Abstract

Introduction: Congenital lesions in babies are medical conditions that are present at birth or that develop during pregnancy. They can occur in various regions, including the oral cavity, and can vary in severity and clinical presentation. Examples include Bohn's nodules, Epstein's pearls, hemangiomas and epulis. Case Report: A 28-day-old female baby was referred to the USP School of Dentistry due to unusual lesions on the tongue, present since birth. The mother reported difficulty breastfeeding due to the growth of the lesion, which led to the search for medical assistance. On clinical examination, two pedunculated lesions were observed, approximately 0.8 cm in diameter, located in the median region on the dorsum of the tongue. Both had a soft consistency, smooth surface and the same color as the surrounding tissue. Given the suspicion of a rare congenital lesion, surgical removal of the lesion was performed under local anesthesia. The specimen was sent for histopathological analysis. After a week, it was observed that breastfeeding was occurring adequately and that the surgery site was completely healed, with no signs of recurrence, in addition to the baby's continued and adequate weight. Conclusion: This case illustrates the importance of recognizing and appropriately managing congenital lesions in the oral cavity of newborns, highlighting the need for an interdisciplinary approach to ensure the best clinical outcome and quality of life for the patient and their family.