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Case report: Unilateral transnasal endoscopic marsupialization of nasopalatine duct cyst

Nasopalatine duct cyst (NPDC) is the most common type of non-odontogenic cysts of the jaw. It has been treated with complete surgical resection using a sublabial or palatine approach. However, complete removal of the cyst can be accompanied by postoperative complications including oronasal fistula....

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Autores principales: Kagoya, Ryoji, Iwanami, Tomoko, Mochizuki, Makoto, Kondo, Kenji, Ito, Ken
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9417109/
https://www.ncbi.nlm.nih.gov/pubmed/36034355
http://dx.doi.org/10.3389/fsurg.2022.978915
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author Kagoya, Ryoji
Iwanami, Tomoko
Mochizuki, Makoto
Kondo, Kenji
Ito, Ken
author_facet Kagoya, Ryoji
Iwanami, Tomoko
Mochizuki, Makoto
Kondo, Kenji
Ito, Ken
author_sort Kagoya, Ryoji
collection PubMed
description Nasopalatine duct cyst (NPDC) is the most common type of non-odontogenic cysts of the jaw. It has been treated with complete surgical resection using a sublabial or palatine approach. However, complete removal of the cyst can be accompanied by postoperative complications including oronasal fistula. Recently, endoscopic marsupialization for the disease has been advocated, but there are still few reports regarding the surgery. Herein, we report a case of NPDC that was treated with unilateral transnasal endoscopic marsupialization. A 43-year-old man with no relevant previous medical history was referred to our hospital for the treatment of lesion occupying the right nasal cavity. A computerized tomography scan of the sinus revealed an egg-shaped lesion with a well-defined border centered on the lower half of the nasal cavity and hard palate. Based on the site of the lesion, it was considered to be NPDC. Transnasal endoscopic marsupialization was performed to diagnose and improve nasal obstruction. Histopathological examination revealed stratified squamous epithelium without atypia, which was consistent with NPDC. Although the patient noticed paresthesia of the right upper incisor area, symptoms improved 3 months after surgery. Written informed consent was obtained from the patient for the publication of any potentially identifiable images or data included in this article. Transnasal endoscopic marsupialization for NPDC is minimally invasive and useful; however, it is necessary to build evidence for an appropriate excision range based on the position and size of the lesion.
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spelling pubmed-94171092022-08-27 Case report: Unilateral transnasal endoscopic marsupialization of nasopalatine duct cyst Kagoya, Ryoji Iwanami, Tomoko Mochizuki, Makoto Kondo, Kenji Ito, Ken Front Surg Surgery Nasopalatine duct cyst (NPDC) is the most common type of non-odontogenic cysts of the jaw. It has been treated with complete surgical resection using a sublabial or palatine approach. However, complete removal of the cyst can be accompanied by postoperative complications including oronasal fistula. Recently, endoscopic marsupialization for the disease has been advocated, but there are still few reports regarding the surgery. Herein, we report a case of NPDC that was treated with unilateral transnasal endoscopic marsupialization. A 43-year-old man with no relevant previous medical history was referred to our hospital for the treatment of lesion occupying the right nasal cavity. A computerized tomography scan of the sinus revealed an egg-shaped lesion with a well-defined border centered on the lower half of the nasal cavity and hard palate. Based on the site of the lesion, it was considered to be NPDC. Transnasal endoscopic marsupialization was performed to diagnose and improve nasal obstruction. Histopathological examination revealed stratified squamous epithelium without atypia, which was consistent with NPDC. Although the patient noticed paresthesia of the right upper incisor area, symptoms improved 3 months after surgery. Written informed consent was obtained from the patient for the publication of any potentially identifiable images or data included in this article. Transnasal endoscopic marsupialization for NPDC is minimally invasive and useful; however, it is necessary to build evidence for an appropriate excision range based on the position and size of the lesion. Frontiers Media S.A. 2022-08-12 /pmc/articles/PMC9417109/ /pubmed/36034355 http://dx.doi.org/10.3389/fsurg.2022.978915 Text en © 2022 Kagoya, Iwanami, Mochizuki, Kondo and ITO. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Kagoya, Ryoji
Iwanami, Tomoko
Mochizuki, Makoto
Kondo, Kenji
Ito, Ken
Case report: Unilateral transnasal endoscopic marsupialization of nasopalatine duct cyst
title Case report: Unilateral transnasal endoscopic marsupialization of nasopalatine duct cyst
title_full Case report: Unilateral transnasal endoscopic marsupialization of nasopalatine duct cyst
title_fullStr Case report: Unilateral transnasal endoscopic marsupialization of nasopalatine duct cyst
title_full_unstemmed Case report: Unilateral transnasal endoscopic marsupialization of nasopalatine duct cyst
title_short Case report: Unilateral transnasal endoscopic marsupialization of nasopalatine duct cyst
title_sort case report: unilateral transnasal endoscopic marsupialization of nasopalatine duct cyst
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9417109/
https://www.ncbi.nlm.nih.gov/pubmed/36034355
http://dx.doi.org/10.3389/fsurg.2022.978915
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