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      Nasolabial cyst: case report and review of management options

      case-report

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          Abstract

          Background

          Nasolabial cysts are rare, non-odontogenic, soft-tissue cysts that develop between the upper lip and nasal vestibule with an overall incidence of 0.7% out of all maxillofacial cysts. The predominant presentation of a nasolabial cyst is a painless localized swelling with varying degrees of nasal obstruction. Several treatment modalities have described in the management of the nasolabial cyst. In this paper, we present a case of a nasolabial cyst in a 44 years old man with discussions of the treatment modalities in the lights of the literature.

          Case presentation

          We present a case of a nasolabial cyst in a 44-year-old man that slowly increased in size through a period of 3 years, with associated mild pain and nasal obstruction. It had caused a mass effect upon the maxilla, resulting in scalloping. The cyst was excised entirely with no evidence of recurrence at the two months follow up.

          Conclusions

          The nasolabial cyst is a rare soft-tissue cyst. Complete surgical excision using an open approach performed to our case, which considered with the complete endoscopic removal of the best treatment for the nasolabial cysts with a rare recurrence rate.

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          Most cited references26

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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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            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: diagnostic and therapeutical aspects

              Romualdo Tiago, Mayko Maia, Gustavo Nascimento … (2015)
              Summary Nasolabial cyst is a rare lesion situated behind the ala nasi, extending backwards into the inferior nasal meatus and forward into the labio-gingival sulcus. Aim We present our case of a nasolabial cyst, with the purpose of discussing clinical presentation, diagnosis and the more suitable surgical techniques to treat this disorder. Materials and methods A retrospective study of eight patients with diagnosis of nasolabial cyst, carried out in the period of january/2000 to december/2006. The diagnosis was suggested by otorhinolaryngology exam and computer tomography. All patients were submitted to surgical treatment (enucleation) and definitive diagnosis was confirmed by histopathology. Results Predominant symptoms were nasal obstruction, swelling in the nasal vestibule region and local pain. Patients had had symptoms for a median of 26.2 months. CT scan was performed in all patients, showing a well outlined cystic lesion with bone remodeling in some cases. Median sizes of the cysts were 2.18cm. There was no evidence of recurrence during a mean follow-up of 19.5 months. Conclusion Nasolabial cysts are rare lesions. Common presentation is a well-confined swelling, local pain and nasal obstruction. Enucleation is the treatment of choice with low recurrence rate.
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                Author and article information

                Contributors
                Abdulhakeem Almutairi: abdulhakeemAlmutairi@qumed.edu.sa
                Abeer Alaglan: abeeraglan@gmail.com
                Mazyad Alenezi:
                ORCID: http://orcid.org/0000-0002-2153-3055
                mazyad@qumed.edu.sa
                Sultan Alanazy: sultan.alanazy@ucm.edu.sa
                Osama Al-Wutayd: Osama.alwutayd@ucm.edu.sa
                Journal
                Journal ID (nlm-ta): BMC Surg
                Journal ID (iso-abbrev): BMC Surg
                Title: BMC Surgery
                Publisher: BioMed Central (London )
                ISSN (Electronic): 1471-2482
                Publication date (Electronic): 10 January 2020
                Publication date PMC-release: 10 January 2020
                Publication date Collection: 2020
                Volume: 20
                Electronic Location Identifier: 10
                Affiliations
                [1 ]ISNI 0000 0000 9421 8094, GRID grid.412602.3, Department of Otolaryngology, Head and Neck Surgery, , Qassim University, ; Buraydah, Saudi Arabia
                [2 ]ISNI 0000 0000 9421 8094, GRID grid.412602.3, Qassim University, ; Buraydah, Saudi Arabia
                [3 ]ISNI 0000 0000 9421 8094, GRID grid.412602.3, College of Medicine, Qassim University, ; P.O. Box 6655, Buraidah, Qassim 51452 Saudi Arabia
                [4 ]ISNI 0000 0000 9421 8094, GRID grid.412602.3, Department of Family and Community Medicine, Unaizah College of Medicine, , Qassim University, ; Buraydah, Saudi Arabia
                Author information
                http://orcid.org/0000-0002-2153-3055
                Article
                Publisher ID: 677
                DOI: 10.1186/s12893-020-0677-3
                PMC ID: 6954569
                PubMed ID: 31924189
                SO-VID: ec884018-6e9e-4ce5-a064-b01d1cb87656
                Copyright © © The Author(s). 2020
                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 : 23 January 2019
                Date accepted : 6 January 2020
                Categories
                Subject: Case Report
                Custom metadata
                issue-copyright-statement © The Author(s) 2020

                ScienceOpen disciplines: Surgery
                Keywords: nasolabial,cyst,maxillofacial cyst,otorhinolaryngology
                Data availability:
                ScienceOpen disciplines: Surgery
                Keywords: nasolabial, cyst, maxillofacial cyst, otorhinolaryngology

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