Nasopalatine duct cyst is the most common nonodontogenic cyst of the jaws. Jan 25, 2015 hence the existence of teeth mobility along with nasopalatine duct cyst can be a rare case. Most studies showed that the nasopalatine duct cyst is radiolucency with a well defined border, rounded, oval or heart shape 4,1214. It is known to be the most frequently occurring non odontogenic cyst of the oral cavity. Here we report a rare case of nasopalatine cyst in a 30 year old female patient found incidentally on routine clinical examination. This type of cyst is rare in children and should not be excluded from a differential diagnosis in younger age groups. The patient was referred, reporting a pressure over the anterior maxilla. A single stitch was applied without the cavity being filled in. Retrospective analysis of 31 cases of nasopalatine duct cyst. Hence the existence of teeth mobility along with nasopalatine duct cyst can be a rare case. A clinical report demonstrating the significance of distinguishing a nasopalatine duct cyst from a radicular cyst. Since the palatal swelling persisted, the lesion was reevaluated using relevant diagnostic aids and a diagnosis of nasopalatine duct cyst npdc was made, which was missed during the initial assessment. Aug 30, 2017 large cysts can be responsible for a variety of symptoms, including swelling in the anterior part of the midline of the palate 5288%, discharge 25%, pain defined as a burning sensation in the anterior part of the maxilla that occasionally radiates into the bridge of the nose, and in a person who wears a dental prothesis, a pressure sensation underneath the prosthesis 2023%.
Case report keratocystic odontogenic tumor simulating lateral periodontal cyst and nasopalatine duct cyst. The cyst originates from epithelial remnants from the nasopalatine duct. Case report pathophysiology discussion conclusions references the nasopalatine ducts ordinarily undergo is covered with normal appearing mucosa which he nasopalatine duct cyst npdc also progressive degeneration. We present a case report of a male patient with infected nasopalatine canal cyst seen clinically as swelling over palate. The nasopalatine cyst npc is a nonodontogenic cyst, it occurs mainly in adult patients in some cases can bring difficulties to the diagnostic due to its silent growing. A case report volume 3 issue 1 2015 samareh abbassi1, ali habibi kia2 and saifollah hemmat3 1department of oral and maxillofacial radiology, ahvaz. A case of a nasopalatine duct cyst in a 45yearold male is presented. Extensive nasopalatine cyst with nasal involvement. Pdf nasopalatine duct cyst a case report researchgate. As a cyst, the nasopalatine duct cyst requires histological analysis for a definitive diagnosis. The nasopalatine duct cyst npdc is the most common of the nonodontogenic cyst of the jaws. Nasopalatine duct cyst a rare case report j dental sci nasopalatine duct cyst a rare case report anuna laila m, ambily a and mahima j department of oral medicine and radiology, pushpagiri college of dental sciences, india corresponding author.
Histopathology shows a mixture of stratified nonkeratinized with pseudostratifiedepithelium. A vitality test of the central incisor may be useful. Anuna laila mathew, department of oral medicine and. Mar 29, 2011 a case of an unusually large expansile nasopalatine duct cyst npdc causing extensive destruction of the hard palate with involvement of the nasal cavity, perforation of the alveolar process and mucosa of the maxilla by pressure of the maxillary anterior teeth is being presented. Surgical treatment was carried out under local anesthesia and comprised the dissection and removal of the cyst adopting a usually palatine approach. Clinically, nasopalatine duct cyst manifests as an asymptomatic swelling of the palate or the upper lip. Pratiksha dwivedi abstract the nasopalatine duct cyst npdc is an intraosseous, developmental, epithelial, nonneoplastic cyst. The nasopalatine duct cyst npdc also known as nasopalatine cyst is a developmental, nonneoplastic cyst that is considered to be the most common nonodontogenic cyst. Cysts are the common pathologies found in the oral cavity. Nasopalatine duct cysts are the most common of developmental nonodontogenic cysts in the oral cavity and represent 10% of maxillary cysts. These cysts are usually asymptomatic, but the most commonly reported clinical symptom is swelling in the anterior part of the palate, just behind the palatal papilla. It is known to be the most frequently occurring non odontogenic cyst of the oral.
The nasopalatine cyst is the most common epithelial and nonodontogenic cyst of the maxilla. Nasopalatine duct cyst arises from embryologic remnants of nasopalatine duct. Presentation may be asymptomatic or include swelling, pain, and drainage from the hard palate. In some cases cystic fluid may drain into the oral cavity through a sinus tract or a remnant of the nasopalatine duct. Incisive canal cyst or nasopalatine duct cysts npdcs are the most common nonodontogenic and developmental cysts of the maxilla. The nasopalatine duct cyst npdc occurs in the median of the palate, usually anterior to first molars. Histopathologic examinations help us to reach the correct diagnosis and disburden us from unnecessary treatments. However, if this cyst extends posteriorly to involve the hard palate, it often is referred to as a median palatal cyst.
Nasopalatine duct cyst also termed as incisive canal cyst, arises from embryologic remnants of nasopalatine duct. Nasopalatinecysts are usually asymptomatic, but may sometimes produce an elevation in the anterior portion of the palate, and arediscovered incidentally during routine radiological examination. The treatment of choice is complete enucleation of cyst with its lining. The best we know, there is only one report in literature which nasopalatinal duct cyst concurrent with a mesiodens in a case. The most common symptom is a small swelling with well defined border in the posterior of palatal papillae 4,69,12. The cells may be activated spontaneously during life or are eventually stimulated by the irritating action of various agents infection, etc.
In the examination of the current patient also there was a lesion with the same features. The cyst is commonly asymptomatic and associated with swelling that usually located in the midline of anterior palate. Oral surg oral med oral pathol oral radiol endod 80. Nasopalatine duct cyst or nasopalatine canal cyst is a common intra. Nasopalatine duct cyst developed in association with. An erroneous interpretation of cystic radiolucency in relation to maxillary central incisors can often lead to inappropriate treatment planning. To conclude, nasopalatine cyst is a clinical deception as it can mimic any odontogenic cysts and tumours in the anterior maxilla. This report describes the appearance and treatment of a rare case of bilateral nasopalatine duct cyst. The current case is a nasopalatine duct cyst in a 21year old person that the lesion can be notable in terms of age range. Francoli js, marques na, aytis lb, escoda cg 2008 nasopalatine duct. Pdf nasopalatine duct cyst a case report top journal. It often appears between the roots of the maxillary central incisors.
Yogesh 1, akshay shetty2, tejavathi nagaraj 3, pooja sinha3 1department of oral and maxillofacial pathology, sri rajiv gandhi college of dental sciences, bangalore, karnataka, india, 2department of oral and maxillofacial. Nasopalatine duct cyst arises from embryologic remnants of. Surgical diameter, central giant cell granuloma, a potential and follow up at least for one management of nasopalatine duct cyst. Most of these cysts develop in the midline of anterior maxilla near the incisive foramen. Nasopalatine duct cyst occurs in approximately 1% of the population. Nasopalatine duct cysts are treated by surgical enucleation. Radiographically, it is seen as a heartshaped radiolucency and can be confused with periapical pathology. Although it was originally postulated that the cyst formed from trapped epithelial cells during embryonic fusion of the palatal bones, it is now thought that it forms from oronasal ducts present within the incisive canals. Nasopalatine duct cyst with a supernumerary tooth can be observed as an extremely rare event. Nasopalatine duct cyst also termed as incisive canal. A 35 year old female patient reported to the outpatient department with a complaint of. Pdf nasopalatine duct cysts are the most common of developmental non odontogenic cysts in the oral cavity and represent 10% of maxillary.
The nasopalatine duct cyst is the most common nonodontogenic developmental cysts. Nasopalatine duct cyst diagnosis, treatment and postoperative complications. Nasopalatine duct cyst, also termed as incisive canal cyst, arises from embryogenic remnants of nasopalatine duct, the communication between the nasal cavity and anterior maxilla in the developing fetus. These developmental npdc are usually asymptomatic and are discovered during routine radiological examination done for. Case report keratocystic odontogenic tumor simulating lateral.
It is one of many pathologic processes that may occur within the jawbones, but it is unique in that it develops in only a single location, in the midline anterior maxilla. Case report a 37yearold male patient presented to a dental clinic. A case report, oral surgery, oral medicine, oral pathology, oral radiology, and endodontology,vol. Biopsy is recommended because the lesion is not diagnostic radiographically. A case of an unusually large expansile nasopalatine duct cyst npdc causing extensive destruction of the hard palate with involvement of the nasal cavity, perforation of the alveolar process and mucosa of the maxilla by pressure of the maxillary anterior teeth is being presented. There were no other symptoms and no recent history of pain. This cysts are usually central or unilateral with no prevalence of side occurrence. The clinical presentation was of intermittent palatal swelling and the diagnosis was confirmed with radiological and histological examination. The therapy of nasopalatine duct cysts consists of an enucleation of the cystic tissue, only in rare cases a marsupialization needs to be performed. These are normally asymptomatic, constituting casual radiological findings.
We are going to present in this paper report case in a 10year child emphasizing the histophatological characteristics. Our case report presents an expanded nasopalatine duct cyst that includes a supernumerary tooth. Squamous cell carcinoma in the maxilla probably originating from a nasopalatine duct cyst. The cyst arises from epithelial remnants from the nasopalatine duct. Clinical examination revealed a palatal expansion on the anterior hard palate. The cyst is believed to arise from rests of the nasopalatine duct epithelium. Browse by title browse by subject journal indexing. Case report keratocystic odontogenic tumor simulating. The patients main complaint was painless swelling on.
Yogesh 1, akshay shetty 2, tejavathi nagaraj 3, pooja sinha 3 1 department of oral and maxillofacial pathology, sri rajiv gandhi college of dental sciences, bangalore, karnataka, india, 2 department of oral and maxillofacial. The nasopalatine cyst is the most frequently occurring developmental, non odontogenic epithelial cyst of the oral cavity that usually occurs in the maxilla. Nasopalatine duct cyst occurs in the median of the palate. Nasopalatine duct cyst or nasopalatine canal cyst is a common intra ossseous developmental cyst occurring in the midline of maxillary anterior region. This cyst mainly develops from the epithelial remnants of the nasopalatine ducts within the incisive canals. Pediatric patient, supernumerary teeth introduction the nasopalatine duct cyst npdc is the most. An unusually large destructive nasopalatine duct cyst. Therefore, nasopalatine duct cyst, is one of the differential diagnoses of unilacular radiolucencies in the anterior region of maxilla. A case of a nasopalatine duct cyst is reported in an 8. A 59yearold white female patient was attended by the oral pathology service to evaluate painful swelling in the anterior palate. The aim of this article is to report a case of a nasopalatine duct cyst in a 36yearold patient which was misinterpreted for a. Case report nasopalatine duct cyst pratikdedhia, 1 shelydedhia, 2 amoldhokar, 1 andankitdesai 3 department of oral medicine and radiology, terna dental college, nerul, navi mumbai, india. Radiographically, it may often appear as a heartshaped radiolucency.
Nasopalatine canal cyst may occur within the nasopalatine canal or in the soft tissues of the palate, at the opening of the canal, where it is called the cyst of the palatine papilla. The patient usually detects the fluid and reports a salty taste. Pratik dedhia,1 shely dedhia,2 amol dhokar,1 and ankit desai3. Pdf nasopalatine duct cysts are the most common of developmental nonodontogenic cysts in the oral cavity and represent 10% of maxillary cysts. Mar 27, 20 a vitality test of the central incisor may be useful.
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