Nasopalatin Cysts: 9 Case Review

Abstract

Objective: Nasopalatine duct cyst is the most common non-odontogenic developmental cyst.Nasopalatine duct cysts, which are more common in men than women, usually develop in themidline of the anterior maxilla at 4-6 decades.It takes its origin from the embryological residues ofthe nasopalatine canal.When it drains, it can create a salty taste sensation in the mouth.Radiograph shows a well-defined, radiolucent, oval or heart-shaped image. Enucleation is preferreddue to low recurrence rate. In this case series, nasopalatine canal cysts were examined in 9patients (7 male and 2 female) who applied to Istanbul University Department of Oral andMaxillofacial Surgery.Case: The ages of patients vary between 34-66. Nasopalatine channel cyst which wasasymptomatic in 2 patients, caused salty water sensation in 2 patients and caused palatine swellingin 5 patients. Panoramic radiograph showed heart-shaped (7 patients) and oval shaped (2 patients)radiolucent image. In the oral and radiological examinations, it was found that the related teethwere devital in 2 patients, the implant was located in the cyst in one patient, one patient wastoothless and the related teeth were vital in 5 patients. The lesions were enucleated and thepatients were followed-up. The age, gender, complaints, radiographic image and the status of therelated teeth are consistent with the literature.Conclusion: Nasopalatine duct cysts are usually asymptomatic. panoramic radiography as well asassisted diagnostic methods such as dental volumetric computed tomography, periapical graphy,vitality test should be used. The definitive diagnosis is determined by histopathologicalexamination.