Surgical Enucleation of the Nasopalatine Duct Cyst: Clinical Case Report

Autores

  • Glauco Rodrigues Carmo Silveira DDS, Department of Basic Science, São Paulo State University (UNESP), School of Dentistry, 16015-050 Araçatuba - SP, Brazil https://orcid.org/0000-0003-1926-819X
  • Vinícius Franzão Ganzaroli DDS, Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, 16015-050 Araçatuba - SP, Brazil https://orcid.org/0000-0002-8590-4978
  • Rodrigo Isaias Lopes Pereira DDS, Department of Basic Science, São Paulo State University (UNESP), School of Dentistry, 16015-050 Araçatuba - SP, Brazil https://orcid.org/0009-0004-4234-0692
  • Leandro Lemes da Costa DDS, Department of Basic Science, São Paulo State University (UNESP), School of Dentistry, 16015-050 Araçatuba - SP, Brazil
  • Arthur Nascimento Rocha DDS, Department of Basic Science, São Paulo State University (UNESP), School of Dentistry, 16015-050 Araçatuba - SP, Brazil https://orcid.org/0009-0009-8643-7337
  • Arthur Michellim Kirasuke DDS, Department of Basic Science, São Paulo State University (UNESP), School of Dentistry, 16015-050 Araçatuba - SP, Brazil https://orcid.org/0009-0004-0005-8998
  • Murilo Martiniano Vargas Araçatuba School of Dentistry, São Paulo State University (UNESP) https://orcid.org/0009-0000-5670-1824
  • Luan Felipe Toro PhD, Department of Basic Science, São Paulo State University (UNESP), School of Dentistry, 16015-050 Araçatuba - SP, Brazil https://orcid.org/0000-0002-1049-4257
  • Edilson Ervolino PhD, Department of Basic Science, São Paulo State University (UNESP), School of Dentistry, 16015-050 Araçatuba - SP, Brazil

DOI:

https://doi.org/10.21270/archi.v14i12.6720

Palavras-chave:

Nonodontogenic Cysts, Palate, Hard, Surgery, Oral, Cone-Beam Computed Tomography, Case Reports

Resumo

The nasopalatine duct cyst (NPDC) is classified as a non-odontogenic cyst of the oral cavity, whose pathogenesis is not yet fully understood. Clinically, the patient may present with swelling in the anterior region of the maxilla and palatal mucosa or elevation of the upper lip; however, in many cases, the lesion is asymptomatic, and the adjacent teeth remain vital. The treatment of choice consists of complete enucleation of the lesion associated with curettage, especially when the cyst is not large. The aim of this study is to report a clinical case of NPDC treated surgically, in which complete enucleation was performed after a clinical and tomographic diagnosis compatible with the lesion. The case involves a 30-year-old male patient with no systemic comorbidities who reported pain and slight edema in the anterior region of the palate. During the clinical examination, a fluctuating mass was observed on palpation near the incisive papilla. The teeth adjacent to the lesion showed preserved pulp vitality. The tomographic examination showed a well-defined hypodense image in the nasopalatine duct region, associated with bone fenestration, corroborating the suspected diagnosis. Given these findings, surgical intervention was performed for complete enucleation and subsequent histopathological analysis, which confirmed the diagnosis of NPDC. The patient progressed favorably, receiving appropriate postoperative care and clinical follow-up. It is concluded that, for the present clinical case, surgical enucleation of the NPDC proved to be an effective treatment, avoiding further complications for the patient.

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Publicado

2025-12-18

Como Citar

Silveira, G. R. C., Ganzaroli, V. F., Pereira, R. I. L., Costa, L. L. da, Rocha, A. N., Kirasuke, A. M., … Ervolino, E. (2025). Surgical Enucleation of the Nasopalatine Duct Cyst: Clinical Case Report . ARCHIVES OF HEALTH INVESTIGATION, 14(12), 2711–2716. https://doi.org/10.21270/archi.v14i12.6720

Edição

v. 14 n. 12 (2025)

Seção

Original Articles