2024 Volume 40 Issue 4 Pages 161-168
Nasopalatine duct cysts are common in males between 30 and 50 years old; however, they are rare in children. We report a pediatric case of large nasopalatine duct cyst. The patient, an 11-year-old male, was referred because of swelling and pain in the anterior maxillary region that had persisted since March 2020. CT showed a large 38×42×31-mm radiolucent cyst in the anterior maxillary region. Contrast-enhanced MRI showed a unilocular, uniform high signal on both T1- and T2-weighted images. Based on imaging and clinical findings, the patient was diagnosed with a nasopalatine duct cyst. Fenestration was performed as well as biopsy in June 2020. After waiting for the cyst to shrink, it was removed with a palatal approach in March 2021. Based on the results of histopathological examination, the patient was diagnosed with a nasopalatine duct cyst. At three years after surgery, there was no evidence of recurrence and effective bone regeneration was observed.