Nasopalatine Duct Cyst: Report of 52 Cases in a Retrospective Epidemiological Study

Francesco Cecchetti; Matacena Giada; Cicciù Marco; Francesco Germano; Claudio Arcuri; Bramanti Ennio

doi:doi:10.11648/j.js.20130102.12

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Nasopalatine Duct Cyst: Report of 52 Cases in a Retrospective Epidemiological Study

Francesco Cecchetti, Matacena Giada, Cicciù Marco, Francesco Germano, Claudio Arcuri, Bramanti Ennio

Published in Journal of Surgery (Volume 1, Issue 2)

Received: 12 May 2013 Published: 10 June 2013

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Abstract

Introduction. Nasopalatine duct cysts (NPDCs) are the most common developmental epithelial non-odontogenic cysts of the upper maxilla. Their etiological origin is still uncertain; NPDCs are often asymptomatic and are usually found randomly through local radio-diagnostic investigations carried out for other reasons. Main body. The aim of this investigation is to analyze and discuss the etiology, differential diagnosis, clinic-pathological characteristics of these lesions as well as to report the relative frequency and distribution of nasopalatine duct cysts in general population (NPDCs) with a literature’s review on the topic. The retrospective study was carried out using 52 clinical cases, with histopatological confirmation for NPDC, radiographs and oral photographs. Data included age and gender of the patient, radiographic findings, etiological factors, treatment, and prognosis of NPDC. Few surgical consideration are discussed. The study results report a NPDCs’ incidence of 2.39% and a male predilection with a 2:1.25 ratio. No statistically significant correlation was observed between the size of the lesion and patient’s gender. Lesions were usually asymptomatic (73%). All cysts were located in the anterior maxillary midline region. Panoramic X-rays and computed tomography was used to identify the lesion. Surgical treatment was performed under local anesthesia including the dissection and the removal of the cyst, usually adopting a palatine approach with an enveloping flap from 1.4 to 2.4. Relapse occured in 15.4% of the cases. Conclusions. The etiology of NPDC is unclear and a male predilection was observed. The histological analysis of cystic lesions was fundamental for the final diagnosis. Simple surgical resection was recommended, followed by clinical and radiological control to ensure the correct and complete resolution of the case.

Published in	Journal of Surgery (Volume 1, Issue 2)
DOI	10.11648/j.js.20130102.12
Page(s)	14-17
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2013. Published by Science Publishing Group

Keywords

Nasopalatine Duct Cyst, Non-Odontogenic Cyst, Maxillary Cyst

References

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[4]	Escoda Francolí J, Almendros Marqués N, Berini Aytés L, Gay Escoda C. Nasopalatine duct cyst: Report of 22 cases and review of the literature. Med Oral Patol Oral Ci Bucal. 2008; 1;13(7): E438-43..
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[6]	Johnson NR, Savage NW, Kazoullis S, Batstone MD. A prospective epidemiological study for odontogenic and non-odontogenic lesions of the maxilla and mandible in Queensland. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 115: 515-522.
[7]	Velesquez MT, Mason C, Coonar H, Bennett J. A nasopalatine cyst in an 8-year-old child. Int J Ped Dent. 1999; 9: 123-127.
[8]	Meyer AW. A unique supernumerary Paranasal sinus directly above the superior incisors. J Anato My 1914; 48:118-29.
[9]	Berlove IJ. Anterior Median palatine cyst. New York State Dental Journal 1956; 26:381-384.
[10]	Ely N, Sheehy E, McDonald F. Nasopalatine duct cyst: A case report. Int J Ped Dent 2001; 11:135-7.
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[12]	Gnanasekhar JD, Walvekar SV, Al-Kandari AM, Al-Duwairi Y. Misdiagnosis and mismanagement of nasopalatine duct cyst and its corrective therapy. A case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995; 80(4): 465-470.
[13]	Allard RH, Van der Kwast WA, Van der Waal I. Nasopalatine duct cyst. Review of the literature and report of 22 cases. Int J Oral Surg. 1981; 10(6): 447-61.
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[16]	Spinelli HM, Isenberg JS, O’Brien M. Nasopalatine duct cysts and the role of magnetic resonance imaging. J Craniofac Surg 1994; 5:57-60.
[17]	Staretz LR, Brada BJ, Schott TR. Well-deﬁned radiolucent lesion in the maxillary anterior region. J Am Dent Assoc 1990; 120:335-6

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Francesco Cecchetti, Matacena Giada, Cicciù Marco, Francesco Germano, Claudio Arcuri, et al. (2013). Nasopalatine Duct Cyst: Report of 52 Cases in a Retrospective Epidemiological Study. Journal of Surgery, 1(2), 14-17. https://doi.org/10.11648/j.js.20130102.12

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ACS Style

Francesco Cecchetti; Matacena Giada; Cicciù Marco; Francesco Germano; Claudio Arcuri, et al. Nasopalatine Duct Cyst: Report of 52 Cases in a Retrospective Epidemiological Study. J. Surg. 2013, 1(2), 14-17. doi: 10.11648/j.js.20130102.12

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AMA Style

Francesco Cecchetti, Matacena Giada, Cicciù Marco, Francesco Germano, Claudio Arcuri, et al. Nasopalatine Duct Cyst: Report of 52 Cases in a Retrospective Epidemiological Study. J Surg. 2013;1(2):14-17. doi: 10.11648/j.js.20130102.12

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@article{10.11648/j.js.20130102.12,
  author = {Francesco Cecchetti and Matacena Giada and Cicciù Marco and Francesco Germano and Claudio Arcuri and Bramanti Ennio},
  title = {Nasopalatine Duct Cyst: Report of 52 Cases in a Retrospective Epidemiological Study},
  journal = {Journal of Surgery},
  volume = {1},
  number = {2},
  pages = {14-17},
  doi = {10.11648/j.js.20130102.12},
  url = {https://doi.org/10.11648/j.js.20130102.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20130102.12},
  abstract = {Introduction. Nasopalatine duct cysts (NPDCs) are the most common developmental epithelial non-odontogenic cysts of the upper maxilla. Their etiological origin is still uncertain; NPDCs are often asymptomatic and are usually found randomly through local radio-diagnostic investigations carried out for other reasons. Main body. The aim of this investigation is to analyze and discuss the etiology, differential diagnosis, clinic-pathological characteristics of these lesions as well as to report the relative frequency and distribution of nasopalatine duct cysts in general population (NPDCs) with a literature’s review on the topic. The retrospective study was carried out using 52 clinical cases, with histopatological confirmation for NPDC, radiographs and oral photographs. Data included age and gender of the patient, radiographic findings, etiological factors, treatment, and prognosis of NPDC. Few surgical consideration are discussed. The study results report a NPDCs’ incidence of 2.39% and a male predilection with a 2:1.25 ratio. No statistically significant correlation was observed between the size of the lesion and patient’s gender. Lesions were usually asymptomatic (73%). All cysts were located in the anterior maxillary midline region. Panoramic X-rays and computed tomography was used to identify the lesion. Surgical treatment was performed under local anesthesia including the dissection and the removal of the cyst, usually adopting a palatine approach with an enveloping flap from 1.4 to 2.4. Relapse occured in 15.4% of the cases. Conclusions. The etiology of NPDC is unclear and a male predilection was observed. The histological analysis of cystic lesions was fundamental for the final diagnosis. Simple surgical resection was recommended, followed by clinical and radiological control to ensure the correct and complete resolution of the case.},
 year = {2013}
}

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TY - JOUR
T1 - Nasopalatine Duct Cyst: Report of 52 Cases in a Retrospective Epidemiological Study
AU - Francesco Cecchetti
AU - Matacena Giada
AU - Cicciù Marco
AU - Francesco Germano
AU - Claudio Arcuri
AU - Bramanti Ennio
Y1 - 2013/06/10
PY - 2013
N1 - https://doi.org/10.11648/j.js.20130102.12
DO - 10.11648/j.js.20130102.12
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 14
EP - 17
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.20130102.12
AB - Introduction. Nasopalatine duct cysts (NPDCs) are the most common developmental epithelial non-odontogenic cysts of the upper maxilla. Their etiological origin is still uncertain; NPDCs are often asymptomatic and are usually found randomly through local radio-diagnostic investigations carried out for other reasons. Main body. The aim of this investigation is to analyze and discuss the etiology, differential diagnosis, clinic-pathological characteristics of these lesions as well as to report the relative frequency and distribution of nasopalatine duct cysts in general population (NPDCs) with a literature’s review on the topic. The retrospective study was carried out using 52 clinical cases, with histopatological confirmation for NPDC, radiographs and oral photographs. Data included age and gender of the patient, radiographic findings, etiological factors, treatment, and prognosis of NPDC. Few surgical consideration are discussed. The study results report a NPDCs’ incidence of 2.39% and a male predilection with a 2:1.25 ratio. No statistically significant correlation was observed between the size of the lesion and patient’s gender. Lesions were usually asymptomatic (73%). All cysts were located in the anterior maxillary midline region. Panoramic X-rays and computed tomography was used to identify the lesion. Surgical treatment was performed under local anesthesia including the dissection and the removal of the cyst, usually adopting a palatine approach with an enveloping flap from 1.4 to 2.4. Relapse occured in 15.4% of the cases. Conclusions. The etiology of NPDC is unclear and a male predilection was observed. The histological analysis of cystic lesions was fundamental for the final diagnosis. Simple surgical resection was recommended, followed by clinical and radiological control to ensure the correct and complete resolution of the case.
VL - 1
IS - 2
ER -

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Author Information

Francesco Cecchetti

Department of Periodontics, University of Rome (Tor Vergata), Italy
Matacena Giada

Department of Experimental Medical-Surgical and Oral Dental Sciences, University of Messina, Italy
Cicciù Marco

Department of Human Pathology, University of Messina, Italy
Francesco Germano

Department of Periodontics, University of Rome (Tor Vergata), Italy
Claudio Arcuri

Department of Periodontics, University of Rome (Tor Vergata), Italy
Bramanti Ennio

Department of Human Pathology, University of Messina, Italy

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APA Style

Francesco Cecchetti, Matacena Giada, Cicciù Marco, Francesco Germano, Claudio Arcuri, et al. (2013). Nasopalatine Duct Cyst: Report of 52 Cases in a Retrospective Epidemiological Study. Journal of Surgery, 1(2), 14-17. https://doi.org/10.11648/j.js.20130102.12

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ACS Style

Francesco Cecchetti; Matacena Giada; Cicciù Marco; Francesco Germano; Claudio Arcuri, et al. Nasopalatine Duct Cyst: Report of 52 Cases in a Retrospective Epidemiological Study. J. Surg. 2013, 1(2), 14-17. doi: 10.11648/j.js.20130102.12

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AMA Style

Francesco Cecchetti, Matacena Giada, Cicciù Marco, Francesco Germano, Claudio Arcuri, et al. Nasopalatine Duct Cyst: Report of 52 Cases in a Retrospective Epidemiological Study. J Surg. 2013;1(2):14-17. doi: 10.11648/j.js.20130102.12

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@article{10.11648/j.js.20130102.12,
  author = {Francesco Cecchetti and Matacena Giada and Cicciù Marco and Francesco Germano and Claudio Arcuri and Bramanti Ennio},
  title = {Nasopalatine Duct Cyst: Report of 52 Cases in a Retrospective Epidemiological Study},
  journal = {Journal of Surgery},
  volume = {1},
  number = {2},
  pages = {14-17},
  doi = {10.11648/j.js.20130102.12},
  url = {https://doi.org/10.11648/j.js.20130102.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20130102.12},
  abstract = {Introduction. Nasopalatine duct cysts (NPDCs) are the most common developmental epithelial non-odontogenic cysts of the upper maxilla. Their etiological origin is still uncertain; NPDCs are often asymptomatic and are usually found randomly through local radio-diagnostic investigations carried out for other reasons. Main body. The aim of this investigation is to analyze and discuss the etiology, differential diagnosis, clinic-pathological characteristics of these lesions as well as to report the relative frequency and distribution of nasopalatine duct cysts in general population (NPDCs) with a literature’s review on the topic. The retrospective study was carried out using 52 clinical cases, with histopatological confirmation for NPDC, radiographs and oral photographs. Data included age and gender of the patient, radiographic findings, etiological factors, treatment, and prognosis of NPDC. Few surgical consideration are discussed. The study results report a NPDCs’ incidence of 2.39% and a male predilection with a 2:1.25 ratio. No statistically significant correlation was observed between the size of the lesion and patient’s gender. Lesions were usually asymptomatic (73%). All cysts were located in the anterior maxillary midline region. Panoramic X-rays and computed tomography was used to identify the lesion. Surgical treatment was performed under local anesthesia including the dissection and the removal of the cyst, usually adopting a palatine approach with an enveloping flap from 1.4 to 2.4. Relapse occured in 15.4% of the cases. Conclusions. The etiology of NPDC is unclear and a male predilection was observed. The histological analysis of cystic lesions was fundamental for the final diagnosis. Simple surgical resection was recommended, followed by clinical and radiological control to ensure the correct and complete resolution of the case.},
 year = {2013}
}

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