Nasolabial Cyst Associated with Odontogenic Infection

Abstract

The nasolabial cyst or Klestadt cyst is a relatively uncommon nonodontogenic cyst that develops in the nasal alar region; it has uncertain pathogenesis. This lesion has slow growth and variable dimensions and is characterized clinically by a floating tumefaction in the nasolabial fold area around the bridge of the nose, causing an elevation of the upper lip and relative facial asymmetry. Diagnosis is primarily made clinically; if necessary, this is complemented by imaging. This paper reports the case of a 39-year-old male patient who complained of pain in the right upper premolar region and poor aesthetics due to a firm tumor in the right wing of the nose. Initially, this was thought to be due to an odontogenic abscess; however, the differential diagnosis was that a nasolabial cyst was communicating with the apex of teeth 14 and 15. Surgical treatment was carried out, followed by histopathological examination and concomitant endodontic treatment of the teeth involved.

Nasolabial cyst in an elderly patient: A case report

“…Finally, epithelial inclusion cysts of the skin may be clinically of yellowish coloration while most cases of nasolabial cysts present with normal or bluish coloration. [15][16][17] In the present case, the NC had been previously misdiagnosed as an odontogenic abscess related to the left upper incisors, which were unnecessarily extracted.…”

“…The differential diagnosis of NC includes numerous odontogenic and non-odontogenic lesions occurring in the anterior maxillary region, including radicular cyst, periapical abscess, minor salivary gland tumour, benign mesenchymal tumours, and dermoid or epidermoid cyst. [10][11][12][13][14][15][16][17] Therefore, several diagnostics methods are available to F I G U R E 1 Clinical and macroscopic features of nasolabial cyst in an older woman. (A) Extraoral examination revealed a left facial asymmetry caused by a soft painless swelling in the nasolabial fold, (B) with extension to the upper labial mucosa.…”

Nasolabial cyst: a case report

“…The most common and effective treatment is complete surgical excision of the cyst, usually performed intraorally via a gingivolabial incision, under local or general anaesthesia. A transnasal approach of endoscopic marsupialisation of nasolabial cysts is described that according to some, but not all studies shows good therapeutic results. In a prospective randomised study it was concluded that both methods are effective.…”

A Rare Klestadt’s Cyst

“…In long-standing cases, the cyst wall may contain fibrous tissue. The presence of this fibrous tissue in the cyst capsule will facilitate complete enucleation (5)…”