Nasopalatine cyst

  • In incisive canal
  • Most common non odontogenic cyst
  • Asymptomatic unless 2ry infection

NB: Similar to radicular cyst, therefore rule out by:

  • X-ray
  • Tooth vitality test – vital in nasopalatine
  • History of trauma

Histology

From stratified squamous to pseudostratified columnar

  • Cyst wall:
    • Irregular thickness of fibrous wall
    • Neurovascular bundle
    • Variable inflammatory infiltrate
  • Epithelial lining:
    • Goblet cells
    • Non keratinized stratified squamous epithelium
    • Pseudostratified ciliated columnar epithelium
  • Lumen:
    • Serum exudate
    • Cholesterol clefts
    • Variable inflammatory cells

Radiology

  • Midline radiolucency
  • Symmetrical swelling in anterior palatal midline

Management

  • Surgical enucleation
  • Marsupialization

Picture

1 thought on “Nasopalatine cyst

Comments are closed.