Bilateral nasolabial cysts: a case report

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Abstract

Background

Nasoalveolar cysts are rare non-odontogenic cysts that occur beneath the nasal alar region. Few cases of bilateral nasoalveolar cysts have been described.

Case presentation

We report a rare case of a 67-year-old Japanese woman with bilateral nasoalveolar cysts who presented to our department with the chief complaint of a swollen left nasal alar base. Panoramic radiography revealed no abnormalities. Computed tomography and magnetic resonance imaging revealed a well-circumscribed oval lesion at both alar bases. Therefore, bilateral nasoalveolar cysts were clinically diagnosed. Furthermore, these cysts were extirpated under general anesthesia; the aforementioned diagnosis was histopathologically confirmed. No recurrence has been observed 1 year after surgery.

Conclusions

Nasoalveolar cysts are rare. It is necessary to be careful because nasoalveolar cysts can show bilateral occurrence.

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Most cited references 15

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Nasolabial cyst: a report of eight cases and a review of the literature.

Amal K Nour el-Din, Shareef A. Nahas (1999)

Nasolabial cyst is a cystic ectodermal developmental swelling which occurs as a cyst on the lateral half of the floor of the nasal vestibule at the base of the alae of the nose. Although, it is a rare disease, this is a report of eight cases in a population of 500,000 in one year. Seven of the patients were female aged between 25-50 years. Seven cysts were left-sided and one was bilateral. The purpose of this paper is to present an additional example of patients with nasolabial cyst. It may be a more common disease than previously thought.

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The nasolabial cyst-nasal hamartoma.

Daniel B Kuriloff (1987)

The nasolabial cyst is an uncommon midfacial cyst. Twenty-six patients with nasolabial cysts were treated at the New York Eye and Ear Infirmary from 1969 to 1986. Most of these lesions manifested facial deformity, unilateral nasal obstruction, and pain when infected. The nasolabial cyst is often unrecognized or confused with other intranasal masses, or fissural and odontogenic cysts. Infection of these lesions--which occurred in 50% of the patients--may mimic facial cellulitis, periodontal abscess, acute maxillary sinusitis, or nasal furuncles. This cyst is considered to be a hamartoma because of its developmental origin from entrapped epithelium in an embryonic fusion plane. Simple aspiration invariably leads to recurrence, and complete surgical excision is the accepted treatment. The nasolabial cyst should be considered in the differential diagnosis of intranasal masses, midface infections, and swelling in the nasolabial area.

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Nasolabial cysts: clinical features, diagnosis, and treatment.

Cheow-Yew Lee Julian, Chow-Lin Yeak Samuel, Jessie Wai-Fong Yuen (2007)

The aim of this study was to review our experience, examine the clinical and pathological features of nasolabial cysts, and to provide a basis for the diagnosis and treatment in an Asian population. We made a retrospective review of patients with nasolabial cysts who were treated at the Department of Otolaryngology, Tan Tock Seng Hospital between January 1999 and December 2004. Clinical data, presenting symptoms, clinical features, pathological findings, preoperative investigations, treatment, and outcome were analysed for each case. We found 17 patients with nasolabial cysts. The findings of adult onset, higher incidence among women and preponderance on the left side confirmed current opinion. The clinical diagnosis of nasolabial cyst was accurate in all cases. Preoperative computed tomograms (CTs) done for one patient did not alter the management. All patients had the cysts excised completely through a sublabial incision. Breaches of the nasal vestibular mucosa healed spontaneously without repair. Histopathological examination showed that cysts were lined with pseudostratified columnar (n=9), stratified squamous (n=4), mixed respiratory and squamous epithelium (n=3), and simple cuboidal epithelium (n=1). No patient developed complications or recurrences. Nasolabial cysts are relatively common in Singapore, and the diagnosis must be kept in mind if they are to be treated early. Diagnosis is based on clinical features and the treatment of choice is complete excision.

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Author and article information

Contributors

Masaru Sato: +81-29-830-3711 , ptt63tx6kn@gmail.com

Keiichi Morita: Keiich.m.osur@tmd.ac.jp

Yuji Kabasawa: Kabasawa.osur@tmd.ac.jp

Hiroyuki Harada: hiro-harada.osur@tmd.ac.jp

Journal

Journal ID (nlm-ta): J Med Case Rep

Journal ID (iso-abbrev): J Med Case Rep

Title: Journal of Medical Case Reports

Publisher: BioMed Central (London )

ISSN (Electronic): 1752-1947

Publication date (Electronic): 7 September 2016

Publication date PMC-release: 7 September 2016

Publication date Collection: 2016

Volume: 10

Issue: 1

Electronic Location Identifier: 246

Affiliations

[1 ]Oral and Maxillofacial Surgery, Tsuchiura Kyodo General Hospital, 4-1-1 Otsuno, Tsuchiura, Ibaraki 300-0028 Japan

[2 ]Division of Oral and Maxillofacial Surgery, Department of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510 Japan

Article

Publisher ID: 1024

DOI: 10.1186/s13256-016-1024-2

PMC ID: 5015322

PubMed ID: 27604349

SO-VID: 6f045a58-94b8-4af3-b2e7-60a9bc02990d

License:

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

History

Date received : 12 February 2016

Date accepted : 8 August 2016

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ScienceOpen disciplines: Medicine

Keywords: nasoalveolar cysts,bilateral lesions,non-odontogenic cysts

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ScienceOpen disciplines: Medicine

Keywords: nasoalveolar cysts, bilateral lesions, non-odontogenic cysts

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Bilateral nasolabial cysts: a case report

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Abstract

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Most cited references 15

Nasolabial cyst: a report of eight cases and a review of the literature.

The nasolabial cyst-nasal hamartoma.

Nasolabial cysts: clinical features, diagnosis, and treatment.

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