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Nasopalatine Duct Cyst Treated by Transnasal Endoscopic Marsupialization: A Case Report
Omar Adam Sheikh1, Abdullahi Ali Moallim Hussein2, Abdiwahab Abdirahman Mukhtar3
1Department of Basic Medical Sciences, Faculty of Medicine, Somali National University, Mogadishu, Somalia.
International Medical Case Reports Journal
|May 21, 2024
Summary
Transnasal endoscopic marsupialization is an effective, minimally invasive surgical technique for treating large nasopalatine duct cysts (NDC). This approach offers a safe and effective solution for managing this common non-odontogenic cyst.
Area of Science:
- Oral and Maxillofacial Surgery
- Endoscopic Procedures
- Cystic Lesion Management
Background:
- Nasopalatine duct cyst (NDC) is the most common non-odontogenic cyst, originating from epithelial remnants in the maxillary incisive canal.
- Traditional surgical enucleation involves sublabial or transpalatal approaches.
- Minimally invasive techniques are increasingly explored for NDC treatment.
Observation:
- A 51 mm nasopalatine duct cyst presented as painless anterior maxilla swelling and hard palate bulging.
- The patient, a 24-year-old male, underwent transnasal endoscopic marsupialization under general anesthesia.
- No postoperative complications were noted during a 3-month follow-up period.
Findings:
- Transnasal endoscopic marsupialization successfully managed a large NDC.
- The procedure was minimally invasive with no observed complications.
- This technique is suitable for large nasopalatine duct cysts.
Implications:
- Transnasal endoscopic marsupialization represents a viable, less invasive surgical option for large NDCs.
- Further research into the etiology of NDC is warranted.
- Standardized clinical and radiological follow-up is crucial for successful resolution.
