Nasolabial cyst causes, symptoms, diagnosis, treatment. Nasolabial cyst is an uncommon, benign cystic lesion appearing as a soft tissue mass near the nasal alae. They are usually diagnosed in early stages because of cosmetic problems. The cyst is believed to be associated with remnants of the nasolabial duct. The postoperative period was uneventful and there was no recurrence up after 1 year of followup. Patients consecutive sample of 57 patients with nasolabial cysts treated from. The nasolabial cyst is a rare, developmental, nonodontogenic soft. Former developmental cysts nasolabial cysts source of the epithelium may be embryonic nasolacrimal duct, which initially lies on the bone surface. We report a rare case of a 67yearold japanese woman with bilateral nasoalveolar cysts who presented to our department with the chief complaint of a swollen left nasal alar base. Nasolabial cyst is a developmental nonodontogenic type of soft tissue cyst occurring in nasal alar region of midface. In the nasolabial region are lines or creases that run between the nose and mouth and should be assessed for symmetry. Scanning electron microscopic study of the nasolabial cyst. The morphologic analysis on mr images revealed the characteristic appearance of the nasolabial cyst, and the sagittal mr image may be most helpful for diagnosing this. Nasolabial cysts are rare, nonodontogenic, softtissue cysts that develop between the upper lip and nasal vestibule with an overall incidence.
This case report describes the clinical diagnostic features and multimodal imaging appearance of. Nasolabial cyst in buccal mucosa balaji s m, thavarajah r. Other names for this entity include klestadt cyst and nasolabial cyst. Surgical treatment of nasolabial cysts in a single.
Nasolabial cysts are rare nonodontogenic cysts of soft tissue that usually present as asymptomatic swellings beneath the ala of the nose. Three years after transnasal marsupialization, a sinus containing air has replaced the previous cyst with a patent stoma at the anterior nasal floor arrowhead. Su, chihying huang, hungtu liu, hoyih huang, chaocheng and chien, chihyen 2006. Nasolabial cyst in buccal mucosa balaji s m, thavarajah r, balaji p. A case report on nasolabial cyst sunder goyal1, jayvardhan sharma2, nidhi sharma3 1department of surgery, kalpana chawla govt medical college, karnal, haryana, india. Nasolabial cysts are relatively common in singapore, and the diagnosis must be kept in mind if they are to be treated early. The diagnosis and treatment by surgical exicion is simple but there has to be made a differantial diagnosis with odontogenic, nonodontogenic cysts of the region. Nasolabial cyst article about nasolabial cyst by the free.
Nasolabial or nasoalveolar cysts arise adjacent to the bone at the root apex of the incisors just beneath the lip. We describe a case of two asymptomatic masses of the nasal ala areas, which prove to be nasolabial cysts in a 30yearold moroccan woman. Nasolabial cyst is a rare lesion situated behind the ala nasi, extending backwards into the inferior nasal meatus and forward into the labiogingival sulcus. This nasolabial cyst, also known as a nasoalveolar cyst, is located superficially in the soft tissues of the upper lip. Nasolabial cyst clinical report satish m, vyas s, pasam n, sabnis r, garapati s dept. Conclusions nasolabial cystswere identified first in 1882 by zuckerkandl 1 are morecommonly in females. Inferiorly based nasolabial flap is a reliable, economical option for the management of oral submucous fibrosis borle et al, 2009. Apart from the aneurysmal bone cyst, the nasolabial cyst is the only one in the oral region with a female predominance femalemale ratio 31 1. Pdf diagnosis and management of bilateral nasolabial cysts.
Nasolabial cyst in a patient with cleft lip and recurrent. A case report on nasolabial cyst international journal of. Nasolabial cysts are painless, submucosal, nonodontogenic jaw cysts. They frequent at the left side and can bilateral in 10%ratio. Nasolabial cysts are a rare nonodontogenic, softtissue.
Nasolabial cyst is an uncommon nonodontogenic extraosseous cyst located in the nasolabial fold. In the literature, the lesions are named as nasolabial cyst, nasoalveolar cyst and klesdath tumour. It is nonodontogenic in origin and characterized by its extra osseous location. Other names used for this lesion since include mucoid cyst,maxillary cyst, wind cyst,nasovestibular cyst,subalar cyst,andnasoglobular. The presence of the lesion is perceived clinically and by the aid of radiological imaging. We present our case of a nasolabial cyst, with the purpose of discussing clinical presentation, diagnosis and the more suitable surgical techniques to. Jul 11, 2017 nasolabial folds are the deep wrinkles or lines that form from the bottom of the nose to the corners of the mouth. A nasolabial cyst, a relatively rare entity of developmental origin, more frequent in middle aged women, is a benign lesion localized in the nasal alar region, in general without endonasal. The nasolabial cyst is classified as a fissural cyst, found outside the bone, and on the region corresponding to the nasolabial furrow and alar nose. Nasolabial cysts are relatively rare, representing. However, it appears as a swelling only in adulthood, usually between 40 to 60 years of age.
Many names have been suggested for nasolabial cysts, with the nasoalveolar cyst and nasolabial cyst being the two most widely used. Complete surgical excision of the cyst was done under local anesthesia and the diagnosis was confirmed by histopathology. Nasolabial cyst definition of nasolabial cyst by medical. Nasolabial cyst is a cystic ectodermal developmental swelling which occurs as a cyst on the lateral half of the floor of the nasal vestibule at the base of the alae of the nose. This lesion has slow growth and variable dimensions and is characterized clinically by a floating tumefaction in the nasolabial fold area around the bridge of the nose, causing an elevation of the upper lip and relative facial asymmetry. To the best of our knowledge, this is the first case of nasolabial cyst occurring entirely in the buccal mucosa without involving vestibule. A rare case of bilateral nasolabial cysts bmj case reports. Nasolabial cysts are rare nonodontogenic cysts characterised by their extraosseous appearance and are always located near to ala nasi. Nasolabial cyst, also called klestadts cyst, is a relatively. Soft tissue cyst with similar histologic features to nasolabial cyst, but distinguished by anatomic site. The lesion is submucosal and extraosseous, it expands via the gingivobuccal sulcus and expands all the soft.
Nasoalveolar cysts were first described by zuckerkandl in 1882, with the first case in the englishlanguage literature reported by chatellier in 1892. Nasolabial cysts are uncommon nonodontogenic lesions that occur in the nasal alar region. Nasolabial cysts were first described by zuchercandl in 1892. The nasolabial cyst or klestadt cyst is a relatively uncommon nonodontogenic cyst that develops in the nasal alar region. The nasolabial cyst is a rare nonodontogenic cyst that develops within the skin adjacent to the ala of nose around the uppermost portion of the nasolabial crease. Another possible cyst of nonodontogenic origin is the epidermoid or epidermal inclusion cyst. Alternative,older,orlesscommonnamesfor thislesionincludeklestadtcyst,nasalvestibulecyst,nasal. Nasolabial cyst associated with odontogenic infection. They are nonodontogenic masses that can be seen in the maxillofacial area.
While theyre extremely common, their severity can vary. Unlike most of the other developmental cysts, the nasolabial cyst is an example of an extraosseous cyst, one that occurs outside of bone. In this report, we report a nasolabial cyst of a 48yearold man in whom the cyst occurred in the buccal mucosa. Health, general cysts care and treatment lip diseases lips medicine nasal fossa. In our paper we report a nasolabial cyst of a 53yearold man and discuss the diagnosis, differential diagnosis, and. Although often classified as a jaw cyst, the nasolabial cyst is purely a cyst ofsofttissue.
Diagnosis and management of bilateral nasolabial cysts ncbi. Soft tissue cyst with similar histologic features to nasolabial cyst, but distinguished by anatomic site cyst of the incisive papillae occurs within the soft tissue of the anterior hard palate only and shows no communication with the upper lip or nasal area. Epidemiology the average age at the time of initial diagnosis is in the 4th and 5th decades4756, ranging from 4 months68 up to 76 years of age. B, the axial t2weighted image shows the homogeneous hyperintensive. Evaluation of nasoalveolar cysts for the facial plastic.
Cyst of the incisive papillae occurs within the soft tissue of the anterior hard palate only and shows no communication with the upper lip or nasal area. It arises as an ectodermal developmental swelling in the lateral half of the floor of the nasal vestibule at the base of the alae of the nose. It presents as a fullness of canine fossa, nasal ala, or vestibule of the nose. A, the axial t1weighted image shows the lesion beneath the left alar base with a wellcircumscribed homogeneous isointensity containing a sedimentation level. This paper documents clinical presentation, differential diagnosis and surgical management of nasolabial cyst in 25 years old woman. Pdf nasolabial cysts are rare nonodontogenic lesions of the. Thoma3 suggested nasoalveolar cyst, but it was rao4 1951 who first used the term nasolabial cyst, defining it as a lesion located between the soft tissues of the upper lip and nasal vestibule. Surgical enucleation is the treatment of choice and is associated with a low recurrence rate. Nasolabial cyst also known as klestadts cyst is relatively rare soft tissue lesion of nasal alar region.
A distinguishing feature of this very rare cyst figure 1a. Inthat series,allpatientswereadultsmeanage,51 years. Since its original description by zukerkandl in 1882, nasolabial cyst has been known by other names such as nasovestibular cyst, nasoglobular cyst and nasoalveolar cyst 1. At present according to the classification of the world health organization who it is regarded as developmental, epithelial, nonodontogenic cysts of the maxilla alongwith nasolabial cysts. Case report open access bilateral nasolabial cysts. Less common names used in the past are nasovestibular cyst, nasoglobular cyst, subalar cyst and klestadts cyst5,6. Dec 20, 2017 a nasolabial cyst is an ectodermal development cyst. Nasolabial cysts are uncommon primarily unilateral soft tissue lesions located adjacent to the alveolar. Pdf nasolabial cyst is a rare nonodontogenics, softtissue cyst occurring in the sublabial area and anterior maxillary region. Nasolabial cyst must be kept in mind in differential diagnosis of nasal vestibule, nasal base, and sublabial area.
The first report of a nasolabial cyst is ascribed to the austrohungarian anatomist emil zuckerkandl. These findings were consistent with bilateral nasal labial cysts. Clinical presentation and differential diagnosis of. Nasolabial cyst klestadts cyst first described by zuckerkandl also known as nasoalveolar cyst, fissural cyst, epithelial inclusion cyst, klestadts cyst definition nasolabial cyst is a rare non odontogenic tumor arising from maxillo facial soft tissues. The cyst is derived from epithelial cells retained in the mesenchyme afte. Management of nasolabial cysts by transnasal endoscopic. The favoured aetiological theory, posited by bruggeman in 1920, suggests an origin from the remnant of the embryonic nasolacrimal duct, and is is supported by the fact that both the nasolacrimal duct and nasolabial cysts are lined by the same pseudostratified columnar epithelium, and also by the fact that the cyst is located subjacent to the wing of the nose, in line with the nasooptic fissure. Few cases of bilateral nasoalveolar cysts have been described. The nasolabial cysts can be marsupialized transnasally under the guidance of nasal endoscopes. Nasolabial cysts are rare nonodontogenic cystic lesions representing around 0. Management of nasolabial cyst by transnasal endoscopic. British journal of oral and maxillofacial surgery, vol.
Nasolabial cysts are rare, nonodontogenic cysts, that grow slowly and appear from 12 to 75 years old, with a mean age of 4060 years old. Nasolabial cyst arises due to a developmental malformation during formation of the face. This code is specifically excision or destruction by cryo, chemical or laser. The nasolabial cyst, also known as the nasoalveolar cyst, is a rare non odontogenic cyst, of origin specifically in the maxillary soft tissues, and is situated in the region of the upper lip right below the ala of the nose1. Jul 27, 2011 nasolabial cyst also known as klestadts cyst is relatively rare soft tissue lesion of nasal alar region. The nasolabial cyst is a benign, slowgrowing, locally expansile lateral extraosseous lesion below the nasal ala and the medial nasolabial fold. Nasolabial cysts can probably remain undetected for several years until symptoms appear. Aim we 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.
Nasoalveolar cysts are more common in females and blacks. In this case report, we describe the inadequacy of conventional radiography in a nasolabial cyst case, as well as the magnetic resonance imaging mri and ultrasonography us findings in a 54yearold female patient. Nasolabial cyst oral surgery, oral medicine, oral pathology and. Introduction a nasolabial cyst is an ectodermal development cyst. Fiftyseven years later, esser 1921 described the use of the inferiorly based nasolabial flap to close palatal fistulae esser, 1921. Case report nasolabial cyst associated with odontogenic infection. These lesions usually present with asymptomatic swelling but can cause pain if infected. The cyst is derived from epithelial cells retained in the mesenchyme after fusion of the medial and lateral nasal processes and the maxillary prominence during fetal life or due to the persistence of epithelial remnants from. The patient usually presents with a slowly enlarging asymptomatic swelling. Use of nasolabial flap in the management of oral submucous. However, you might have to go and check with you operative report for method of removal. The appropriate code for cyst lesion excision throught transnasal approach will be 30117. December, 2015 nasolabial cyst is a unique, rare, non odontogenic cyst occurring in nasal alar region.
We report 2 cases of nasolabial cyst and a case of schwannoma beneath the alar base that required a differential diagnosis because of clinical features and mr images that resembled the nasolabial cyst. Cysts can be congenital but are usually acquired, the most common. Oct 11, 2009 nasolabial cyst is a rare nonodontogenics, softtissue cyst occurring in the sublabial area and anterior maxillary region. Nasolabial definition of nasolabial by medical dictionary. According to allard 1, this lesion was first described in 1882 by zuckerkandl, and since then, two main etiological theories have been proposed. Comparison of postsurgical complications in our two patient groups abstract results. Usually the upper gingivolabial sulcus was incised just below the piriform apertures, and dissection exposed a smooth, wellcircumscribed cyst swelling superficial to the lateral half of the bony floor of the nose 1,3. The nasolabial cyst is an uncommon nonodontogenic cyst that develops in the lower region of the nasal ala. The nasolabial cyst is a rare nonodontogenic cyst originating in maxillofacial soft tissues. S prabhu, shubhangi mhaske, ashish maheshwari, shweta jha prabhu received. In spite of the low occurrence of nasolabial cysts, it is important to recognize the clinical. Nasolabial cysts are uncommon lesions located close to the alar cartilage of the nose, extending into the lower nasal meatus, the upper gingivolabial sulcus and the floor of the nasal vestibule.
This cyst is frequently asymptomatic with the most usual sign being alar nose elevation. Nasolabial cysts are rare nonodontogenic lesions of the maxillofacial area. The predominant presentation of a nasolabial cyst is a painless localized swelling with varying degrees of nasal obstruction. Nasolabial cyst is a rare nonodontogenics, softtissue cyst occurring in the sublabial area and anterior maxillary region. Nasolabial cyst is an uncommon nonodontogenic soft tissue cyst. It was described for the first time by zuckerkandl in. This was proven to be a developmental nasolabial cyst. A cyst that erodes the surface of the maxilla is named nasoalveolar cyst.
Nasolabial cysts are rare, nonodontogenic, softtissue cysts that develop between the upper lip and nasal vestibule with an overall incidence of 0. The nasolabial cyst is rather often seen bilaterally7,2g. Nasolabial cyst synonyms, nasolabial cyst antonyms. Surgical resection through an intraoral sublabial or transnasal endoscopic approach is the best treatment for a nasolabial cyst, showing very good results and a low recurrence rate. Bilateral nasolabial cysts are rarer and only few cases have been reported. They are painless and located beneath the mucosa leading to soft tissue swelling and elevation of nasal ala. Jun 03, 2011 have you seen mike waldens new holistic acne system yet. They are usually diagnosed in early stages because of. Several treatment modalities have described in the management of the nasolabial cyst. In this paper, we present a case of a nasolabial cyst in a 44years old man with discussions of the treatment modalities in. Preoperative portrait photograph of a patient with a nasolabial cyst under the right alar base of the nose and the maxillary lip. Postoperative sinus ct scan of right nasolabial cyst. Mar 25, 2011 this paper reports a case of a 35yearold female patient that presented a soft swelling in the right ala of the nose.
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