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Seldom seen Nasopalatine Cyst easily misdiagnosised
Posted on 10.24.2012 04:22 AM
By Chun Zhang
In CBCT & CAD/CAM
A 28-year-old Male , was found somelike cyst in 21 periapical area from the panorama. No symptom and Injury history for 21, The enamel is complete with no decay, No loose.
A periapical X-ray film was taken to make sure the cyst isn't odontogenic.
Adavance CBCT shows it comes from the Nasopalatine nerve canal. we make the final diagnosis of Nasopalatine Cyst.
How will you plan to treat the Nasopalatine Cyst??? Thanks. Zoer Zhang
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2 Comments
Maurice Salama says on 10.24.2012 12:26 PM
Complete enucleation with biopsy sent for histologial review.
Great CBCT diagnosis.
Dr. Salama
narayan tv says on 10.25.2012 09:27 PM
Dear Dr. Zhang,
There is no clarity on what is considered a large incisive canal and when it should be called a Nasopalatine duct cyst radiographically. If this patient is asymptomatic, has no fluctuant palatal swelling, and the lesion/structure is not going to interfere with any procedure planned in the area, the approach should be one of periodic radiographic recall and surgical intervention if there is signs of expansion. Typically, these cysts have a slow expansion rate unless infected .