From the Research
The recommended treatment for a nasopalatine duct cyst in the anterior maxilla is complete surgical enucleation of the cyst through an intraoral approach. This approach is supported by the most recent and highest quality study available, which emphasizes the importance of complete removal of the cyst to prevent recurrence and allow for histopathological examination 1. The procedure typically involves raising a mucoperiosteal flap in the anterior palate, careful removal of the entire cyst lining, curettage of the bony cavity, and primary closure of the wound.
Some key points to consider in the treatment of nasopalatine duct cysts include:
- Local anesthesia is usually sufficient, though larger cysts may require general anesthesia
- Prior to surgery, a thorough clinical and radiographic examination, including CBCT imaging, is essential to determine the exact size and location of the cyst and its relationship to adjacent structures like the nasopalatine nerve and incisive canal
- Postoperatively, patients should be prescribed analgesics and antibiotics to prevent infection, and chlorhexidine mouthwash to maintain oral hygiene
- Follow-up appointments at one week and three months are important to monitor healing and check for recurrence
It's worth noting that other studies have also supported the use of surgical enucleation for the treatment of nasopalatine duct cysts, including a study from 2004 that reported low recurrence rates with this approach 2, and another study from 2013 that emphasized the importance of complete removal of the cystic tissue 3. However, the most recent and highest quality study available, published in 2024, provides the strongest evidence for the recommended treatment approach 1.