Clinical and radiographic diagnosis of Nasopalatine Duct cyst treated by total enucleation - Case report / Diagnóstico clínico e radiográfico de cisto do Ducto Nasopalatino tratado por enucleação total - Relato de caso

Caio Cesar Santos Patron Luiz, Iago Demétrio da Silva, Iago Demétrio da Silva, Andressa Bolognesi Bachesk, Andressa Bolognesi Bachesk, Guilherme Paladini Feltrin, Guilherme Paladini Feltrin, Ricardo Augusto Gonçalves Pierri, Ricardo Augusto Gonçalves Pierri, Ângelo José Pavan, Ângelo José Pavan

Abstract


The nasopalatine duct cyst presents as a cyst of non-odontogenic origin, whose etiology has not yet been defined. However is believed in the theory of the proliferation of embryonic remains of the nasopalatine duct that leads to its formation. It is often detected in routine radiological examinations, which shows characteristics of a radiolucent lesion, defined, with a radiopaque halo, with a heart format due to overlapping of the anterior nasal spine. Because of this, it can be easily confused with an inflammatory periapical cyst from the upper central incisors. Besides, clinically the patient may complain of pain and swelling in the anterior region of the hard palate. The pain, pus, and swelling are usually associated with secondary infection. The present study aims to report a successful clinical case, of the diagnosis of a nasopalatine duct cyst, where the pulp sensitivity test and computed tomography helped in the treatment, that consisted in palatal access and total enucleation of the lesion. The recurrence of this cyst is low and usually affects adults from the fourth to the sixth decade of life. Treatment consists of total enucleation for small cysts or marsupialization followed by enucleation for larger cysts. This way, the imaging exams, and the clinical exam assist in the correct diagnosis, enabling the correct treatment. In our case, the total enucleation of the lesion was satisfactory, since, it did not cause damage to the adjacent structures and was the definitive treatment in only one surgical time. The patient continues been followed up, not showing symptoms or recurrence.

 

 


Keywords


Non-odontogenic cysts, Nasopalatine duct cyst, Diagnosis.

Full Text:

PDF

References


APARMA, M. et al. A Clinical report demonstrating the significance of sistinguishing a nasopalatine duct cyst from a radicular cyst. BMJ Case Report. Mar, 2014. [Acesso 04 abril 2020]. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/24642171

BARROS, C. C. D. S. et al. Clinical and histopathological features of nasopalatine duct cyst: A 47- year retrospective study and review of current concepts. Journal of Cranio Maxillofacial Surgery. v. 46, n.2, p.264-68, 2018.

DANTAS, R. M. X. et al. Repercursão clínica do cisto do ducto nasopalatino. Revista de Cirurgia e Traumatologia Bucomaxilofacial. 2014. v.14, n.2, p.35-42, 2014.

DEDHIA, P. et al. Nasopalatine Duct Cyst. Case Reports in Dentistry. v.13, n.0, p.1–4, 2013.

NEVILLE, W. B. et al. Patologia das Glândulas Salivares. Em: Patologia oral & maxilofacial. 3ª ed. Rio de Janeiro: Guanabara Koogan. Cap.11, p.461-63, 2009.

OLIVEIRA, L. J. et al. Cisto do ducto nasopalatino - diagnóstico, tratamento e complicações pós-operatórias: relato de dois casos. Jornal Brasileiro de Patologia e Medicina Laboratorial. v.53, n.6, p.407-13, 2017.

PERUMAL, C. J. An Unusually Large Destructive Nasopalatine Duct Cyst: A Case Report. Journal of Maxillofacial and Oral Surgery. v.12, n.1, p.100–104, 2011.

SHYLAJA, S.; BALAJI, K.; KRISHNA, A. Nasopalatine Duct Cyst: Report of a Case with Review of Literature. Indian Journal of Otolaryngology and Head & Neck Surgery. v. 65 n.4, p.385-8, 2013.

TSUNEKI, M. et al. Inflammatory histopathogenesis of nasopalatine duct cyst: a clinicopathological study of 41 cases. Oral Diseases. v.19, n.4, p.415-24, 2012.

WU, Y. H. et al. Unilateral nasopalatine duct cyst. Journal of the Formosan Medical Association. p.1142-44, 2015.




DOI: https://doi.org/10.34119/bjhrv3n4-242

Refbacks

  • There are currently no refbacks.