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VOLUME 14 , ISSUE 2 ( May-August, 2022 ) > List of Articles
Henrique Rodrigues Teixeira, Mariana Branco Lopes, Anita Paupério Abreu, Maria Helena Rosa, Luis Antunes
Keywords : Case report, Nasolabial cyst, Non-odontogenic cyst, Sublabial approach, Transnasal marsupialization
Citation Information : Teixeira HR, Lopes MB, Abreu AP, Rosa MH, Antunes L. Transnasal Marsupialization of Nasolabial Cyst: A Case Report. Int J Otorhinolaryngol Clin 2022; 14 (2):69-70.
License: CC BY-NC 4.0
Published Online: 17-06-2022
Copyright Statement: Copyright © 2022; The Author(s).
Aim: Report a case of a nasolabial cyst treated through a transnasal approach with marsupialization of the lesion. Background: Nasolabial cysts are rare non-odontogenic lesions of the alar nasal region. The classic surgical treatment is the excision of the cyst through a sublabial transoral approach; however, a transnasal endoscopic approach has been increasingly described. Case description: We report a case of a 72-year-old female patient who presented with a nasal swelling in the left alar region, with associated asymmetry of the nasolabial fold and partial obstruction of the left nasal vestibule. The computed tomography showed an expansile cystic lesion with regular contours, accompanied by bone remodeling without destruction. The patient was submitted to transnasal marsupialization of the lesion, which was performed under local anesthesia. The postoperative period was uneventful, with complete resolution of complaints. Conclusion and clinical significance: Marsupialization of the nasolabial cyst via a transnasal route is an effective therapeutic approach. The conventional and still most commonly used technique in many centers is the intraoral sublabial excision, but when comparing both techniques, the transnasal marsupialization seems to be less invasive, have a shorter surgical time and overall fewer postoperative complications. Otorhinolaryngologists must be aware of this rare lesion and the possible treatment modalities to best manage their patients.
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