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Abstract

Background: Nasolabial cysts also known as Klestadt’s cysts are relatively rare benign epithelial non-odontogenic soft tissue cysts that arise from the nasal alar region. Sublabial excision or transnasal endoscopic marsupialization is the standard treatment. Sublabial resection of the nasolabial cyst with unilateral nasal packing is considered as the most effective surgical modality of treatment.
Objective: The main aim of this study is to compare between both the methods to assess the intra-and post-operative outcomes and complications. To evaluate the clinical presentation, diagnosis and best modality of treatment of nasolabial cyst at our medical college hospital.
Patients And Methods: This is a retrospective study of 28 cases of nasolabial cysts managed between 2021 to 2024. Twenty eight patients presented by unilateral nasolabial cyst were included in this study and divided into two equal groups: Sublabial excision with Nasal packing (Group A – 14 patients) and Sublabial excision without Nasal packing (Group B – 14 patients). For all patients, postoperative pain, postoperative complications and recurrence of the nasolabial cyst were documented.
Results: Out of 28 patients of the nasolabial cyst, females were predominant 67.8%. Left side is more common 18 (64.2%) than Right side 10 (35.8%). All cases presented with nasal swelling and cosmetic disfigurement, unilateral nasal obstruction in 23 (82.15%), and pain in 3 (10.7%). Surgical site hematoma is less in group A 2 (7.14%) compared to group B 6 (21.4%). Nasal mucosal perforation during follow-up is less in group A 1 (3.57%) compared to group B 3 (10.7%). The overall complications were significantly lower in group A 3 (21.4%) when compared to group B 6 (42.8%). During 12 to 24 months of follow-up, no recurrence was detected in both the groups.
Conclusion: Nasolabial cysts are not a common clinical entity and present with swelling over the upper lip and nasal obstruction. Intraoral sublabial approach is the most common surgical techniques for excision of the nasolabial cyst. After surgical excision, unilateral nasal packing will prevent further postoperative complications and chance of recurrence are rare.