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Giant nasolabial cyst treated using neumann incision: case report
Alexandre Beraldo Ordones1, Larissa Neri1, Ingrid Helena Lopes Oliveira1
1Department of ENT, University of Sao Paulo School of Medicine, São Paulo/SP, Brazil.
International Archives of Otorhinolaryngology
|May 21, 2015
Summary
A giant nasolabial cyst, a rare ectodermal cyst, was successfully treated with surgical excision using the Neumann incision. This technique offers wide access for managing large nasolabial cysts.
Area of Science:
- Otorhinolaryngology
- Oral and Maxillofacial Surgery
- Head and Neck Surgery
Background:
- Nasolabial cysts are rare ectodermal cysts typically presenting as small, localized swellings.
- Standard treatments include surgical excision or endoscopic marsupialization.
- Giant nasolabial cysts are exceptionally uncommon and pose unique management challenges.
Observation:
- A 37-year-old male presented with nasal obstruction and deformity.
- Computed tomography revealed a large cystic lesion measuring 4 × 4.5 × 5 cm in the nasal region.
- The patient underwent surgical excision of the giant nasolabial cyst.
Findings:
- The Neumann incision provided adequate surgical access for complete excision of the giant nasolabial cyst.
- Histopathological examination confirmed the diagnosis of a nasolabial cyst.
Implications:
- The Neumann incision is a viable surgical approach for managing giant nasolabial cysts, offering broad access to the nasal cavity.
- This case highlights an alternative surgical technique for a rare presentation of nasolabial cysts.
- Further studies may explore the efficacy and patient outcomes of the Neumann incision for similar pathologies.

