Multidisciplinary management of a neonate with oropharyngeal teratoma and bilateral cleft lip and palate: a rare congenital presentation

This case report describes a rare presentation of a male infant with a large congenital oropharyngeal teratoma, bilateral cleft lip and palate, and a low-type imperforate anus. The infant experienced airway obstruction at birth, necessitating immediate neonatal intensive care unit admission and surgical intervention. Imaging revealed craniofacial teratoma involvement, contributing to palatal fusion failure during embryonic development. Two major surgeries were performed: teratoma excision and anoplasty. Postoperatively, the infant faced respiratory distress, Klebsiella sepsis, and a urinary tract infection, all successfully managed. The coexistence of craniofacial teratoma with bilateral cleft lip and palate is exceptionally uncommon, highlighting the need for early diagnosis, multidisciplinary collaboration, and meticulous surgical planning to ensure optimal outcomes.