International Medical Case Reports Journal (May 2024)

Nasopalatine Duct Cyst Treated by Transnasal Endoscopic Marsupialization: A Case Report

  • Sheikh OA,
  • Hussein AAM,
  • Mukhtar AA,
  • Abdi IA,
  • Ahmed NM,
  • Mohamed SS

Journal volume & issue
Vol. Volume 17
pp. 459 – 464

Abstract

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Omar Adam Sheikh,1 Abdullahi Ali Moallim Hussein,2 Abdiwahab Abdirahman Mukhtar,3 Intisar Ahmed Abdi,4 Nasra Mohamed Ahmed,5 Shukri Said Mohamed6 1Department of Basic Medical Sciences, Faculty of Medicine, Somali National University, Mogadishu, Somalia; 2Department of Otorhinolaryngology, Welcare Specialty Hospital, Mogadishu, Somalia; 3Department of Otorhinolaryngology, Port Elizabeth Provincial Hospital, Eastern Cape, South Africa; 4Department of Anesthesia, Welcare Specialty Hospital, Mogadishu, Somalia; 5Department Clinical Sciences, Faculty of Medicine, Somali National University, Mogadishu, Somalia; 6Department of Pediatric Surgery, Mogadishu Somali Turkey Recep Tayyip Erdoğan Training and Research Hospital, Mogadishu, SomaliaCorrespondence: Omar Adam Sheikh, Tel +252615950095, Email [email protected]: Nasopalatine duct cyst (NDC) is the most prevalent non-odontogenic cyst emerging from the epithelial remnants in the maxillary incisive canal. A sublabial or transpalatal approach is performed to enucleate NDC completely. More recently, transnasal endoscopic marsupialization has been used gradually.Case Presentation: A 24-year-old male patient with a large nasopalatine duct cyst with a diameter of 51 mm was managed by transnasal endoscopic marsupialization under general anesthesia. The presentation involves painless swelling around the left side of the anterior maxilla and bulging of the hard palate. No postoperative complications were observed after a 3-month follow-up. Transnasal endoscopic marsupialization is a minimally invasive surgery for large NDC.Clinical discussion: Approximately 1% of the population has a nasopalatine duct cyst. Surgical treatment was carried out under general anesthesia; the cyst was dissected and removed using a typically transnasal endoscopic marsupialization technique.Conclusion: The cause of the NDC is unclear. Simple surgical resection and clinical and radiological control are recommended to ensure the case is resolved correctly.Keywords: endoscopic marsupialization, maxilla, nasopalatine duct cyst, non-odontogenic cysts

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