Nasopalatine Cyst: A Silent Growing Lesion
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2017, Vol 1, Issue 4
Abstract
The nasopalatine cyst (NPC) is a non-odontogenic cyst, it occurs mainly in adult patients in some cases can bring difficulties to the diagnostic due to its silent growing. We are going to present in this paper report case in a 10-year child emphasizing the histophatological characteristics and the findings in obtained images by Cone Beam Computed Tomography (CBCT)The nasopalatine cyst (NPC) represents from 38 to 43.66% of the non-odontogenic cysts, followed by oral lympho epithelial cyst and epidermoid cyst. This cyst wound still represents about 1.87 to 10% of the jaw cysts. With major frequency in men, between the fourth and sixth decades [1-3].This non-odontogenic cyst is labeled as a development cyst, and its pathogenesis are not clear described yet, are believed to arise from the remnants of nasopalatine ducts in the incisive canal [4].For the most part are asymptomatic, sometimes NPCs are oligosymptomatic, slow growth and discovered in image exams done for other purposes. Symptomatic in about 48% of the patients [5], in signs and irritation presence [6]. The patients present as frequent main complain the “swelling” well defined associated to pain by secondary irritation or nasopalatine nerve pressure, therefore the most common symptom is the tumefaction usually placed in the front region of the palate medium line. It can be present in the medium line of the vestibular region in the alveolar ridge and in some cases, vestibular and palate tumefaction [4]. The bone expansion, abscess, slow healing after dental extraction, bulging in the nasal cavity and distortion of the nasal septum are other found signs [7,8]. The cystic content can overflow and run down to the oral cavity, in some cases, the reason of the patient report of salty taste in the mouth described by some patients [2,8].
Authors and Affiliations
Ángel Terrero Pérez, Mariela Peralta Mamani, Eduardo Sant’Ana, José Humberto Damante, Izabel Regina Fischer Rubira-Bullen, Ana Lúcia Alvares Capelozza
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