Surgical approach of nasopalatine duct cyst associated with filling with L-PRF: case report

Abstract

Introduction: Non-odontogenic, slow-growing and asymptomatic, the nasopalatine duct cyst (NPCD) can cause aesthetic and functional disorders. The objective is to report a case of CDNP enucleation associated with filling with L-PRF membrane. Case report: Male pat ient, 45 years old, complaining about aesthetics; bad breath; nasal speech; difficulty in feeding and hygiene. An extensive pathological cavity was observed in the anterior, bilateral region of the maxilla, with fibrotic mucosa, caused after extractions. The CT scan showed a delimited hypodense image, projected into the maxillary sinus. Surgical enucleation was performed with the purpose of bone and tissue repair, using L-PRF membranes. Satisfactory post-surgery, with reduced edema; inflammation, absence of infection and intact tissue synthesis. Conclusion: L-PRF is a possible option for filling the cystic cavity after enucleation, in view of the clinical case in question, where good tissue recovery was obtained, reduction of the inflammatory condition and absence of recurrence.