Objective To explore the clinical characteristics,diagnosis and treatment of oropharyngeal teratoma.Methods A retro-spective analysis was conducted on the clinical data of a teenage patient with oropharyngeal teratoma,and relevant literature pub-lished in Chinese and English was analyzed and discussed.Results A total of 45 articles published domestically and internationally from 1980 to 2023 were retrieved,and a total of 56 cases of oropharyngeal teratomas were retrieved,including this case.Most of the 56 cases of oropharyngeal teratomas were discovered at birth,mainly in the soft palate and tonsils,with more females than males.Some patients had deformities in other areas,with cleft palate being more common.The pathological classification was mainly ma-ture teratomas,most of which could be removed through the mouth,and the prognosis was good.Conclusion Most oropharyngeal teratomas are benign lesions,which are more common in newborns and infants.High resolution CT combined with MRI can help clarify the diagnosis and lesion range,and serum AFP testing can help determine whether it is benign or malignant before surgery,and can be used for efficacy observation and prognosis assessment after surgery.Surgery is the preferred treatment method for remo-ving oropharyngeal teratomas.Early resection has a good prognosis,and regular follow-up is required after surgery.