Conventional radiography vs. cone beam tomography for the diagnosis and surgical planning of the nasopalatine duct cyst – case report
DOI:
https://doi.org/10.60094/RID.20230202-29Keywords:
Nasopalatine duct cyst, tomography, non-odontogenic cystAbstract
The finding of the nasopalatine duct cyst is usually incidental during a routine radiographic examination; it is the most common non-odontogenic cyst that originates from the epithelial remains of the incisive canal in the maxilla. It can occur within the nasopalatine canal or in the soft tissues of the palate, being observed through simple radiographs as a radiolucent, unilocular and circumscribed image located at the apical level of the upper incisors. In this article a case of a male patient who presented a slightly painful increase in volume at the level of the incisive papilla is reported, in the periapical radiograph he presented a corticated, unilocular radiolucent image in the anterior region of the maxilla with a heart shape; valuable finding that suggested the presumptive diagnosis of a nasopalatine duct cyst which was confirmed by histopathological study, and cone beam computed tomography was essential for planning surgical resolution.
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Meyer A. A Unique supernumerary paranasal sinus directly above the superior incisors. J Anat. 1914;48:118-29.
Uchoa-Vasconcelos AC, Filizola-de Oliveira DJ, Roman-Martelli SJ, Etges A, Neutzling-Gomes AP, Chaves-Tarquínio SB. Demographic profile of oral nonodontogenic cysts in a Brazilian population. Med Oral Patol Oral Cir Bucal. 2014 Jul 1;19(4):e308-12. DOI: https://doi.org/10.4317/medoral.19335
Swanson KS, Kaugars GE, Gunsolley JC. Nasopalatine duct cyst: an analysis of 334 cases. J Oral Maxillofac Surg. 1991 Mar;49(3):268-71. DOI: https://doi.org/10.1016/0278-2391(91)90217-a
Escoda Francolí J, Almendros Marqués N, Berini Aytés L, Gay Escoda C. Nasopalatine duct cyst: report of 22 cases and review of the literature. Med Oral Patol Oral Cir Bucal. 2008 Jul 1;13(7):E438-43.
Dedhia P, Dedhia S, Dhokar A, Desai A. Nasopalatine duct cyst. Case Rep Dent. 2013;2013:869516. DOI: https://doi.org/10.1155/2013/869516
Kosanwat T, Poomsawat S, Kitisubkanchana J. Non-endodontic periapical lesions clinically diagnosed as endodontic periapical lesions: A retrospective study over 15 years. J Clin Exp Dent. 2021 Jun 1;13(6):e586-e93. DOI: https://doi.org/10.4317/jced.57957
Wu PW, Lee TJ, Huang CC, Huang CC. Transnasal endoscopic marsupialization for a huge nasopalatine duct cyst with nasal involvement. J Oral Maxillofac Surg. 2013 May;71(5):891-3. DOI: https://doi.org/10.1016/j.joms.2012.11.002
Kim SJ, Moon JW, Lee HM. Huge Nasopalatine Duct cyst treated by Transnasal endoscopic marsupialization: a case report and literature review. Ear Nose Throat J. 2023 Jun 8:1455613231177986. DOI: https://doi.org/10.1177/01455613231177986
Hasan S, Popli DB, Ahmad SA, Sircar K, Mansoori S, Dua K. Nasopalatine duct cyst with impacted inverted mesiodens: a rare case report and literature Review. Case Rep Dent. 2022 Dec 19;2022:5981020. DOI: https://doi.org/10.1155/2022/5981020
Prabhuji ML, Manjunath B, Jebin AA, Srivastava A. Interdisciplinary management of large nasopalatine duct cyst in a pediatric patient: a rare diagnosis. J Oral Health Community Dent. 2023 Jun 30;17(1):32-5. DOI: https://doi.org/10.5005/jp-journals-10062-0161
Cecchetti F, Ottria L, Bartuli F, Bramanti NE, Arcuri C. Prevalence, distribution, and differential diagnosis of nasopalatine duct cysts. Oral Implantol (Rome). 2012 Apr;5(2-3):47-53.
Yeom HG, Kang JH, Yun SU, Yoon JH. Nasopalatine duct cyst with sebaceous differentiation: a rare case report with literature review. BMC Oral Health. 2021 Aug 26;21(1):419. DOI: https://doi.org/10.1186/s12903-021-01772-0
Elliott KA, Franzese CB, Pitman KT. Diagnosis and surgical management of nasopalatine duct cysts. Laryngoscope. 2004 Aug;114(8):1336-40. DOI: https://doi.org/10.1097/00005537-200408000-00004
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