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a, b: CT without contrast showing a right inferior nasal alar region mass measuring 3.2*2.2*2.5 cm exhibiting an isodense to hypodense texture. There is a mass effect upon the maxilla causing scalloping. No bone destruction. c, d: CT with contrast showing no significant enhancement within the mass
Source publication
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...
Contexts in source publication
Context 1
... scan done showed a right inferior nasal alar region space-occupying lesion, measuring 3.2 × 2.2 × 2.5cm, which exhibits isodense to hypodense texture. There was no enhancement or bone destruction. It was causing a mass effect upon the maxilla, causing scalloping (Fig. ...
Citations
... [3] The nasolabial cyst accounts for 0.7% of all the non-odontogenic cysts. [4] This cyst is commonly found in the fourth to fifth decades of life and more in African-American women. [5] They are usually found submucosally in the anterior nasal floor and can displace the inferior turbinate medially. ...
... [5] They are usually found submucosally in the anterior nasal floor and can displace the inferior turbinate medially. [4] Patients often present with deformity and nasal block. There is slow painless swelling seen over several years, but the patient may manifest with an acute painful swelling if the nasolabial cyst becomes infected. ...
... The nasolabial cysts are thought to be developmental and originate from the non-odontogenic epithelium. [4] However, the exact cause of origin is controversial. Two important theories have been postulated about pathogenesis. ...
Background
Nasolabial cysts are non-odontogenic cysts that arise from the nasal alar area. Sublabial resection of the nasolabial cyst is considered an effective surgical modality of treatment.
Objective
This study aimed to evaluate the clinical presentation, diagnosis and treatment of nasolabial cyst at a tertiary care teaching hospital in eastern India.
Methods
This was a retrospective study of 38 cases of nasolabial cysts managed between May 2018 and June 2022. The detailed clinical presentations, investigations and treatment of nasolabial cysts of the patients were studied.
Results
Out of 38 cases of the nasolabial cyst, 22 (57.9%) were seen on the left side, 13 (34.2%) were seen on the right side and 3 were seen bilaterally. The most common presenting complaint was facial swelling (84.2%). Computed tomography of the nose and paranasal sinuses was done in 24/38 (70.5%) patients studied. Surgical excision of the nasolabial cysts was done by intraoral sublabial approach in 32 (84.2%) cases and 6 underwent endoscopic transnasal marsupialisation. The most common post-operative complication was post-operative facial/perinasal swelling. One case of recurrence was reported who underwent endoscopic transnasal marsupialisation.
Conclusions
Nasolabial cysts are an uncommon clinical entity but manifest cosmetic deformity and nasal obstruction. Intraoral sublabial excision and endoscopic transnasal marsupialisation are important surgical techniques for the nasolabial cyst. The post-operative complications and chance of recurrence are rare.
... Although the nasolabial cysts are developmental in origin, they do not manifest themselves until adult age. [1] The clinical feature such as facial deformity of the nasolabial is often considered pathognomonic for easy diagnosis. [3] The submucosal position at the anterior nasal floor is a very characteristic and constant feature of the nasolabial cyst. ...
... In the histopathological study of the nasolabial cyst, there is pseudostratified columnar epithelium lining in the majority of cases, although stratified squamous and cuboidal epithelium, and goblet cells may be seen. [1] The supporting connective tissue of the nasolabial cyst is fibrous, and usually contains components of the adjacent skeletal muscles. Care should be taken not to rupture the cyst and should be removed intact. ...
... [1] A nasolabial cyst is a benign, slow-growing and primarily unilateral, extraosseous soft-tissue mass found in the nasal alar region below the nasolabial cyst. [2] Nasolabial cysts are rare cystic lesions situated close to the alar cartilage of the nose, extending to the lower nasal meatus, the upper gingivolabial sulcus and the floor of the nasal cavity near the vestibule. [1] It causes painless swelling at the sublabial folds, lips and face and also results in nasal obstruction. ...
... [16] Currently, the treatment of choice for the nasolabial cyst is a complete excision. [2] In the case of the infected nasolabial cyst, the patient will be administered broad-spectrum antibiotics for preventing infections. The most popular approach for excision of the nasolabial cyst is the intraoral sublabial approach where the incision is made at the upper buccal sulcus. ...
Rationale: Showcasing this clinical case report is of essential importance to shed the light on this rare condition propelling advancement
in clinical rationale to detect and manage such cases. Patient concern: A 35‑year‑old female attended the outpatient department of
otorhinolaryngology with complaints of swelling in the facial area near both sides of the nasolabial groove. Diagnosis: Computed
tomography (CT) scan of the nose and paranasal sinuses showed a non‑odontogenic cyst on both sides of the nasolabial area.
Interventions: The patient underwent sublabial excision of the nasolabial cyst under general anaesthesia. Outcome: There were no
post‑operative complications. The histopathological examination confirmed the nasolabial cyst. Lessions: Infections of the nasolabial cyst
is rare clinical entity and should be promptly managed.
... It was first reported by Emil Zuckerkandl in 1882. 1 Nasolabial cysts are usually located in the soft tissue between the nasolabial fold and maxillary bone. They have been known by many names, such as nasal vestibular cyst, nasoalveolar cyst, nasal mucoid cyst, nasal wing cyst, and nasoglobular cyst. 2 The estimated annual incidence of nasolabial cysts among the general population is about 1.6 per 100,000 people, and these cysts are clinically more common in women with a male:female ratio of about 1.0:3.6. ...
Objective
To compare the clinical diagnostic value of ultrasonography (USG), computed tomography (CT), and magnetic resonance imaging (MRI) for nasolabial cysts.
Methods
The clinical and imaging data of 20 patients with 21 nasolabial cysts confirmed surgically and histopathologically were retrospectively analyzed.
Results
The largest cyst was 3.4 × 2.7 × 2.3 cm, and the smallest cyst was 1.1 × 0.7 × 0.5 cm. All cysts were located in the soft tissue between the nasolabial fold and maxillary bone. USG showed sensitivity of 95%, accuracy of 95%, and a missed diagnosis rate of 5%; CT showed sensitivity of 80%, accuracy of 80%, and a missed diagnosis rate of 20%; and MRI showed sensitivity of 85%, accuracy of 85%, and a missed diagnosis rate of 15%.
Conclusions
USG showed higher sensitivity and accuracy and a lower missed diagnosis rate than CT and MRI. Therefore, USG is worth popularizing on a large scale for the diagnosis of nasolabial cysts.
... 4 Nazolabiyal kistler, sıklıkla burun tabanı anteriorunda submukozal yerleşimli yumuşak doku kistleridir ve tüm nonodontojenik kistlerin %0.7'sini oluşturur. 5 Genellikle sol tarafta görülür ve literatürde olguların sadece %10'unda bilateralite bildirilmektedir. 6 Patogenezinde birçok teori öne sürülmesine rağmen halen etiyolojisi belirsizdir. ...
ZET Nazolabiyal kistler, genellikle tek taraflı olan, burun tabanı anteriorunda submukozal olarak ge-lişen, nadir görülen, nonodontojenik, ektodermal orijinli ve ekstraosseöz yumuşak doku kistleridir. Tüm nonodontojenik kistlerin %0.7'sini oluştururlar. Bilateral vakalar sadece %10 olarak bildirilmiştir. Em-briyolojik olarak nazolakrimal kanal epitelinin kalıntılarından kaynaklandığı öne sürülmektedir ancak kesin etiyolojisi halen belirsizdir. Hastalar genellikle şişlik ve yüzde şekil bozukluğu, nadiren de lokal ağrı ile başvururlar. Tanıda klinik ve radyolojik değerlendirme yer alır ancak kesin tanısı histopatolojik olarak konulmaktadır. Ayırıcı tanıda odontojenik lezyonlar, tükürük bezi neoplazileri, dermoid ve epi-dermoid kistler düşünülmelidir. Tedavisi kistin cerrahi olarak total eksizyonudur. Anah tar Ke li me ler: Nazolabiyal kist; klestadt's kist; nonodontojenik kist ABS TRACT Nasolabial cysts are rare, nonodontogenic, extraosseous soft tissue cyst of ectodermal origin that develop submucosally on the anterior nasal floor usually unilaterally. They constitute 0.7% of all nonodontogenic cysts. Bilateral cases have been reported as only 10%. It is suggested that nasolabial cysts arise embryologically from remnants of the nasolacrimal duct epithelium, but its exact etiology is still unclear. Patients usually present with swelling and facial deformity, and rarely with local pain. The diagnosis includes clinical and radiological evaluation, but the definitive diagnosis is made histopatho-logically. Odontogenic lesions, salivary gland neoplasms, dermoid and epidermoid cysts should be considered in the differential diagnosis. Its treatment is complete surgical excision of the cystic tissue.
... It accounts for about 0.7% of non-odontogenic cysts and usually manifests clinically as a non-painful swelling that obliterates the nasolabial fold, and can also cause nasal obstruction and recurrent infections. [1][2][3][4] The classic surgical treatment is the removal of the cyst through a sublabial transoral approach. For the first time in 1999 and over the following years, the transnasal endoscopic approach with marsupialization of the cyst has been increasingly described. ...
... Despite this embryological origin, they usually only manifest in the fourth or fifth decade of life. 1,4,5 Most patients have a typical presentation of swelling in the nasolabial fold region, and seek medical assistance due to the aesthetic deformity. 9 These cysts can also cause recurrent infections, epistaxis, and nasal obstruction, especially in larger lesions. ...
... Ultrasound has also been reported as a cost-effective imaging modality. 1,3,9 Regarding surgical treatment, the classic and most commonly used technique is the intraoral sublabial excision. Recurrences with this technique are rare, and postoperative complications not common, but facial and perinasal swelling, gingival and teeth numbness, and nasal floor mucosal tear can occur. ...
... Computed tomography (CT) scan / Magnetic resonance imaging (MRI) scan is the diagnostic modality of choice to diagnose nasolabial cysts. [6][7][8] They reveal the soft tissue origin of cysts. CT scan shows homogenous, non-contrast enhancing cystic lesions in deep lateral nasal areas. ...
... Surgical enucleation is the preferred mode of management. [5][6][7][8] Sublabial intraoral approach was preferred in this patient and cyst was completely excised. ...
Nasolabial cysts, also known as Klestadt's cysts are non-odontogenic cysts of nasal alar region. They are usually located between upper lip and vestibule. They are rare with an overall incidence of 0.7% out of all maxillofacial cysts and are mostly unilateral (90%). There is a female preponderance with a 3:1 ratio and mostly occurs in 4th-5th decade of life. Treatment is mainly excision or enucleation. Herein, we present a case of 40-year-old female with nasolabial cyst along with its clinical features, differential diagnosis, histopathological evaluation and management.
... Klestadt [2] had studied about the same in the year 1953 and the lesion was known as Klestadt cyst. The incidence of nasolabial cyst is found to be 0.7% among all maxillofacial cysts [3]. It is common in fourth to fifth decades of life [4]. ...
Nasolabial cyst or klestadt's cyst is a rare nonodontogenic lesion occurring in the maxillofacial region. It is commonly seen in the nasoalveolar area, lateral to ala of nose. It is usually asymptomatic and is often ignored by the patient unless it enlarges in size resulting in cosmetic deformities. It is often challenging not only to maxillofacial surgeons but also to other head and neck surgeons. It is often misdiagnosed as other common dental related or odontogenic lesions and mistreated. Here we are describing such a surgically managed case as a case report and also discussing the etiopathogenesis and management.
... Nasolabial cyst is a soft tissue cyst that is often located submucosally in the anterior nasal floor [2]. These cysts account for 0.7% of all non-odontogenic cysts [4]. ...
... Nasolabial cyst commonly arises on the left side. Bilaterality is reported in only 10% of cases in the literature [4]. ...
The nasolabial cyst is a rare, non-odontogenic, soft tissue cyst that develops submucosally in the anterior nasal floor. This cyst accounts for 0.7% of all non-odontogenic cysts. Bilateral nasolabial cyst represents only 10% of the cases. This cyst originates from the remnants of embryonic nasolacrimal duct tissue. Generally, patients present with swelling and facial deformity and rarely local pain. The definite diagnosis should be based on clinical, radiological and above all histopathologic findings. The treatment is enucleation of the cystic tissue. Following is a case report of a bilateral nasolabial cyst in a 40-year-old woman who presented with a chronic nasal obstruction.
... Sheikh et al. reported that the average age of patients with nasolabial cysts was 41.8, the incidence of female/male was 3.6/1 and that they were most common in the anterior region of the left maxilla [31]. Almutairi et al. stated that nasolabial cysts are observed usually in black women, and in the 4th and 5th decades of life [32]. Grosmann et al. found out that the incidence of nasolabial cysts was 1% and the incidence of male/female ratio was 6.3/1 (24). ...
