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Case Report

Bilateral Endoscopic Endonasal Marsupialization of Nasopalatine Duct Cyst

by
Yohei Honkura
,
Kazuhiro Nomura
*,
Hidetoshi Oshima
,
Yusuke Takata
,
Hiroshi Hidaka
and
Yukio Katori
Department of Otolaryngology-Head and Neck Surgery, Tohoku University Graduate School of Medicine, Miyagi, Japan
*
Author to whom correspondence should be addressed.
Clin. Pract. 2015, 5(1), 748; https://doi.org/10.4081/cp.2015.748
Submission received: 8 January 2015 / Revised: 8 January 2015 / Accepted: 3 February 2015 / Published: 5 February 2015

Abstract

Nasopalatine duct cysts are the most common non-odontogenic cysts in the maxilla, and are conventionally treated through a sublabial or palatine approach. Recently, the endoscopic approach has been used, but experience is extremely limited. We treated a 29-year-old male with nasopalatine duct cyst by endoscopic marsupialization, but paresthesia of the incisor region occurred after surgery. This paresthesia gradually remitted within 6 months. The nasopalatine nerve, which innervates the upper incisor region, enters two lateral canals separately at the nasal floor and exits the central main canal at the palate. Damage to the bilateral nasopalatine nerves might lead to paresthesia, so we recommend careful examination for nerve fibers during endoscopic surgery, especially if fenestration is performed on both sides.
Keywords: endoscope; incisive canal; nasopalatine duct; nasopalatine nerve; sensation endoscope; incisive canal; nasopalatine duct; nasopalatine nerve; sensation

Share and Cite

MDPI and ACS Style

Honkura, Y.; Nomura, K.; Oshima, H.; Takata, Y.; Hidaka, H.; Katori, Y. Bilateral Endoscopic Endonasal Marsupialization of Nasopalatine Duct Cyst. Clin. Pract. 2015, 5, 748. https://doi.org/10.4081/cp.2015.748

AMA Style

Honkura Y, Nomura K, Oshima H, Takata Y, Hidaka H, Katori Y. Bilateral Endoscopic Endonasal Marsupialization of Nasopalatine Duct Cyst. Clinics and Practice. 2015; 5(1):748. https://doi.org/10.4081/cp.2015.748

Chicago/Turabian Style

Honkura, Yohei, Kazuhiro Nomura, Hidetoshi Oshima, Yusuke Takata, Hiroshi Hidaka, and Yukio Katori. 2015. "Bilateral Endoscopic Endonasal Marsupialization of Nasopalatine Duct Cyst" Clinics and Practice 5, no. 1: 748. https://doi.org/10.4081/cp.2015.748

APA Style

Honkura, Y., Nomura, K., Oshima, H., Takata, Y., Hidaka, H., & Katori, Y. (2015). Bilateral Endoscopic Endonasal Marsupialization of Nasopalatine Duct Cyst. Clinics and Practice, 5(1), 748. https://doi.org/10.4081/cp.2015.748

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