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A case of anterior maxillary radiolucency
Ali R Elyassi1, James J Closmann, Kevin R Torske
1OMFS PGY2 Program at Tripler Army Medical Center, Hawaii, USA.
General Dentistry
|November 12, 2009
Summary
A nasopalatine duct cyst caused maxillary anterior tooth pain and facial swelling in a 46-year-old woman. Surgical removal revealed a cyst lined with respiratory and squamous epithelium.
Area of Science:
- Oral and Maxillofacial Surgery
- Head and Neck Pathology
- Cystic Lesions of the Jaw
Background:
- Nasopalatine duct cysts are the most common non-odontogenic cysts in the jaw.
- They typically present in the anterior midline of the palate.
- Symptoms can include pain, swelling, and nasal or dental issues.
Observation:
- A 46-year-old female presented with maxillary anterior tooth pain and facial tenderness.
- Examination revealed an expanded anterior maxilla with midline palatal swelling, eroding the palate and nasal spine.
- Teeth 8-10 were nonvital to electrical stimulation.
Findings:
- Surgical excision of the lesion was performed under general anesthesia.
- Histological examination confirmed a cystic lesion with respiratory and squamous epithelial lining.
- A diagnosis of nasopalatine duct cyst was established.
Implications:
- This case highlights the importance of considering nasopalatine duct cysts in the differential diagnosis of maxillary anterior tooth pain.
- Accurate diagnosis and surgical management are crucial for successful treatment.
- Understanding the histological features aids in differentiating these cysts from other jaw pathologies.
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