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VOLUME 14 , ISSUE 2 ( May-August, 2022 ) > List of Articles

CASE REPORT

Transnasal Marsupialization of Nasolabial Cyst: A Case Report

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.

DOI: 10.5005/jp-journals-10003-1404

License: CC BY-NC 4.0

Published Online: 17-06-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

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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  1. Almutairi A, Alaglan A, Alenezi M, et al. Nasolabial Cyst: Case Report and Review of Management Options. BMC Surg 2020;20(1):10. DOI: 10.1186/s12893-020-0677-3.
  2. Rodrigues BTG, Fischer A, Romañach MJ, et al. Nasolabial Cyst in an Elderly Patient: A Case Report. Gerodontology 2021;38(3):317–320. DOI: 10.1111/ger.12521.
  3. Nilesh K. Nasolabial Cyst: A Rare Non-Odontogenic Orofacial Cyst. BMJ Case Rep 2020;13(6):e235621. DOI: 10.1136/bcr-2020-235621.
  4. Lee DH, Yoon TM, Lee JK, et al. Surgical Treatment of Nasolabial Cysts in a Single Institute. J Laryngol Otol 2020:1–4. DOI: 10.1017/S0022215119002111.
  5. Su CY, Chien CY, Hwang CF. A New Transnasal Approach to Endoscopic Marsupialization of the Nasolabial Cyst. Laryngoscope 1999;109(7 Pt 1): 1116–1118. DOI: 10.1097/00005537-199907000-00020.
  6. Ramos TC, Mesquita RA, Gomez RS, et al. Transnasal Approach to Marsupialization of the Nasolabial Cyst: Report of 2 Cases. J Oral Maxillofac Surg 2007;65(6):1241–1243. DOI: 10.1016/j.joms.2005.10.049.
  7. Lee JY, Baek BJ, Byun JY, et al. Comparison of Conventional Excision via a Sublabial Approach and Transnasal Marsupialization for the Treatment of Nasolabial Cysts: A Prospective Randomized Study. Clin Exp Otorhinolaryngol 2009;2(2):85–89. DOI: 10.3342/ceo.2009.2.2.85.
  8. Chao WC, Huang CC, Chang PH, et al. Management of Nasolabial Cysts by Transnasal Endoscopic Marsupialization. Arch Otolaryngol Head Neck Surg 2009;135(9):932–935. DOI: 10.1001/archoto.2009.111.
  9. Sheikh AB, Chin OY, Fang CH, et al. Nasolabial Cysts: A Systematic Review of 311 Cases. Laryngoscope 2016;126(1):60–66. DOI: 10.1002/lary.25433.
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