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Nasopalatine canal cyst, a diagnostic twist
Madiha Khan1, Robia Ghafoor1, Humayun Kaleem Siddiqui2
1Department of Operative Dentistry and Endodontics, Aga Khan University Hospital.
Summary
This case report details a rare presentation of a nasopalatine duct cyst in a 35-year-old female, diagnosed with minimal symptoms. Radiographic and histological findings confirmed the diagnosis, highlighting the cyst's varied clinical appearance.
Area of Science:
- Dentistry
- Oral Pathology
- Radiology
Background:
- Nasopalatine duct cysts (NPDCs) are the most common non-odontogenic cysts in the jaw.
- They typically present with symptoms like swelling, pain, or drainage, but can be asymptomatic.
Observation:
- A 35-year-old female presented with a nasopalatine duct cyst.
- The diagnosis was challenging due to the absence of typical clinical signs, with only one subtle symptom noted.
- Radiographic and histological examinations were crucial for accurate diagnosis.
Findings:
- The nasopalatine duct cyst exhibited a typical radiographic and histological appearance despite an unusual clinical presentation.
- This case underscores the variability in how nasopalatine duct cysts can manifest clinically.
Implications:
- Accurate diagnosis of nasopalatine duct cysts is essential to avoid misdiagnosis as endodontic infections.
- Awareness of variable clinical presentations can improve diagnostic accuracy and patient management.
- This case highlights the importance of integrating clinical, radiographic, and histological data in diagnosing jaw cysts.

