Nasopalatine Duct Cyst: Report of 52 Cases in a Retrospective Epidemiological Study
Journal of Surgery
Volume 1, Issue 2, June 2013, Pages: 14-17
Received: May 12, 2013;
Published: Jun. 10, 2013
Views 2793 Downloads 195
Francesco Cecchetti, Department of Periodontics, University of Rome (Tor Vergata), Italy
Matacena Giada, Department of Experimental Medical-Surgical and Oral Dental Sciences, University of Messina, Italy
Cicciù Marco, Department of Human Pathology, University of Messina, Italy
Francesco Germano, Department of Periodontics, University of Rome (Tor Vergata), Italy
Claudio Arcuri, Department of Periodontics, University of Rome (Tor Vergata), Italy
Bramanti Ennio, Department of Human Pathology, University of Messina, Italy
Follow on us
Introduction. Nasopalatine duct cysts (NPDCs) are the most common developmental epithelial non-odontogenic cysts of the upper maxilla. Their etiological origin is still uncertain; NPDCs are often asymptomatic and are usually found randomly through local radio-diagnostic investigations carried out for other reasons. Main body. The aim of this investigation is to analyze and discuss the etiology, differential diagnosis, clinic-pathological characteristics of these lesions as well as to report the relative frequency and distribution of nasopalatine duct cysts in general population (NPDCs) with a literature’s review on the topic. The retrospective study was carried out using 52 clinical cases, with histopatological confirmation for NPDC, radiographs and oral photographs. Data included age and gender of the patient, radiographic findings, etiological factors, treatment, and prognosis of NPDC. Few surgical consideration are discussed. The study results report a NPDCs’ incidence of 2.39% and a male predilection with a 2:1.25 ratio. No statistically significant correlation was observed between the size of the lesion and patient’s gender. Lesions were usually asymptomatic (73%). All cysts were located in the anterior maxillary midline region. Panoramic X-rays and computed tomography was used to identify the lesion. Surgical treatment was performed under local anesthesia including the dissection and the removal of the cyst, usually adopting a palatine approach with an enveloping flap from 1.4 to 2.4. Relapse occured in 15.4% of the cases. Conclusions. The etiology of NPDC is unclear and a male predilection was observed. The histological analysis of cystic lesions was fundamental for the final diagnosis. Simple surgical resection was recommended, followed by clinical and radiological control to ensure the correct and complete resolution of the case.
Nasopalatine Duct Cyst, Non-Odontogenic Cyst, Maxillary Cyst
To cite this article
Nasopalatine Duct Cyst: Report of 52 Cases in a Retrospective Epidemiological Study, Journal of Surgery.
Vol. 1, No. 2,
2013, pp. 14-17.
Reyes Velázquez JO, Palemón HSC, Jiménez Cruz N, Martínez CLE. Quiste del conducto nasopalatino: reporte de un caso. Med Oral 2006; 8(4): 168-171.
Manor E, Kachko L, Puterman MB, Szabo G, Bodner L. Cystic Lesions of the Jaws – A Clinicopathological Study of 322 Cases and Review of the Literature. Int. J. Med. Sci. 2012; 9(1): 20-26
Summers GW. Jaw Cists: diagnosis and treatment. Head & Neck. 1979; 1(3): 243-258.
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 Ci Bucal. 2008; 1;13(7): E438-43..
Swanson KS, Kaugars GE, Gunsolley JC. Nasopalatine duct cyst: an analysis of 334 cases. J Oral Maxillofac Surg. 1991; 49(3): 268-71..
Johnson NR, Savage NW, Kazoullis S, Batstone MD. A prospective epidemiological study for odontogenic and non-odontogenic lesions of the maxilla and mandible in Queensland. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 115: 515-522.
Velesquez MT, Mason C, Coonar H, Bennett J. A nasopalatine cyst in an 8-year-old child. Int J Ped Dent. 1999; 9: 123-127.
Meyer AW. A unique supernumerary Paranasal sinus directly above the superior incisors. J Anato My 1914; 48:118-29.
Berlove IJ. Anterior Median palatine cyst. New York State Dental Journal 1956; 26:381-384.
Ely N, Sheehy E, McDonald F. Nasopalatine duct cyst: A case report. Int J Ped Dent 2001; 11:135-7.
Hegde RJ, Shetty R. Nasopalatine duct cyst. J Indian Soc Pedod Prev Dent 2006; 24:31-2.
Gnanasekhar JD, Walvekar SV, Al-Kandari AM, Al-Duwairi Y. Misdiagnosis and mismanagement of nasopalatine duct cyst and its corrective therapy. A case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995; 80(4): 465-470.
Allard RH, Van der Kwast WA, Van der Waal I. Nasopalatine duct cyst. Review of the literature and report of 22 cases. Int J Oral Surg. 1981; 10(6): 447-61.
Staretz L, Brian B. Well defined radiolucent lesion in the maxillary anterior region. J Am Dent Assoc 1990;120:335-6.
Vasconcelos RF, de Aguiar F, Castro WH, Cavalcanti de Araùjo V, Mesquita RA. Retrospective analysis of 31 cases of nasopalatine duct cyst. Oral Disease. 1999; 5: 325-328.
Spinelli HM, Isenberg JS, O’Brien M. Nasopalatine duct cysts and the role of magnetic resonance imaging. J Craniofac Surg 1994; 5:57-60.
Staretz LR, Brada BJ, Schott TR. Well-deﬁned radiolucent lesion in the maxillary anterior region. J Am Dent Assoc 1990; 120:335-6