Nasopalatine Duct Cyst: A Case Report and Review of Literature

Kishor Patil,Ashok Patil,Fareedi Mukram Ali,Ketan Saraf,Suyog Tupsakhare

doi:10.31487/j.gscr.2020.02.04

Abstract

Nasopalatine duct cyst is the most common developmental non-odontogenic cysts seen in the midline region of anterior maxilla. An epithelial remnant of the nasopalatine ducts remain in the incisive canal is the most common etiology. Nasopalatine duct cysts are generally asymptomatic and infrequently produce a swelling and associated pain in the anterior palate if secondarily infected. On radiograph it presents with a welldefined round, oval or heart shaped radiolucency. Histopathologically it shows non-keratinized epithelium typically with neurovascular bundles in the connective tissue capsule. Surgical enucleation is the treatment of choice. In the present case report clinical features, diagnosis and management of nasopalatine duct cyst in a 23-year-old male in the anterior maxillary palatal region is discussed.

Highlights

The nasopalatine duct cyst (NPDC) was described first in 1914 by Meyer
NPDC is called by other names such as anterior midline cyst, middle palatine cyst, maxillary midline cyst and incisive duct cyst
According to the classification of WHO, it is regarded as epithelial, developmental, non-odontogenic cysts of the anterior maxilla

Summary

Introduction

The nasopalatine duct cyst (NPDC) was described first in 1914 by Meyer. NPDC is called by other names such as anterior midline cyst, middle palatine cyst, maxillary midline cyst and incisive duct cyst. NPDC is commonly asymptomatic, but sometimes can produce swelling [1, 2]. It comprises about 1.7-11.9% of all oral and maxillofacial region cysts and it is most common non-odontogenic cysts of the oral cavity [3, 4]. The greatest occurrence is seen between 40 and 60 years of age [6]. This case report deals with clinical features, diagnosis and management of NPDC in a 23-year-old male patient. A 23-year-old male patient came to the department of oral pathology and microbiology with a chief complaint of swelling in anterior palatal region since 5-8 months.

A Case Report of Nasopalatine Duct Cyst

Findings

Discussion

Conclusion