A Custom-Made Surgical Guide for Accurate Enucleation of Nasopalatine Duct Cysts: A Technical Note and Case Report

Nasopalatine cysts are common nonodontogenic cysts that occur in the maxilla. During the nucleation of large cysts extending to the floor of the nasal cavity, care must be taken to avoid damage to the nasal mucosa. In the present report, an innovative custom-made surgical guide made by a Three-dimen...

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Main Authors: Masako Fujioka-Kobayashi, Naoki Miyasaka, Ayako Miyasaka, Masateru Koyanagi, Ryo Inada, Takahiro Miyasaka, Takafumi Satomi
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2023/9246701
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author Masako Fujioka-Kobayashi
Naoki Miyasaka
Ayako Miyasaka
Masateru Koyanagi
Ryo Inada
Takahiro Miyasaka
Takafumi Satomi
author_facet Masako Fujioka-Kobayashi
Naoki Miyasaka
Ayako Miyasaka
Masateru Koyanagi
Ryo Inada
Takahiro Miyasaka
Takafumi Satomi
author_sort Masako Fujioka-Kobayashi
collection DOAJ
description Nasopalatine cysts are common nonodontogenic cysts that occur in the maxilla. During the nucleation of large cysts extending to the floor of the nasal cavity, care must be taken to avoid damage to the nasal mucosa. In the present report, an innovative custom-made surgical guide made by a Three-dimensional printer is introduced for accurate enucleation surgery. The patient’s cone-beam computerized tomography and dental model scan data were obtained, and a tooth-supported type of surgical guide was designed containing a circular plate structure showing the size of the cystic region, an indicator that showed the position of the bottom of the cyst, and a sliding stopper that was used to accurately indicate the position of the deepest cyst wall. The surgical tool enabled us to indicate the accurate size, location of the cysts, and approach direction. Although effective and accurate navigation systems have become increasingly available, the cost-effective and accurate computer-aided design/computer-aided manufacturing surgical guide system introduced in the present report could support the safe enucleation of large nasopalatine duct cysts.
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institution Kabale University
issn 2090-6455
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publishDate 2023-01-01
publisher Wiley
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series Case Reports in Dentistry
spelling doaj-art-cb1554c1224647dd9ea2b13e907ba5462025-02-03T06:45:40ZengWileyCase Reports in Dentistry2090-64552023-01-01202310.1155/2023/9246701A Custom-Made Surgical Guide for Accurate Enucleation of Nasopalatine Duct Cysts: A Technical Note and Case ReportMasako Fujioka-Kobayashi0Naoki Miyasaka1Ayako Miyasaka2Masateru Koyanagi3Ryo Inada4Takahiro Miyasaka5Takafumi Satomi6Department of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryNasopalatine cysts are common nonodontogenic cysts that occur in the maxilla. During the nucleation of large cysts extending to the floor of the nasal cavity, care must be taken to avoid damage to the nasal mucosa. In the present report, an innovative custom-made surgical guide made by a Three-dimensional printer is introduced for accurate enucleation surgery. The patient’s cone-beam computerized tomography and dental model scan data were obtained, and a tooth-supported type of surgical guide was designed containing a circular plate structure showing the size of the cystic region, an indicator that showed the position of the bottom of the cyst, and a sliding stopper that was used to accurately indicate the position of the deepest cyst wall. The surgical tool enabled us to indicate the accurate size, location of the cysts, and approach direction. Although effective and accurate navigation systems have become increasingly available, the cost-effective and accurate computer-aided design/computer-aided manufacturing surgical guide system introduced in the present report could support the safe enucleation of large nasopalatine duct cysts.http://dx.doi.org/10.1155/2023/9246701
spellingShingle Masako Fujioka-Kobayashi
Naoki Miyasaka
Ayako Miyasaka
Masateru Koyanagi
Ryo Inada
Takahiro Miyasaka
Takafumi Satomi
A Custom-Made Surgical Guide for Accurate Enucleation of Nasopalatine Duct Cysts: A Technical Note and Case Report
Case Reports in Dentistry
title A Custom-Made Surgical Guide for Accurate Enucleation of Nasopalatine Duct Cysts: A Technical Note and Case Report
title_full A Custom-Made Surgical Guide for Accurate Enucleation of Nasopalatine Duct Cysts: A Technical Note and Case Report
title_fullStr A Custom-Made Surgical Guide for Accurate Enucleation of Nasopalatine Duct Cysts: A Technical Note and Case Report
title_full_unstemmed A Custom-Made Surgical Guide for Accurate Enucleation of Nasopalatine Duct Cysts: A Technical Note and Case Report
title_short A Custom-Made Surgical Guide for Accurate Enucleation of Nasopalatine Duct Cysts: A Technical Note and Case Report
title_sort custom made surgical guide for accurate enucleation of nasopalatine duct cysts a technical note and case report
url http://dx.doi.org/10.1155/2023/9246701
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