Nasolabial Cyst Research Articles

A Case of Subcutaneous Cavernous Hemangioma Presenting as a Nasolabial Fold Mass

Hemangiomas are the most common vascular tumor of the head and neck region, but rarely involve the sinonasal cavity. The majority of these lesions present as a benign tumor of the skin and mucosa. Moreover, most nasal hemangiomas occur in the nasal septum or vestibule. The authors experienced a case of subcutaneous cavernous hemangioma that occurred from right nasolabial fold in a 40-year-old man, which was successfully treated by sublabial approach. We expected the tumor as a radicular or nasolabial cyst because of its location, clinical feature, and radiologic findings. However, the final pathologic diagnosis was cavernous hemangioma. We present the clinical characteristics, radiologic findings, and treatment of a subcutaneous hemangioma with a review of the literature. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:386-9 Key WordsZZCavernous hemangioma·Subcutaneous·Nasolabial fold.

Management of Nasolabial Cysts by Transnasal Endoscopic Marsupialization

Management of Nasolabial Cysts by Transnasal Endoscopic Marsupialization

Isolated nasolabial hydatid cyst: an unusual location

Isolated nasolabial hydatid cyst: an unusual location

Management of Nasolabial Cysts by Transnasal Endoscopic Marsupialization

To evaluate hospitalization rates and duration of surgery associated with transnasal endoscopic marsupialization compared with sublabial excision in treating nasolabial cysts. Retrospective clinical series. Large urban community hospital. Consecutive sample of 57 patients with nasolabial cysts treated from January 1, 2000, to February 29, 2008. Sublabial excision in 23 patients (sublabial group) and transnasal endoscopic marsupialization in 34 patients (transnasal group). Among 57 patients, 47 underwent preoperative computed tomography. History, clinical presentation, preoperative condition, histopathologic findings, treatment, complications, and outcomes. The mean duration of surgery was 91.3 minutes in the sublabial group and 29.5 minutes in the transnasal group (P = .003). The hospitalization rate was 100% (23 of 23) in the sublabial group and 59% (20 of 34) in the transnasal group (P < .001). The medical costs were significantly lower in the transnasal group than in the sublabial group (P = .002). The follow-up period ranged from 6 to 85 months. Neither group of patients experienced any major complications or recurrences during the follow-up period. Transnasal endoscopic marsupialization is an effective treatment for nasolabial cysts, is less costly, and has fewer complications than sublabial excision.

Transnasal endoscopic marsupialization of bilateral nasoalveolar cysts

Nasoalveolar cysts are uncommon nonodontogenic and developmental cysts with an uncertain pathogenesis. This cyst has been reported to occur bilaterally in 10-11% of cases. This case report describes a 45-year-old woman in whom the clinicopathologic findings were consistent with bilateral nasoalveolar cysts. The authors report a new, less invasive method for transnasal endoscopic marsupialization of bilateral nasoalveolar cysts. Transnasal endoscopic marsupialization has benefits for the treatment of bilateral and unilateral nasoalveolar cysts.

CT findings of a nasoalveolar cyst

We report the CT findings of a nasoalveolar cyst that developed as a slowly enlarging mass in our patient. CT showed a soft-tissue mass with a smooth margin; a sediment level was apparent. A dense calcified layer with a "milk of calcium" appearance was seen in the inferior portion of the lesion. The maxilla was resorbed by the lesion. Total excision of the mass was performed, and the microscopic findings were consistent with a nasoalveolar cyst.

Microdebrider-Assisted Endoscopic Marsupialization for the Nasolabial Cyst: Comparisons between Sublabial and Transnasal Approaches

The incidence of nasolabial cysts is very low. Simple excision through a sublabial approach is the treatment of choice. The aim of this study was to evaluate the microdebrider as a tool in transnasal endoscopic marsupialization for nasolabial cysts and compare it with conventional instruments and a sublabial approach for cyst removal. Retrospective chart review of 30 patients (31 cysts) with a mean age of 46.9 years received surgical treatments for nasolabial cysts. We performed three types of surgical procedures including the sublabial approach (10 cysts), conventional transnasal marsupialization (13 cysts), and microdebrider-assisted marsupialization (8 cysts). Patients that received surgery with the sublabial approach experienced significant increases in operation time, blood loss, and hospitalized time compared with those treated with transnasal marsupialization. However, the number of postoperative stoma stenoses was higher for conventional transnasal marsupialization (two cases). No recurrences or other postoperative complications were found during the follow-up. The transnasal marsupialization of nasolabial cysts has remarkable benefits compared with sublabial cyst excision during operation. Microdebriders can be used safely and effectively in endoscopic marsupialization without stoma stenosis.

Report of rare bilateral nasolabial cysts

Nasolabial cysts are usually unilateral and are quite rare, while bilateral cysts are even rarer. Our report concerns a 48-year-old female with bilateral nasolabial cysts. After many years of misdiagnosis she was finally referred to our clinic with a subnasal swelling of unknown origin. Evaluation of the patient's medical history, clinical examination and of a previous CT scan led to the diagnosis of a nasolabial cyst, which was later confirmed by histological examination. Treatment involved the surgical excision. A complete surgical excision is recommended using a sublabial approach as the treatment of choice, although transnasal endoscopic marsupialization seems to be a simple and effective alternative. It has been shown that after successful marsupialization, the nasolabial cyst is converted to an air-containing paranasal sinus.

Comparison of Conventional Excision via a Sublabial Approach and Transnasal Marsupialization for the Treatment of Nasolabial Cysts: A Prospective Randomized Study

ObjectivesSurgical excision via a sublabial approach is considered the standard treatment for nasolabial cysts. Although transnasal marsupialization has been proposed as an alternative method, no prospective study has compared the effectiveness of these techniques. We thus compared the surgical procedure, operating time, postoperative pain, complications, and recurrence rate between the two surgical methods.MethodsTwenty patients diagnosed with nasolabial cysts were allocated randomly into two groups according to the surgical technique. In the sublabial approach group, the cysts were excised completely using a sublabial approach, while in the transnasal marsupialization group, the cysts were marsupialized transnasally under the guidance of nasal endoscopes. The pure operating time was measured and postoperative pain was evaluated using a visual analog scale. Complications after the procedure were assessed and recurrence was determined according to the clinical symptoms and postoperative radiologic findings.ResultsThe transnasal marsupialization group had significantly shorter operating times, less postoperative pain, lower complication rates, and shorter duration of side effects than the sublabial approach group. No recurrence occurred in either group after a 1-yr follow-up period.ConclusionAlthough both methods are effective for treating nasolabial cysts, the transnasal marsupialization of nasolabial cysts has many benefits over the conventional sublabial approach. Therefore, we propose that transnasal marsupialization be the treatment of choice for nasolabial cysts.

唇顎口蓋裂患者の顎裂部に生じた nasal polypの1例

A case of nasal polyp arosing in the alveolar cleft in a patient with cleft lip and palate is reported. A 31-year old man visited a otolaryngologist because of a swelling at the right alar base. He was referred to our department for a clinical diagnosis of nasoalveolar cyst. Physical examination revealed a scar on the right upper lip following cheiloplasty and diffuse swelling of the nasal floor and gingiva. CT examination revealed a tumor measuring 30 ×40 mm in the alveolar cleft. MRI showed hypointensity on T1-weighted images and hyperintensity on T2-weighted images. A clinical diagnosis of a benign tumor was made, and the tumor was removed with the patient under general anesthesia.The histopathological diagnosis was a nasal polyp. No recurrence was observed after operation.

Nasolabial Cyst

Nasolabial cyst is a rare nonodontogenics, soft-tissue cyst occurring in the sublabial area and anterior maxillary region. The patient usually presents with a slowly enlarging asymptomatic swelling. They are usually diagnosed in early stages because of cosmetic problems. In our paper we report a nasolabial cyst of a 53-year-old man and discuss the diagnosis, differential diagnosis, and treatment in the light of the literature.

A case of nasolabial cyst with CT and MRI features

Nasolabial cyst is an uncommon non-odontogenic soft tissue cyst. It arises as an ectodermal developmental swelling in the lateral half of the floor of the nasal vestibule at the base of alae of the nose. Nasolabial cyst appears homogeneous round swelling anterior and inferior to the nasal aperture on computed tomography. It appears isointense in magnetic resonance imaging T1 and bright hyperintense in magnetic resonance imaging T2. This is a report discussing the computed tomography and magnetic resonance features of this uncommon nasolabial cyst in a 38 Saudi woman.

Quisto de Klestadt (Nasolabial)

The authors described a clinical situation of nasolabial cyst diagnosed and treated by themselves, and based on it, they realized a bibliographic revision of the actual scientific literature concerning the nasolabial cyst, in its different aspects – clinical symptoms and signals, diagnosis, treatment, histological aspects and prognosis.

Cisto nasolabial unilateral: relato de caso clínico

Os cistos nasolabiais, também chamados cistos nasoalveolares, são lesões não-odontogênicas, raras e de patogenia controvertida, que foram originalmente mencionadas em 1882. Os indivíduos mais afetados por esse tipo de lesão são as mulheres entre 40 e 50 anos, e sua ocorrência é predominantemente unilateral. O diagnóstico é obtido por meio da união de informações clínicas, radiográficas e histopatológicas. Este trabalho relata um caso de cisto nasolabial unilateral em uma paciente de 51 anos, que se queixava de alteração da estética facial, bem como de dificuldade respiratória. Após diagnóstico clínico e radiográfico, foi realizada a abordagem cirúrgica sob anestesia geral, para excisão completa da lesão. A peça removida foi encaminhada para análise histopatológica, que confirmou o diagnóstico de cisto nasolabial.

Nasolabial cyst in a patient with cleft lip and palate

Nasolabial cysts are rare non-odontogenic cysts that occur beneath the ala nasi, and debate about their complicated, unique pathogenesis continues. It is widely accepted that these lesions originate from the anlage of the nasolacrimal duct; however, some still think that nasolabial cysts arise from fissural cysts. The authors report a patient with a nasolabial cyst who also had a unilateral cleft lip and palate. This unusual finding may indicate a different origin for nasolabial cysts than what has been accepted in the past.

Cisto nasolabial: apresentação de um caso e descrição em imagens por TC e RM

O cisto nasolabial é um cisto não odontogênico raro que se desenvolve na região inferior da asa nasal, com patogênese ainda incerta. Esta lesão, que possui crescimento lento e dimensões variáveis (1,5-3cm), caracteriza-se clinicamente por uma tumefação flutuante na região do sulco nasolabial ao redor da asa do nariz, causando uma elevação do lábio superior. Seu diagnóstico pode ser feito basicamente pelo quadro clínico e, se necessário, complementando-se com exames auxiliares por imagens. O presente trabalho relata o caso de uma paciente do sexo feminino de 48 anos, que se queixava da presença de uma massa consistente na região da asa esquerda do nariz e cujas características clínicas eram compatíveis com cisto nasolabial. As imagens de TC demonstraram uma formação expansiva com densidade de tecido mole, localizadas na região nasal esquerda medindo cerca de 1,2cm de diâmetro e apresentando contornos nítidos e bem definidos e densidade homogenia ao redor de 50 UH. Já as imagens de RM mostraram uma lesão de aspecto circular localizada em tecido mole, apresentando hiperintensidade nas imagens ponderadas em T1, T2 e no recurso de supressão da gordura, sendo a hipótese diagnóstico de cisto nasolabial, confirmado pelo exame histopatológico depois da cirurgia.

Nasolabial cyst: diagnostic and therapeutical aspects

SummaryNasolabial cyst is a rare lesion situated behind the ala nasi, extending backwards into the inferior nasal meatus and forward into the labio-gingival sulcus.AimWe present our case of a nasolabial cyst, with the purpose of discussing clinical presentation, diagnosis and the more suitable surgical techniques to treat this disorder.Materials and methodsA retrospective study of eight patients with diagnosis of nasolabial cyst, carried out in the period of january/2000 to december/2006. The diagnosis was suggested by otorhinolaryngology exam and computer tomography. All patients were submitted to surgical treatment (enucleation) and definitive diagnosis was confirmed by histopathology.ResultsPredominant symptoms were nasal obstruction, swelling in the nasal vestibule region and local pain. Patients had had symptoms for a median of 26.2 months. CT scan was performed in all patients, showing a well outlined cystic lesion with bone remodeling in some cases. Median sizes of the cysts were 2.18cm. There was no evidence of recurrence during a mean follow-up of 19.5 months.ConclusionNasolabial cysts are rare lesions. Common presentation is a well-confined swelling, local pain and nasal obstruction. Enucleation is the treatment of choice with low recurrence rate.

Transnasal Approach to Marsupialization of the Nasolabial Cyst: Report of 2 Cases

The nasolabial cyst (NC) is an uncommon lesion that occurs in the soft tissues of the midface. 1 López-Rios F. Lassaletta-Atienza L. Domingo-Carrasco C. et al. Nasolabial cyst: Report of a case with extensive apocrine change. Oral Surg Oral Med Oral Pathol. 1997; 84: 404 Abstract Full Text PDF Scopus (34) Google Scholar This cyst was initially described in 1882 by Zuckerkandl, 2 Zuckerkandl E: Normale und pathologische Anatomie der Nasenhöhle. Wenen, Braumüller, 1882 Google Scholar and it probably arises from embryologic remnants of the nasolacrimal duct. 3 Pereira Filho V.A. Silva A.C. Moraes M. et al. Nasolabial cyst: Case report. Braz Dent J. 2002; 13: 212 Crossref PubMed Scopus (12) Google Scholar , 4 Kramer I.R.H. Pindborg J.J. Shear M. The WHO histological typing of odontogenic tumours. Cancer. 1992; 70: 2988 Crossref PubMed Scopus (242) Google Scholar , 5 Pindborg J.J. Kramer I.R.H. International Histological Classification of Tumours: The Histological Typing of Odontogenic Tumours, Jaw Cysts and Allied Lesions. World Health Organization, Geneva1971 Google Scholar This lesion is predominant in women, in black patients, and usually does not manifest until adulthood. 1 López-Rios F. Lassaletta-Atienza L. Domingo-Carrasco C. et al. Nasolabial cyst: Report of a case with extensive apocrine change. Oral Surg Oral Med Oral Pathol. 1997; 84: 404 Abstract Full Text PDF Scopus (34) Google Scholar , 6 Ulubil S.A. Aslan I. Basaran B. et al. Radiology quiz case 2. Arch Otolaryngol Head Neck Surg. 2003; 129: 374 Crossref PubMed Scopus (4) Google Scholar , 7 Su C.Y. Chien C.Y. Hwang C.F. A new transnasal approach to endoscopic marsupialization of the nasolabial cyst. Laryngoscope. 1999; 109: 1116 Crossref PubMed Scopus (57) Google Scholar NC is frequently unilateral but may be bilateral. 7 Su C.Y. Chien C.Y. Hwang C.F. A new transnasal approach to endoscopic marsupialization of the nasolabial cyst. Laryngoscope. 1999; 109: 1116 Crossref PubMed Scopus (57) Google Scholar

Nasoalveolar cyst: imaging findings in three cases

The authors describe the computed tomography (CT) and magnetic resonance (MR) imaging findings of three cases of nasoalveolar cysts. Few previous reports have presented the CT and MR imaging findings of nasoalveolar cysts in detail, although a considerable number of reports have described these cysts. In the cases described, CT and MR images showed various densities and signal intensities due to different viscosities of intracystic fluid, and adjacent bony erosion of the anterior maxillary buccal cortex was seen in all cases.

Klestadt′s cyst: A rarity

Klestadt's cyst, more commonly known as the nasolabial cyst is an uncommon, non-odontogenic, soft tissue cyst characterized by its extra osseous location in the nasal alar region. Following its description first by Zukuerkandl in 1882, only 267 cases have been found in English literature. A case of nasolabial cyst in a 30-year-old female patient is presented.