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Diagnosis and management of bilateral nasolabial cysts.

Parwani R, Parwani S, Wanjari S - J Oral Maxillofac Pathol (2013)

Bottom Line: At few places, stratified squamous and pseudostratified columnar epithelia with many cilia and goblet cells were also evident.Capsule was loosely arranged with fibrous tissue and chronic inflammatory infiltrate.Left-sided cystic specimen showed two or more layered stratified squamous lining epithelium with thin capsule.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral Pathology, Modern Dental College and Research Centre, Indore, Madhya Pradesh, India.

ABSTRACT
Nasolabial cysts are painless, submucosal, non-odontogenic jaw cysts presenting as soft tissue swellings in the maxillary anterior mucolabial fold lateral to midline, leading to elevation of nasal ala. Present case documents bilateral nasolabial cysts in a 69-year-old Asian female patient. In the present case, extraoral swelling of maxillary lip and elevation of nasal ala was observed on right side of the face. Intraorally, soft and fluctuant bilateral cysts were observed. Straw-colored fluid was aspirated from the right cyst. Radiographically, erosion of bone in a "cupping" fashion was observed in the region of left cyst. The cysts were enucleated using intraoral approach. Histopathology of the right-sided cyst revealed a cystic cavity lined by stratified squamous cells along with a few mucosal cells. At few places, stratified squamous and pseudostratified columnar epithelia with many cilia and goblet cells were also evident. Capsule was loosely arranged with fibrous tissue and chronic inflammatory infiltrate. Left-sided cystic specimen showed two or more layered stratified squamous lining epithelium with thin capsule. Diagnosis of bilateral nasolabial/nasoalveolar cysts was confirmed.

No MeSH data available.


Related in: MedlinePlus

(a) Clinical picture showing extraoral swelling and elevation of alar base on the right side. (b) Clinical picture showing intraoral swelling in the labial vestibule on the right side. (c) Straw-colored fluid on aspiration from the right-sided cyst
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Figure 1: (a) Clinical picture showing extraoral swelling and elevation of alar base on the right side. (b) Clinical picture showing intraoral swelling in the labial vestibule on the right side. (c) Straw-colored fluid on aspiration from the right-sided cyst

Mentions: A 69-year-old female reported to the Dental college with a chief complaint of an extraoral swelling on the right side of her upper lip and elevation of the alar base [Figure 1a] since 7-8 months. History of present illness revealed that the swelling had increased in size since its initiation but was not associated with any pain, drainage through oral/nasal cavity or difficulty in breathing through nasal obstruction. Furthermore, there was no history of dacryocystitis/watery eyes but there was a swelling intraorally corresponding to this extraoral swelling which was obliterating the labial vestibule on that side.


Diagnosis and management of bilateral nasolabial cysts.

Parwani R, Parwani S, Wanjari S - J Oral Maxillofac Pathol (2013)

(a) Clinical picture showing extraoral swelling and elevation of alar base on the right side. (b) Clinical picture showing intraoral swelling in the labial vestibule on the right side. (c) Straw-colored fluid on aspiration from the right-sided cyst
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3927353&req=5

Figure 1: (a) Clinical picture showing extraoral swelling and elevation of alar base on the right side. (b) Clinical picture showing intraoral swelling in the labial vestibule on the right side. (c) Straw-colored fluid on aspiration from the right-sided cyst
Mentions: A 69-year-old female reported to the Dental college with a chief complaint of an extraoral swelling on the right side of her upper lip and elevation of the alar base [Figure 1a] since 7-8 months. History of present illness revealed that the swelling had increased in size since its initiation but was not associated with any pain, drainage through oral/nasal cavity or difficulty in breathing through nasal obstruction. Furthermore, there was no history of dacryocystitis/watery eyes but there was a swelling intraorally corresponding to this extraoral swelling which was obliterating the labial vestibule on that side.

Bottom Line: At few places, stratified squamous and pseudostratified columnar epithelia with many cilia and goblet cells were also evident.Capsule was loosely arranged with fibrous tissue and chronic inflammatory infiltrate.Left-sided cystic specimen showed two or more layered stratified squamous lining epithelium with thin capsule.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral Pathology, Modern Dental College and Research Centre, Indore, Madhya Pradesh, India.

ABSTRACT
Nasolabial cysts are painless, submucosal, non-odontogenic jaw cysts presenting as soft tissue swellings in the maxillary anterior mucolabial fold lateral to midline, leading to elevation of nasal ala. Present case documents bilateral nasolabial cysts in a 69-year-old Asian female patient. In the present case, extraoral swelling of maxillary lip and elevation of nasal ala was observed on right side of the face. Intraorally, soft and fluctuant bilateral cysts were observed. Straw-colored fluid was aspirated from the right cyst. Radiographically, erosion of bone in a "cupping" fashion was observed in the region of left cyst. The cysts were enucleated using intraoral approach. Histopathology of the right-sided cyst revealed a cystic cavity lined by stratified squamous cells along with a few mucosal cells. At few places, stratified squamous and pseudostratified columnar epithelia with many cilia and goblet cells were also evident. Capsule was loosely arranged with fibrous tissue and chronic inflammatory infiltrate. Left-sided cystic specimen showed two or more layered stratified squamous lining epithelium with thin capsule. Diagnosis of bilateral nasolabial/nasoalveolar cysts was confirmed.

No MeSH data available.


Related in: MedlinePlus