Nasopalatine Duct Cyst Follow-up

  • Author: Piotr Kurnatowski, MD; Chief Editor: Dirk M Elston, MD   more...
 
Updated: Feb 13, 2012
 

Complications

Very large, untreated nasopalatine duct cysts may resorb the roots of the adjacent teeth and display the roots. Other complications may include perforation of the vestibular bone, nasal cavity, and maxillary sinus.[40] Paresthesia to the anterior palate may occur if components of the long sphenopalatine nerve are removed or damaged during surgery.[24, 25]

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Prognosis

Complete postsurgical bony regeneration is expected in most patients. After surgical treatment, recurrence is uncommon, having been reported in 0-11% of patients.[17, 23, 25, 8] Only 2 cases of malignant change in the lining epithelium of a nasopalatine duct cyst have been published.[41, 42]

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Contributor Information and Disclosures
Author

Piotr Kurnatowski, MD  Professor, Department of Otolaryngology, Medical University of Lodz, Poland

Disclosure: Nothing to disclose.

Coauthor(s)

Deborah Cleveland, DDS  Director of Oral Pathology, Associate Professor, Department of Oral Pathology, Biology and Diagnostic Sciences, University of Medicine and Dentistry of New Jersey

Deborah Cleveland, DDS is a member of the following medical societies: American Academy of Oral and Maxillofacial Pathology, South Dakota State Medical Association, Southeastern Dermatological Association, Southeastern Society of Plastic and Reconstructive Surgeons, Southeastern Surgical Congress, Southern Association for Oncology, Southern Clinical Neurological Society, Southern Medical Association, Southern Orthopaedic Association, Southern Society for Pediatric Research, Southern Thoracic Surgical Association, Southwest Oncology Group, Southwest Pediatric Nephrology Study Group, Southwestern Surgical Congress, Special Operations Medical Association, State Medical Society of Wisconsin, Swedish Medical Association, Sydenham Society, Tennessee Medical Association, Tennessee Radiological Society, Teratology Society, Texas Medical Association, Texas Orthopaedic Association, Texas Pediatric Society, and Texas Society of Plastic Surgeons

Disclosure: Nothing to disclose.

Camila K Janniger, MD  Clinical Professor of Dermatology, Clinical Associate Professor of Pediatrics, Chief of Pediatric Dermatology, University of Medicine and Dentistry of New Jersey-New Jersey Medical School

Camila K Janniger, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

Specialty Editor Board

Jacek C Szepietowski, MD, PhD  Professor, Vice-Head, Department of Dermatology, Venereology and Allergology, Wroclaw Medical University; Director of the Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Poland

Disclosure: Stiefel GSK Company Salary Employment; Orfagen Consulting fee Consulting; Maruho Consulting fee Consulting; Astellas Consulting fee Consulting; Abbott Consulting fee Consulting; Leo Pharma Consulting fee Consulting

David F Butler, MD  Professor of Dermatology, Texas A&M University College of Medicine; Chair, Department of Dermatology, Director, Dermatology Residency Training Program, Scott and White Clinic, Northside Clinic

David F Butler, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, American Society for Dermatologic Surgery, American Society for MOHS Surgery, Association of Military Dermatologists, and Phi Beta Kappa

Disclosure: Nothing to disclose.

Robert A Schwartz, MD, MPH  Professor and Head, Dermatology, Professor of Pathology, Pediatrics, Medicine, and Preventive Medicine and Community Health, University of Medicine and Dentistry of New Jersey-New Jersey Medical School

Robert A Schwartz, MD, MPH is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American College of Physicians, and Sigma Xi

Disclosure: Nothing to disclose.

Glen H Crawford, MD  Assistant Clinical Professor, Department of Dermatology, University of Pennsylvania School of Medicine; Chief, Division of Dermatology, The Pennsylvania Hospital

Glen H Crawford, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, Phi Beta Kappa, and Society of USAF Flight Surgeons

Disclosure: Nothing to disclose.

Chief Editor

Dirk M Elston, MD  Director, Ackerman Academy of Dermatopathology, New York

Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

References

  1. Robertson H, Palacios E. Nasopalatine duct cyst. Ear Nose Throat J. May 2004;83(5):313. [Medline].

  2. Grossmann SM, Machado VC, Xavier GM, Moura MD, Gomez RS, Aguiar MC. Demographic profile of odontogenic and selected nonodontogenic cysts in a Brazilian population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. Dec 2007;104(6):e35-41. [Medline].

  3. Nonaka CFW, Henriques ACG, de Matos FR, de Souza LB, Pinto LP. Nonodontogenic cysts of the oral and maxillofacial region: demographic profile in Brazilian population over a 40-year period. Eur Arch Otorhinolaryngol. 2011;268:917-922.

  4. Cicciu M, Grossi GB, Borgonovo A, Santoro G, Pallotti F, Maiorana C. Rare bilateral nasopalatine duct cysts: a case report. Open Dentistry J. 2010;4:8-12.

  5. 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. Dec 1981;10(6):447-61. [Medline].

  6. Knecht M, Kittner T, Beleites T, Hüttenbrink KB, Hummel T, Witt M. Morphological and radiologic evaluation of the human nasopalatine duct. Ann Otol Rhinol Laryngol. Mar 2005;114(3):229-32. [Medline].

  7. Francoli JE, Marques NA, Aytes LB, Escoda CG. Nasopalatine duct cyst: Report of 22 cases and review of the literature. Med Oral Patol Oral Cir Bucal. 2008;13:e438-43.

  8. Nelson BL, Linfesty RL. Nasopalatine duct cyst. Head Neck Pathol. 2010;4:121-122.

  9. Halpern M. The organization and function of the vomeronasal system. Annu Rev Neurosci. 1987;10:325-62. [Medline].

  10. Schott TR, Correll RW, Wescott WB. Well-defined radiolucent area involving the anterior maxilla. J Am Dent Assoc. Jan 1985;110(1):86-8. [Medline].

  11. Nortje CJ, Farman AG. Nasopalatine duct cyst. An aggressive condition in adolescent Negroes from South Africa?. Int J Oral Surg. Apr 1978;7(2):65-72. [Medline].

  12. Mermer RW, Rider CA, Cleveland DB. Nasopalatine canal cyst: a rare sequelae of surgical rapid palatal expansion. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. Dec 1995;80(6):620. [Medline].

  13. Elliott KA, Franzese CB, Pitman KT. Diagnosis and surgical management of nasopalatine duct cysts. Laryngoscope. Aug 2004;114(8):1336-40. [Medline].

  14. Mealey BL, Rasch MS, Braun JC, Fowler CB. Incisive canal cysts related to periodontal osseous defects: case reports. J Periodontol. Jun 1993;64(6):571-4. [Medline].

  15. Shear M. Cysts of the Oral Region. J Wright & Sons; 1983.

  16. Regezi JA, Sciubba JJ. Oral Pathology: Clinical Pathologic Correlations. 3rd ed. Philadelphia, Pa: WB Saunders; 1999.

  17. Gnanasekhar JD, Walvekar SV, al-Kandari AM, al-Duwairi Y. Misdiagnosis and mismanagement of a nasopalatine duct cyst and its corrective therapy. A case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. Oct 1995;80(4):465-70. [Medline].

  18. Killey HC, Kay LW. Benign Cystic Lesions of the Jaws, Their Diagnosis and Treatment. 2nd ed. New York, NY: Churchill Livingstone; 1977.

  19. Burket LW. Nasopalatine duct structures and peculiar bony pattern observed in the anterior maxillary region. Arch Path. 1937;23:793-800.

  20. Righini CA, Bettega G, Boubagra K, Reyt E. Nasopalatine duct cyst (NPDc): one case report. Acta Otorhinolaryngol Belg. 2004;58(2):129-33. [Medline].

  21. Cabrini RL, Barros RE, Albano H. Cysts of the jaws: a statistical analysis. J Oral Surg. Jul 1970;28(7):485-9. [Medline].

  22. Vasconcelos R, de Aguiar MF, Castro W, de Araújo VC, Mesquita R. Retrospective analysis of 31 cases of nasopalatine duct cyst. Oral Dis. Oct 1999;5(4):325-8. [Medline].

  23. Swanson KS, Kaugars GE, Gunsolley JC. Nasopalatine duct cyst: an analysis of 334 cases. J Oral Maxillofac Surg. Mar 1991;49(3):268-71. [Medline].

  24. Anneroth G, Hall G, Stuge U. Nasopalatine duct cyst. Int J Oral Maxillofac Surg. Oct 1986;15(5):572-80. [Medline].

  25. Bodin I, Isacsson G, Julin P. Cysts of the nasopalatine duct. Int J Oral Maxillofac Surg. Dec 1986;15(6):696-706. [Medline].

  26. Abrams AM, Howell FV, Bullock WK. Nasopalatine cysts. Oral Surg Oral Med Oral Pathol. Mar 1963;16:306-32. [Medline].

  27. Shafer WG, Hine MK, Levy BM. A Textbook of Oral Pathology. 4th ed. Philadelphia, Pa: WB Saunders; 1983.

  28. Hedin M, Klamfeldt A, Persson G. Surgical treatment of nasopalatine duct cysts. A follow-up study. Int J Oral Surg. Oct 1978;7(5):427-33. [Medline].

  29. Tanaka S, Iida S, Murakami S, Kishino M, Yamada C, Okura M. Extensive nasopalatine duct cyst causing nasolabial protrusion. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. Oct 2008;106(4):e46-50. [Medline].

  30. Hertzanu Y, Cohen M, Mendelsohn DB. Nasopalatine duct cyst. Clin Radiol. Mar 1985;36(2):153-8. [Medline].

  31. Terry BR, Bolanos OR. A diagnostic case involving an incisive canal cyst. J Endod. Nov 1989;15(11):559-62. [Medline].

  32. Escoda Francoli J, Almendros Marques N, Berini Aytes L, Gay Escoda C. Nasopalatine duct cyst: report of 22 cases and review of the literature. Med Oral Patol Oral Cir Bucal. Jul 1 2008;13(7):E438-43. [Medline].

  33. Bodner L, Manor E, Glazer M, Brennan PA. Cystic lesions of the jaws in edentulous patients: analysis of 27 cases. Br J Oral Maxillofac Surg. Nov 10 2010;[Medline].

  34. Matijevic S, Gazivoda D, Marjanovic M, Udovicic B. Cista nazopalatinalnog kanala. Vojnosanitetski Pregled. 2007;64:159-162.

  35. Harris IR, Brown JE. Application of cross-sectional imaging in the differential diagnosis of apical radiolucency. Int Endod J. Jul 1997;30(4):288-90. [Medline].

  36. Pevsner PH, Bast WG, Lumerman H, Pivawer G. CT analysis of a complicated nasopalatine duct cyst. N Y State Dent J. Jun-Jul 2000;66(6):18-20. [Medline].

  37. Hisatomi M, Asaumi J, Konouchi H, Shigehara H, Yanagi Y, Kishi K. MR imaging of epithelial cysts of the oral and maxillofacial region. Eur J Radiol. Nov 2003;48(2):178-82. [Medline].

  38. Yamamoto A, Sano T, Otonari-Yamamoto M, Nishikawa K, Kwok E. A potential reference point for assessment of condylar bone marrow of the temporomandibular joint on proton density weighted images. Cranio. Oct 2008;26(4):246-52. [Medline].

  39. el-Bardaie A, Nikai H, Takata T. Pigmented nasopalatine duct cyst. Report of 2 cases. Int J Oral Maxillofac Surg. Jun 1989;18(3):138-9. [Medline].

  40. Scolozzi P, Martinez A, Richter M, Lombardi T. A nasopalatine duct cyst in a 7-year-old child. Pediatr Dent. Nov-Dec 2008;30(6):530-4. [Medline].

  41. Takagi R, Ohashi Y, Suzuki M. Squamous cell carcinoma in the maxilla probably originating from a nasopalatine duct cyst: report of case. J Oral Maxillofac Surg. Jan 1996;54(1):112-5. [Medline].

  42. Takeda Y. Intra-osseous squamous cell carcinoma of the maxilla: probably arisen from non-odontogenic epithelium. Br J Oral Maxillofac Surg. Dec 1991;29(6):392-4. [Medline].

 
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An ovoid radiolucent area between the central incisor teeth with a poorly defined sclerotic outline can be suspected to be a cyst.
An ovoid, clearly radiolucent area with a sharply defined outline and sclerotic margin that has a bearing on the teeth appendix; secondary draw aside of incisor roots.
An ovoid radiolucent area with a poorly defined sclerotic outline between the central incisor teeth.
 
 
 
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