Brazilian Journal of Pathology and Laboratory Medicine

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Nasopalatine duct cyst – diagnosis, treatment and postoperative complications: report of two cases

Leandro J. Oliveira; Priscila Laiza R. Leão; Roberto R. Alvarenga; Martinho C. R. Horta; Paulo Eduardo A. Souza
J. Bras. Patol. Med. Lab. 2017;53(6):407-413
DOI: 10.5935/1676-2444.20170066

ABSTRACT

The objectives of this study were to report two cases of nasopalatine duct cyst and to review the relevant literature. In the first case, the lesion was approximately 1.5 cm in size and in the second case 3 cm, both characterized by localized swelling in the hard palate. The two cases presented a radiolucent unilocular image in the region of the incisive foramen. The diagnosis was nasopalatine duct cyst, established by excisional biopsy and anatomopathological examination. The second patient presented a late postoperative infection, four weeks after surgery, and was submitted to antibiotic therapy and drainage. Both patients were followed for more than 30 months, with no signs of recurrence.

Keywords: non-odontogenic cysts; jaw cysts; bone cysts.

RESUMO

Os objetivos deste estudo foram relatar dois casos de cisto do ducto nasopalatino e rever a literatura pertinente. No primeiro caso, a lesão media aproximadamente 1,5 cm e, no segundo, 3 cm, ambas caracterizadas por tumefação localizada no palato duro. Os dois casos apresentaram imagem radiolúcida unilocular na região do forame incisivo. O diagnóstico foi cisto do ducto nasopalatino, realizado por meio de biópsia excisional e exame anatomopatológico. O segundo paciente apresentou infecção pós-operatória tardia, quatro semanas após a cirurgia, sendo submetido a antibioticoterapia e drenagem. Os dois pacientes foram acompanhados por mais de 30 meses, sem sinais de recidiva.

Palavras-chave: cistos não odontogênicos; cistos maxilomandibulares; cistos ósseos.

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