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      Giant Nasolabial Cyst Treated Using Neumann Incision: Case Report

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          Abstract

          Introduction A nasolabial cyst is an ectodermal development cyst. It presents as a fullness of canine fossa, nasal ala, or vestibule of the nose. It is rare and usually small. Treatment consists of complete surgical excision or transnasal endoscopic marsupialization.

          Objective To describe a giant nasolabial cyst case treated using Neumann incision.

          Case Report A 37-year-old man was referred to the otolaryngology department with nasal obstruction and nasal deformity. Computed tomography showed a nasal cystic lesion 4 × 4.5 × 5 cm wide. Surgical excision using Neumann incision was performed.

          Discussion Neumann incision provides wide access to the nasal cavity and may be useful in nasolabial cyst treatment.

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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.
          Article 0 comments Cited 13 times – based on 0 reviews     Review now
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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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              Nasolabial cyst: a retrospective analysis of 18 cases.

              J. Kang, Sung-Won Chae, Do Yup Lee … (2002)
              Nasolabial cysts are rare but easily identifiable when they do occur. They are thought to arise from the remnants of the nasolacrimal ducts, but most of the available information on these cysts is limited to isolated case reports. The purpose of our study was to examine the clinical and pathologic features of nasolabial cysts in order to provide a basis for their correct diagnosis and treatment. Eighteen patients with nasolabial cysts were treated at Korea University's Guro Hospital between Jan. 1, 1988, and Dec. 31, 1999. We retrospectively analyzed the clinical appearance, pathologic findings, and treatment results in each case. All patients underwent surgery via the sublabial approach. The lining epithelia were identified as either pseudostratified, stratified squamous, or simple cuboidal. A cyst recurred in only one case, and there were no surgical complications on follow-up. The results of our study provide a basis for sound diagnosis and treatment.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Int Arch Otorhinolaryngol
                Journal ID (iso-abbrev): Int Arch Otorhinolaryngol
                Title: International Archives of Otorhinolaryngology
                Publisher: Thieme Publicações Ltda (Rio de Janeiro, Brazil )
                ISSN (Print): 1809-9777
                ISSN (Electronic): 1809-4864
                Publication date (Print): October 2013
                Volume: 17
                Issue: 4
                Pages: 421-423
                Affiliations
                [1 ]Department of ENT, University of Sao Paulo School of Medicine, São Paulo/SP, Brazil
                Author notes
                Address for correspondence Alexandre Beraldo Ordones, MD Rua Dr. Eneas de Carvalho Aguiar, 255/6o andar, 6167 Cerqueira Cesar, São Paulo/SPBrazil ordones.alexandre@ 123456gmail.com
                Article
                Publisher ID: 1407cr
                DOI: 10.1055/s-0033-1351674
                PMC ID: 4399185
                PubMed ID: 25992051
                SO-VID: a4d4e0cc-2337-48ed-b091-541b2c2c8d35
                Copyright © © Thieme Medical Publishers
                History
                Date received : 18 May 2012
                Date accepted : 19 August 2012
                Categories
                Subject: Article

                Keywords: cysts,nasal obstruction,nasal cavity
                Data availability:
                Keywords: cysts, nasal obstruction, nasal cavity

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