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J Surg Case Rep. 2016 May 19;2016(5). doi: 10.1093/jscr/rjw090.

Surgical treatment option of the patent nasopalatine duct: a case report.

Journal of surgical case reports

Peter Werder, Renzo Bassetti, Johannes Kuttenberger

Affiliations

  1. Department of Oral and Maxillofacial Surgery, Lucerne Cantonal Hospital, Lucerne, Switzerland [email protected].
  2. Department of Oral and Maxillofacial Surgery, Lucerne Cantonal Hospital, Lucerne, Switzerland.

PMID: 27197612 PMCID: PMC4872504 DOI: 10.1093/jscr/rjw090

Abstract

The nasopalatine duct (NPD) is a bilateral, epithelium-lined oronasal communication formed in the early fetal period. It connects the oral cavity with the nasal cavity within the primary palatal process. Mostly, the NPD obliterates during prenatal development and only epithelial remnants can be found after birth. A persistent NPD is therefore considered a developmental abnormality that often exists undetected without any clinical signs of discomfort. The presence of a persisting NPD, however, can be associated with pain sensation in the anterior maxilla. Differential diagnosis of the patent NPD is of importance, in order to prevent unnecessary therapy, such as endodontic treatment or tooth extractions. The present case report describes the diagnostic procedures, surgical treatment and follow-up of the patent NPD in a 53-year-old female patient suffering from maxillary pain caused by a patent NPD.

Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2016.

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