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Mucous retention cyst in maxillary sinus indicated by the asymmetrical blue lump to the right of the nose The most common location to find a mucocele is the inner surface of the lower lip. It can also be found on the inner side of the cheek (known as the buccal mucosa ), on the anterior ventral tongue , and the floor of the mouth .
Nasopharyngeal cyst refers to cystic swelling arising from midline and lateral wall of the nasopharynx. The commonest cyst arising from lateral wall is the nasopharyngeal branchial cyst, whereas the mucus retention cysts are the commonest to arise from the midline. [1] Sometimes nasopharyngeal cyst may directly refer to Tornwaldt cyst. [2]
Oral mucocele is the most common benign lesion of the salivary glands generally conceded to be of traumatic origin. It is characterized by the pooling of mucus in a cavity due to the rupture of salivary ducts or acini. It can occur in the lower lip, palate, cheeks, tongue and the floor of the mouth.
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Although it was originally postulated that the cyst formed from trapped epithelial cells during embryonic fusion of the palatal bones, [3] it is now thought that it forms from oronasal ducts present within the incisive canals. [4] [5] As a cyst, the nasopalatine duct cyst requires histological analysis for a definitive diagnosis.
Minor trauma to the floor of the mouth is thought to damage the delicate ducts that drain saliva from the sublingual gland into the oral cavity. [2] The lesion is a mucous extravasation cyst (mucocele) of the floor of mouth, although a ranula is often larger than other mucoceles (mainly because the overlying mucosa is thicker). [3]
For example, mucous cyst of the oral mucosa and nasolabial duct cyst are not of odontogenic origin. In addition, there are several conditions with so-called ( radiographic ) ' pseudocystic appearance' in jaws; ranging from anatomic variants such as Stafne static bone cyst , to the aggressive aneurysmal bone cyst .
A mucous retention cyst was found in one patient, but this was not considered to have contributed to the sialadenitis in this case. [8] The duration of the sialadenitis was found to be closely linked to atrophy, fibrosis and the degree of the inflammation in another study, which looked primarily at microliths found in the ducts and glands. [9]
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