Abstract

The Nasopalatine Duct Cyst is a non-odontogenic cyst which occurs in the anterior maxilla. It is usually asymptomatic but may occasionally show symptoms like swelling and pain. On radiographic examination, it appears as an oval or heart-shaped radiolucency, which may resemble a periapical lesion in many cases. This paper reports a case of nasopalatine duct cyst which was diagnosed as an incidental finding in a 28-year old male patient with oral submucous fibrosis.DOI:10.21276/AOHDR.1925

Highlights

  • The Nasopalatine Duct Cyst (NPDC) is a developmental cyst, which is lined by epithelium and is non-odontogenic in origin

  • Oral Submucous Fibrosis (OSMF) is a potentially malignant condition, which is mainly associated with chewing of areca nut.[3]

  • There is formation of vertical fibrotic bands, which result in restricted mouth opening. This case report describes a case of nasopalatine duct cyst which was diagnosed as an incidental finding in a patient with oral submucous fibrosis

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Summary

Introduction

The Nasopalatine Duct Cyst (NPDC) is a developmental cyst, which is lined by epithelium and is non-odontogenic in origin. There is formation of vertical fibrotic bands, which result in restricted mouth opening This case report describes a case of nasopalatine duct cyst which was diagnosed as an incidental finding in a patient with oral submucous fibrosis. (Fig 3) an intra-oral periapical and a maxillary true occlusal radiograph were advised to obtain a clearer view. Intra-oral periapical radiograph of the region showed a heart shaped radiolucent lesion in relation to 12, 11, 21 and 22, with well-defined, corticated margins, and a radiolucent internal structure, which extended superiorly upto the floor of nasal fossa and inferiorly into the inter-radicular region in between 11 and 21, upto the middle one-third of the roots. Clinical and radiographic findings, we gave a provisional diagnosis of Oral Submucous Fibrosis, with an incidental finding of a Nasopalatine Duct Cyst. AOHDR; 2(1): 2018 patient was advised to get his treatment done at the place of his new posting but despite a number of efforts being made to contact him, was lost for follow-up

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