A Case of Cyst in Vestibulum Nasi

Abstract

Of the cyst in the vestibulum nasi reported for the first time by Zuckerkandl in 1893, reported cases have increased, and in our country more than 70 cases have so far been reported. The authros report here one case of this disease which they have recently experienced clinically.
The patient, aged 19 and male, called because he was reminded of the swelling in the left wing of his nose. An examination revealed a diffuse soft swell in the left wing of his nose, upper lip and maxillary parts; its fluctuation and the disappearance of sulcus nasolabialis; the Gerber's upheaval on the front end of his meatus nasi inferior. The probe puncture needle cculd not suck the gluey liquid, which blocked it up. His X-ray photograph showed that the bony line of the nasal bottom was strongly bent downward. An inflammation ocurring in the punctured parts, with pain and discharged pus, necessitated his operation. The operation showed the cyst adhering tightly to the periostium of the maxillary bone on account of the inflammation; spina nasalis anterior becoming hollow; the cyst also adhering tightly to the mucous membrane of the nasal bottom, a part of which was extracted with the cyst. In the histology of the cyst, the authors found a layer of cubic epithelium cells on its inner wall, while in another place they found the sights of inflammation. The progress of the patient after the operation is good.
There have been many theories concerning the causes of this disease. They ate divided into 2 main groups; the theory of retention (Kubo) and the theory of facial fissure (Klestadt). The latter theory is based on an impediment of the development in the viviparous poriod. The difference of the theories is due to that of its glowing part and of its histological sight. Their histological observation led the: authors to favoring the theory of facial fissure (Klestadt).