Tornwaldt’s Cyst – Comments on Clinical Cases

Budu, Vlad Andrei; Decuseară, Tatiana; Costache, Andreea-Nicoleta; Sava, Lavinia Georgiana; B, Dima; Tușaliu, Mihai

doi:10.17352/2455-1759.000040

Cited by 1 publication

(6 citation statements)

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“…Tornwaldt cyst is the result of notochord retracting from its contact point with the endoderm of the primitive pharynx, creating a persistent communication between the roof of nasopharynx and the notochord. The cyst is located at the posterior median wall of the nasopharynx, although sometimes can be found slightly off midline [9,10].…”

Section: Resultsmentioning

confidence: 99%

“…This happens as more mucous secreted into the cyst, either spontaneously or secondary to inflammation. Edema of the orifice leads to the continuous of the cycle [10].…”

Section: Resultsmentioning

confidence: 99%

“…Some cases also develop cranial nerve paralysis. If the cyst is infected, it can manifest as halitosis [9,10]. Even fewer cases reported Tornwaldt cyst as the cause of vertigo or dizziness and tinnitus [11,12].…”

Section: Resultsmentioning

confidence: 99%

“…Nasal endoscopy will show smooth midline mass on the posterior wall of the nasopharynx. On CT imaging, the cyst appears as welldefined low density mass in the roof of nasopharynx [10].…”

Section: Resultsmentioning

confidence: 99%

“…Drainage alone can lead to recurrence, so it is advised to do surgical marsupialization under general anesthesia to prevent such cases. The surgery can be performed by endoscopy using powered instruments or microdebrider, as in this case, allowing faster operation time, less bleeding, less trauma and smaller costs, compared to laser technique [10].…”

Section: Resultsmentioning

confidence: 99%

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Tornwaldt Cyst: Rare Benign Neoplasm Mimicking Nasopharyngeal Carcinoma

Gunterus¹,

Monik²

2021

Advances in Health Sciences Research

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Nasopharyngeal cancer (NPC) is the fifth most common cancer in Indonesia and highest in head and neck area. Its most common manifestations ever reported in Indonesia were unilateral ear problem, followed by persistent nasal obstruction, blood nasal secretion, cephalgia, lymph node enlargement, and tinnitus. Here we present a case of Tornwaldt cyst with symptoms similar to NPC presentation in Indonesia. A 56-year-old female presented to Ear, Nose, Throat, Head and Neck Surgery clinic with few years history of vertigo, aural fullness, unilateral tinnitus, bilateral nasal blockage, and headache. ENT endoscopic examination showed retracted left tympanic membrane and smooth round mass in the nasopharynx posterior wall. CT scan supported the examination. Endoscopic marsupialization was then performed with good results of immense symptoms improvement. Laboratory studies of the samples taken from the surgery proved it wasn't malignant. As NPC is common in Indonesia and known of its possible dire prognosis, it is best to treat all similar cases as malignancy. Until proven otherwise in cytopathology and histopathology examinations, we continued to treat the case as malignancy.

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Section: Resultsmentioning

confidence: 99%

“…This happens as more mucous secreted into the cyst, either spontaneously or secondary to inflammation. Edema of the orifice leads to the continuous of the cycle [10].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Nasal endoscopy will show smooth midline mass on the posterior wall of the nasopharynx. On CT imaging, the cyst appears as welldefined low density mass in the roof of nasopharynx [10].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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