Cysts can be congenital but are usually acquired, the most common. Clinical presentation and differential diagnosis of. Nasolabial cysts are rare nonodontogenic cystic lesions representing around 0. 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. Nasolabial cyst in buccal mucosa balaji s m, thavarajah r. 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. Nasolabial definition of nasolabial by medical dictionary. In the literature, the lesions are named as nasolabial cyst, nasoalveolar cyst and klesdath tumour. A case report on nasolabial cyst international journal of. Nasolabial cysts are relatively common in singapore, and the diagnosis must be kept in mind if they are to be treated early. Nasolabial cysts are rare nonodontogenic cysts of soft tissue that usually present as asymptomatic swellings beneath the ala of the nose. Nasolabial cysts are rare nonodontogenic cysts characterised by their extraosseous appearance and are always located near to ala nasi. In spite of the low occurrence of nasolabial cysts, it is important to recognize the clinical.
They are usually diagnosed in early stages because of. Nasolabial cyst arises due to a developmental malformation during formation of the face. A cyst that erodes the surface of the maxilla is named nasoalveolar cyst. Nasolabial cyst is a developmental nonodontogenic type of soft tissue cyst occurring in nasal alar region of midface. It was described for the first time by zuckerkandl in. Nasolabial cyst is a rare nonodontogenics, softtissue cyst occurring in the sublabial area and anterior maxillary region.
S prabhu, shubhangi mhaske, ashish maheshwari, shweta jha prabhu received. Jun 03, 2011 have you seen mike waldens new holistic acne system yet. 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.
Nasolabial cysts are rare nonodontogenic lesions of the maxillofacial area. These findings were consistent with bilateral nasal labial cysts. Nasolabial cyst must be kept in mind in differential diagnosis of nasal vestibule, nasal base, and sublabial area. Few cases of bilateral nasoalveolar cysts have been described. 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. 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. Nasolabial cysts are relatively rare, representing. Other names for this entity include klestadt cyst and nasolabial cyst. Three years after transnasal marsupialization, a sinus containing air has replaced the previous cyst with a patent stoma at the anterior nasal floor arrowhead. Patients consecutive sample of 57 patients with nasolabial cysts treated from. December, 2015 nasolabial cyst is a unique, rare, non odontogenic cyst occurring in nasal alar region. Nasolabial cyst is an uncommon nonodontogenic soft tissue cyst.
Its called acne no more ive read the whole thing all 223 pages and theres some great information in there about how to naturally and permanently eliminate your acne without drugs, creams or any kind of gimmicks. 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. 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 cysts are uncommon primarily unilateral soft tissue lesions located adjacent to the alveolar. B, the axial t2weighted image shows the homogeneous hyperintensive. 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 is nonodontogenic in origin and characterized by its extra osseous location. 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. 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. This case report describes the clinical diagnostic features and multimodal imaging appearance of. Fiftyseven years later, esser 1921 described the use of the inferiorly based nasolabial flap to close palatal fistulae esser, 1921. Nasolabial cyst in buccal mucosa balaji s m, thavarajah r, balaji p. However, you might have to go and check with you operative report for method of removal. 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.
The nasolabial cyst is rather often seen bilaterally7,2g. It presents as a fullness of canine fossa, nasal ala, or vestibule of the nose. Nasolabial cysts were first described by zuckerkandl. A, the axial t1weighted image shows the lesion beneath the left alar base with a wellcircumscribed homogeneous isointensity containing a sedimentation level.
Nasolabial cyst synonyms, nasolabial cyst antonyms. The nasolabial cyst is an uncommon nonodontogenic cyst that develops in the lower region of the nasal ala. Inthat series,allpatientswereadultsmeanage,51 years. Nasolabial cysts are rare, nonodontogenic, softtissue cysts that develop between the upper lip and nasal vestibule with an overall incidence.
The recent surgical trend in our hospital is to treat nasolabial cysts using a transnasal endoscopic approach under local anaesthesia. Pdf nasolabial cysts are painless, submucosal, nonodontogenic jaw cysts. In this report, we report a nasolabial cyst of a 48yearold man in whom the cyst occurred in the buccal mucosa. Comparison of postsurgical complications in our two patient groups abstract results. Postoperative sinus ct scan of right nasolabial cyst. Unlike most of the other developmental cysts, the nasolabial cyst is an example of an extraosseous cyst, one that occurs outside of bone. Nasolabial cyst is a rare lesion situated behind the ala nasi, extending backwards into the inferior nasal meatus and forward into the labiogingival sulcus. Nasolabial cysts are rare, nonodontogenic, softtissue cysts that develop between the upper lip and nasal vestibule with an overall incidence of 0. Surgical enucleation is the treatment of choice and is associated with a low recurrence rate. The cyst is derived from epithelial cells retained in the mesenchyme afte. Case report open access bilateral nasolabial cysts. Former developmental cysts nasolabial cysts source of the epithelium may be embryonic nasolacrimal duct, which initially lies on the bone surface.
They usually present as unilateral painless swellings, sometimes with epiphora and dacryocystitis as well as pain in cases of rapid growth or infection. Nasolabial cyst oral surgery, oral medicine, oral pathology and. The term nasolabial was coined by rao and is a more accurate. The nasolabial cyst or klestadt cyst is a relatively uncommon nonodontogenic cyst that develops in the nasal alar region. Other names used for this lesion since include mucoid cyst,maxillary cyst, wind cyst,nasovestibular cyst,subalar cyst,andnasoglobular. Soft tissue cyst with similar histologic features to nasolabial cyst, but distinguished by anatomic site. 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. These lesions usually present with asymptomatic swelling but can cause pain if infected. Health, general cysts care and treatment lip diseases lips medicine nasal fossa. Jul 27, 2011 nasolabial cyst also known as klestadts cyst is relatively rare soft tissue lesion of nasal alar region. In our paper we report a nasolabial cyst of a 53yearold man and discuss the diagnosis, differential diagnosis, and. 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.
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. Use of nasolabial flap in the management of oral submucous. Oct 11, 2009 nasolabial cyst is a rare nonodontogenics, softtissue cyst occurring in the sublabial area and anterior maxillary region. They frequent at the left side and can bilateral in 10%ratio. 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. Nasolabial cyst definition of nasolabial cyst by medical. Su, chihying huang, hungtu liu, hoyih huang, chaocheng and chien, chihyen 2006. This cyst is frequently asymptomatic with the most usual sign being alar nose elevation. Nasolabial cyst associated with odontogenic infection. Evaluation of nasoalveolar cysts for the facial plastic. 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. 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.
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 causes, symptoms, diagnosis, treatment. While theyre extremely common, their severity can vary. In this paper, we present a case of a nasolabial cyst in a 44years old man with discussions of the treatment modalities in. 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. We report 2 cases of nasolabial cyst and a case of schwannoma. A rare case of bilateral nasolabial cysts bmj case reports. Nasolabial cyst clinical report satish m, vyas s, pasam n, sabnis r, garapati s dept. The cyst is believed to be associated with remnants of the nasolabial duct. Nasolabial cysts are uncommon nonodontogenic lesions that occur in the nasal alar region. Nasolabial cyst is an uncommon nonodontogenic extraosseous cyst located in the nasolabial fold. Nasolabial cysts are a rare nonodontogenic, softtissue. Although often classified as a jaw cyst, the nasolabial cyst is purely a cyst ofsofttissue.
Complete surgical excision of the cyst was done under local anesthesia and the diagnosis was confirmed by histopathology. Nasolabial or nasoalveolar cysts arise adjacent to the bone at the root apex of the incisors just beneath the lip. Diagnosis and management of bilateral nasolabial cysts ncbi. Pdf diagnosis and management of bilateral nasolabial cysts. Pdf nasolabial cysts are rare nonodontogenic lesions of the. Pdf nasolabial cyst is a rare nonodontogenics, softtissue cyst occurring in the sublabial area and anterior maxillary region. The nasolabial cyst is a benign, slowgrowing, locally expansile lateral extraosseous lesion below the nasal ala and the medial nasolabial fold. A case report on nasolabial cyst sunder goyal1, jayvardhan sharma2, nidhi sharma3 1department of surgery, kalpana chawla govt medical college, karnal, haryana, india. Surgical treatment of nasolabial cysts in a single. Nasolabial cysts were first described by zuchercandl in 1892. Many names have been suggested for nasolabial cysts, with the nasoalveolar cyst and nasolabial cyst being the two most widely used. The postoperative period was uneventful and there was no recurrence up after 1 year of followup. Inferiorly based nasolabial flap is a reliable, economical option for the management of oral submucous fibrosis borle et al, 2009. This paper documents clinical presentation, differential diagnosis and surgical management of nasolabial cyst in 25 years old woman.
Nasolabial cysts are painless, submucosal, nonodontogenic jaw cysts. Conclusions nasolabial cystswere identified first in 1882 by zuckerkandl 1 are morecommonly in females. According to allard 1, this lesion was first described in 1882 by zuckerkandl, and since then, two main etiological theories have been proposed. 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. Less common names used in the past are nasovestibular cyst, nasoglobular cyst, subalar cyst and klestadts cyst5,6. The patient usually presents with a slowly enlarging asymptomatic swelling. Nasolabial cyst article about nasolabial cyst by the free. The presence of the lesion is perceived clinically and by the aid of radiological imaging. This nasolabial cyst, also known as a nasoalveolar cyst, is located superficially in the soft tissues of the upper lip. The predominant presentation of a nasolabial cyst is a painless localized swelling with varying degrees of nasal obstruction. To the best of our knowledge, this is the first case of nasolabial cyst occurring entirely in the buccal mucosa without involving vestibule. Scanning electron microscopic study of the nasolabial cyst. Alternative,older,orlesscommonnamesfor thislesionincludeklestadtcyst,nasalvestibulecyst,nasal. 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.
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. Nasoalveolar cysts were first described by zuckerkandl in 1882, with the first case in the englishlanguage literature reported by chatellier in 1892. 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. Nasolabial cyst also known as klestadts cyst is relatively rare soft tissue lesion of nasal alar region. 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. Several treatment modalities have described in the management of the nasolabial cyst. 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. Nasolabial cyst in a patient with cleft lip and recurrent. Nasolabial cysts can probably remain undetected for several years until symptoms appear. The patient underwent surgical excision under general anesthesia. The nasolabial cyst is a rare, developmental, nonodontogenic soft. We present our case of a nasolabial cyst, with the purpose of discussing clinical presentation, diagnosis and the more suitable surgical techniques to. Case report nasolabial cyst associated with odontogenic infection.
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. Another possible cyst of nonodontogenic origin is the epidermoid or epidermal inclusion cyst. Nasoalveolar cysts are more common in females and blacks. The nasolabial cysts can be marsupialized transnasally under the guidance of nasal endoscopes. 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. Preoperative portrait photograph of a patient with a nasolabial cyst under the right alar base of the nose and the maxillary lip. 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 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. They are usually diagnosed in early stages because of cosmetic problems. Nasolabial cyst, also called klestadts cyst, is a relatively. The first report of a nasolabial cyst is ascribed to the austrohungarian anatomist emil zuckerkandl. British journal of oral and maxillofacial surgery, vol. 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.
Nasolabial cyst is a rare nonodontogenic, softtissue cyst occurring in the sublabial area and anteriormaxillary region. A distinguishing feature of this very rare cyst figure 1a. 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. Management of nasolabial cyst by transnasal endoscopic. Nasolabial cyst is an uncommon, benign cystic lesion appearing as a soft tissue mass near the nasal alae. The lesion is submucosal and extraosseous, it expands via the gingivobuccal sulcus and expands all the soft. They are painless and located beneath the mucosa leading to soft tissue swelling and elevation of nasal ala. The appropriate code for cyst lesion excision throught transnasal approach will be 30117. This was proven to be a developmental nasolabial cyst. The nasolabial cyst is a rare nonodontogenic cyst originating in maxillofacial soft tissues. Management of nasolabial cysts by transnasal endoscopic. Bilateral nasolabial cysts are rarer and only few cases have been reported. Introduction a nasolabial cyst is an ectodermal development cyst. Dec 20, 2017 a nasolabial cyst is an ectodermal development cyst.
281 535 270 241 534 1396 696 941 429 1050 749 1694 916 787 545 686 689 1013 60 1409 1453 713 295 1645 1262 877 1030 304 194 1044 1118 146 1117 1328 347