1/50. A lesion of endodontic origin misdiagnosed as a globulomaxillary cyst. This report presents a case of a lesion originating from a pulpless central incisor misdiagnosed as a globulomaxillary cyst. The initial diagnosis of globulomaxillary cyst was made solely from radiographs by observing an almond-shaped radiolucency between the lateral incisor and cuspid. No pulp testing was performed before surgical removal of the lesion. The final diagnosis of an endodontic lesion caused solely by a pulpless central incisor was complicated by the initial lack of a pulpal response from the lateral incisor next to the surgical site. By delaying the start of endodontic treatment, pulp sensibility returned to the lateral incisor and the diagnosis of an endodontic lesion caused only by a pulpless central incisor was confirmed. ( info) |
2/50. Cystic degeneration in fibrous dysplasia of the jaws: a case report. A case of nonspecific cystic degeneration complicating fibrous dysplasia of the mandible is presented. This condition is extremely rare in the jaw bones. The patient had a painless swelling of the right face measuring 10 cm in diameter, and there was no history of trauma. Radiographs showed a poorly defined, "ground glass" radiopaque lesion; a central well-defined cyst was confirmed by means of computed tomography. During surgery, a large cystic cavity with surrounding, soft fibrous bone that merged with the cortex was observed. Histologic examination showed a large non-epithelial-lined cystic cavity with a surrounding fibro-osseous lesion, which was consistent with a diagnosis of fibrous dysplasia. ( info) |
3/50. A nasopalatine cyst in an 8-year-old child. The nasopalatine cyst (NPC) was first described in 1914 and it is considered the most common non-odontogenic cyst. Most studies show a higher incidence of NPC among males than females, with a male/female ratio of 1.7:1. The majority of the cases described in people in their fifth decade involve Afro-Caribbeans, while those in their sixth decade are mainly caucasians. These cysts are normally asymptomatic, unless they are infected. The most commonly reported clinical symptom is swelling in the anterior part of the palate. The treatment of choice is enucleation. Even though it has been stated that NPCs may occur at any age no reports have been made on children less than 9 years old. Some reports support a predisposition in young Afro-Caribbeans, where NPCs appear to be more aggressive, larger and symptomatic. We present a case of a NPC in an 8-year-old caucasian female. ( info) |
4/50. Retrospective analysis of 15 cases of nasolabial cyst. The nasolabial cyst is classified as a nonodontogenic cyst and is the only nonodontogenic cyst to occur in soft tissue. The aim of this retrospective analysis was to gather demographic, clinical, radiographic, and histopathologic data on the nasolabial cysts described in the files of the Oral pathology Laboratory of Minas Gerais University School of dentistry. Fifteen cases were included in the analysis. The mean age of the patients at the time of diagnosis was 42 years, and there was a female predilection. All the cysts were asymptomatic. Pseudostratified columnar (respiratory) epithelium, alone or in combination with other types of epithelium, was present in all cysts. recurrence was not observed after surgical excision. ( info) |
5/50. CT analysis of a complicated nasopalatine duct cyst. A study was conducted to evaluate CT imaging in differentiating nonodontogenic nasopalatine duct cysts from odontogenic radicular cysts. The patient's palatine cystic lesion was analyzed by CT and excised with postoperative microscopic identification. CT findings of a nasopalatine cyst are midline location, smooth expansion with sclerotic margins and displacement of teeth apices. Radicular cysts differ in that the teeth apices are within the cyst rather than being displaced. We concluded that differentiation is clearly demonstrated by CT images. ( info) |
6/50. Pigment in the lining of nasopalatine duct cysts: report of two cases. In a review of 20 nasopalatine duct cysts, two cases were encountered with a pigmented epithelial lining. In the literature we have found one similar case only. The pigment in our cases was shown to be melanin. The authors suggest that the melanin-containing epithelial cells are derived from Jacobson's organs and, therefore, most likely should be considered olfactory epithelium. ( info) |
7/50. Median palatine cyst: an unusual presentation of a rare entity. Median palatine cyst is rare. Mostly, it is asymptomatic and usually is discovered incidentally during routine dental or radiological examination. The case that we report has the following unusual features: Firstly, it is the largest cyst to be reported, measuring 5 cm in diameter. Secondly, there was no swelling on the oral surface of the hard palate contrary to other reports. Rather, it caused elevation of the nasal floor and nasal obstruction. Thirdly, it pushed the inferior and caudal end of the septum into the left nasal chamber. The median palatine cyst was surgically removed by a sublabial degloving approach. The cyst was removed in toto and the palatal bone curetted to ensure adequate removal of any nesting cells that could lead to recurrence in the future. ( info) |
8/50. MR imaging of nasopalatine duct cysts. We describe the magnetic resonance (MR) features of two cases of nasopalatine duct cyst (NPDC), including the first presentation of T1-weighted images (WI). The signal intensity of the cases of NPDC showed homogeneous high signal intensity on both on T1 and T2WI, although most cysts of maxillofacial regions demonstrate low to intermediate signal intensity on T1WI. NPDC may commonly be of high signal intensity on T1WI, which is consistent with keratin and viscous fluids. ( info) |
9/50. Recurring anterior facial swelling. The nasolabial cyst was first reported in 1882. The most common clinical finding of the nasolabial cyst is that of an asymptomatic soft tissue swelling involving the canine fossa/nasal alar base region. The pathogenesis is controversial, but this cystic lesion most likely develops from the nasolacrimal duct. Microscopically, this cystic structure is composed of a fibrous capsule with an unremarkable layer of pseudostratified columnar epithelium. The treatment of choice is surgical excision, after which recurrence is rare. ( info) |
10/50. Nasolabial cyst: case report. The nasolabial cyst is classified as a fissural cyst, found outside the bone, and on the region corresponding to the nasolabial furrow and alar nose. This cyst is frequently asymptomatic with the most usual sign being alar nose elevation. In spite of the low occurrence of nasolabial cysts, it is important to recognize the clinical characteristics of this lesion. The purpose of this paper is to review the literature and discuss the histomorphology and etiology of this condition, showing treatment by surgical excision. ( info) |