BÜYÜK BOYUTLU NAZOPALATİN KANAL KİSTİ: OLGU SUNUMU

Yıl 2015, Supplement 10, 6 - 9, 21.05.2015

Mustafa Gümüşok , Murat Özer Sercan Küçükkurt Emre Barış Özlem Üçok

https://doi.org/10.17567/dfd.14746

Cited By: 1

Öz

ÖZET

İnsiziv kanal kisti olarak da bilinen Nazopalatin kanal kisti (NPKK), maksillanın en sık görülen gelişimsel, epitelyal, nonodontojenik kistidir. Anterior palatinal bölge orta hattında lokalize olan NPKK’ler, genellikle asemptomatiktirler ve rutin radyografik muayene esnasında rastlanılırlar. İnsiziv kanal içerisindeki, nazopalatin kanalın embriyolojik epitelyal artıklarından gelişirler. Bu kistler yaşamın 4. ve 6. dekatları arasında daha sık görülürler. Ayırıcı tanısında en sık geniş insiziv foramen ve radiküler kistler göz önünde bulundurulur. Cerrahi olarak çıkarıldıktan sonra rekürrensleri nadirdir. Olgu raporumuzda 57 yaşında erkek hastanın, panoramik radyografi ve konik ışınlı bilgisayarlı tomografi görüntüleri ile maksilla orta hatta, sağ kanin-sol kanin dişlerin kökleri arasında izlenen NPKK değerlendirilmiş ve tedavisi sunulmuştur.

Anahtar Kelime: Nazopalatin kanal kisti,  maksilla, konik ışınlı bilgisayarlı tomografi

A LARGE NASOPALATİNE DUCT CYST: CASE REPORT

ABSTRACT

Nasopalatine duct cysts (NPDC), also known as incisive canal cysts, is the most common develop- mental, epithelial, non-odontogeniccyst of the maxilla. NPDCs are located in the anterior maxillary midline region. The cyst arises from embryonic epithelial remnants of the nasopalatine duct within incisive canals. Lesions are normally asymptomatic and are usually detected during the routine radiological examination. Diagnosis is most frequently performed in the fourth and sixth decades. NPDCs must be especially distinguished from large incisive foramen and radicular cyst of central incisors. Recurrence is rare following surgical removal. In this case report, a 57 years old male patient’s NPDC is evaluated by panoramic radiography and cone beam volumetric tomography images which is existing in the maxillary midline;  between right and left canine’s roots and its treatment presented.

Key Words: The nasopalatine duct cyst, maxilla, cone beam volumetric tomography

Anahtar Kelimeler

Nazopalatin kanal kisti, maksilla, konik ışınlı bilgisayarlı tomografi

A LARGE NASOPALATİNE DUCT CYST: CASE REPORT

Öz

Nasopalatine duct cysts (NPDC), also known as incisive canal cysts, is the most common developmental, epithelial, non-odontogeniccyst of the maxilla. NPDCs are located in the anterior maxillary midline region. The cyst arises from embryonic epithelial remnants of the nasopalatine duct within incisive canals. Lesions are normally asymptomatic and are usually detected during the routine radiological examination. Diagnosis is most frequently performed in the fourth and sixth decades. NPDCs must be especially distinguished from large incisive foramen and radicular cyst of central incisors. Recurrence is rare following surgical removal. In this case report, a 57 years old male patient’s NPDC is evaluated by panoramic radiography and cone beam volumetric tomography images which is existing in the maxillary midline; between right and left canine’s roots and its treatment presented

Anahtar Kelimeler

The nasopalatine duct cyst, maxilla, cone beam volumetric tomography

Kaynakça

• Cecchetti F, Ottria L, Bartuli F, Bramanti NE, Arcuri C. Prevalence, distribution, and differential diagnosis of nasopalatine duct cysts. Oral Implantol (Rome) 2012;5:47-53.
• Francolı´ JE, Marque´s NA, Ayte´s LB, Escoda CG. Nasopalatine duct cyst: report of 22 cases and review of the literature. Med Oral Patol Oral Cir Bucal 2008;13:E438–43.
• Bereket C, Kaynar M. Süpernumere Dişle Birlikte Görülen Nazopalatin Kanal Kisti: Vaka Raporu. Atatürk Üniv Dis Hek Fak Derg 2013;23:98-102.
• Swanson KS, Kaugars GE, Gunsolley JC. Nasopalatine duct cyst: an analysis of 334 cases. J Oral Maxillofac Surg 1991;49:268–71.
• Reyes Velázquez JO, Palemón HSC, Jiménez Cruz N, Martínez CLE. Quiste del conducto nasopalatino: reporte de un caso. Med Oral 2006;8:168–71.
• Meyer AW. A unique paranasal sinus directly above the superior incisors. Journal of Anatomy. 1914;48.
• Ezirganlı Ş, Köşger HH, Kırtay M. Nazopalatin Kanal Kisti: Bir Olgu Sunumu. GÜ Diş Hek Fak Derg 2010; 27:195-9.
• Vasconcelos R, de Aguiar MF, Castro W, de Arau´jo VC, Mesquita R. Retrospective analysis of 31 cases of nasopalatine duct cyst. Oral Dis 1999;5:325–8.
• Neville BW, Damm DD, Allen CM, Bouquot JE. Oral & Maxillofacial Pathology. 2 ed. Philadelphia; W. B. Saunders: 2002: p. 27-30.
• White SC, Pharoah MJ. Oral Radiology: Principles and Interpretation. 6 ed. St. Louis; Mosby: 2009: p. 358-60.
• Sapp JP, Eversole LR, Wysocki GP. Contemporary Oral and Maxillofacial Pathology. 2 ed. St. Louis; Mosby: 2004: p. 62-3.
• Dedhia P, Dedhia S, Dhokar A, Desai A. Nasopalatine Duct Cyst. Case Rep Dent doi: 10.1155/2013/869516.
• Scarfe WC, Farman AG. What is cone-beam CT and how does it work? Dent Clin North Am 2008;52:707-30.
• Nelson BL, Linfesty RL. Nasopalatine Duct Cyst. Head and Neck Pathol 2010;4:121–2.
• Moss HD, Hellstein JW, Johnson JD. Endodontic considerations of the nasopalatine duct region. J Endod 2000;26:107-10.
• Gnanasekhar JD, Walvekar SV, Al-Kandari AM, Al- Duwairi Y. Misdiagnosis and mismanagement of a nasopalatine duct cyst and its corrective therapy. A case report. Oral Surg Oral Med Oral Pathol OralRadiol Endod 1995;80:465-70.
• Elliott KA, Franzese CB, Pitman KT. Diagnosis and surgical management of nasopalatine duct cysts. Laryngoscope 2004;114:1336-40.