Pictures of Globulomaxillary Cyst
Imaging & Surgical Pictures.
This page was last updated: September 17, 2014


Otolaryngology Houston

Bechara Y. Ghorayeb, MD
OTOLARYNGOLOGY - HEAD & NECK SURGERY
Memorial Hermann Professional Building
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Houston, Texas 77043
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JAW CYSTS

Jaw cysts are broadly defined as an epithelial-lined space within bone.

They are classified as being either nonodontogenic (fissural), such as nasopalatine duct cysts, median palatal cysts, globulomaxillary cysts, and nasolabial cysts; or, odontogenic, such as apical cysts, dentigerous cysts, primordial cysts, odontogenic keratocysts, and residual cysts.

Odontogenic and nonodontogenic cysts are distinguished based on the ontogeny of the epithelium rests from which the cysts are thought to derive, with odontogenic jaw cysts arising from tooth development epithelium, and nonodontogenic jaw cysts arising from epithelium trapped during the fusion of upper jaw bones during embryonic development at sites of fissures.

Nonodontogenic jaw cysts may be further differentiated from one another based on anatomic location: nasopalatine duct cyst (incisural canal), medial palatal cyst (midline of hard palate), globulomaxillary cyst (between premaxilla and maxilla) and nasolabial cysts (along side of nose). Of note, some authors have stopped distinguishing nasopalatine duct cysts from medial palatal cysts, arguing that medial palatal cysts are merely more posterior manifestations of a nasopalatine duct cyst.

For more information, click here to read this excellent concise article from the University of Rochester:


http://www.urmc.rochester.edu/smd/rad/neurocases/Neurocase475.htm

  



Globulomaxillary cyst. 
Sagittal, axial and coronal CT scan images of the above shown globulomaxillary cyst. The cyst is round and still encased in an egg shell thin layer of bone.
Surgical picture of globulomaxillary cyst.  The mucosal of the hard palate has been retracted medially to show the fundus of the cystic cavity.
The inferior aspect of the cyst has been closed with a bone autograft.
The palatal mucosal flap was returned to its normal anatomical position and reapproximated with absorbable sutures.