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Dentistry · Oral pathology: cysts and odontogenic tumours: nasolabial cyst
Sample itemA 40-year-old woman has a painless swelling of the upper lip lateral to the midline that lifts the ala of the nose and fills the nasal vestibule floor. Neighbouring teeth are vital and the film shows no bony lesion. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Nasolabial cyst
The nasolabial (nasoalveolar) cyst is a soft tissue developmental cyst, thought to arise from the nasolacrimal duct or embryonic fissural epithelium. It elevates the ala nasi and obliterates the nasolabial fold, and it is excised through an intraoral approach.
Option by option
A. Dentigerous cyst
A dentigerous cyst surrounds the crown of an unerupted tooth in bone.
B. Radicular cyst
A radicular cyst arises from a non-vital tooth and produces a bony radiolucency.
C. Nasopalatine duct cyst
A nasopalatine duct cyst lies in the midline of the palate and shows a radiolucency in bone.
D. Nasolabial cyst (correct)
Correct. A soft tissue cyst lifting the ala with no bone lesion is nasolabial.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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