DOI: https://doi.org/10.36347/sjmcr.2026.v14i01.018

Pages: 83-87

Nasolabial cyst is a rare, non-odontogenic soft tissue cyst located in the nasolabial fold and typically affects middle-aged women, usually without causing bone changes on imaging. We report an unusual case of a 52-year-old hypertensive male who presented with a swelling adjacent to teeth 21 and 22. Clinical examination revealed a firm, painless mass in the left nasolabial fold. Panoramic radiography and cone-beam computed tomography showed no osteolytic lesion; however, a significant depression of the anterior maxillary bone was identified, representing an atypical presentation for this cystic lesion. The mass was surgically excised through a sublabial approach, and histopathological analysis confirmed the diagnosis of a nasolabial cyst. Postoperative follow-up at 12 months demonstrated complete healing and no recurrence. This case highlights that nasolabial cysts, although generally confined to soft tissues, may exceptionally induce pressure-related remodeling of the maxillary bone. Recognizing this variant is important to avoid misdiagnosis and to guide appropriate treatment planning, particularly when imaging findings mimic osseous pathology. This report contributes to the limited literature describing bone involvement associated with nasolabial cysts and emphasizes the need for clinicians to consider this entity when evaluating anterior maxillary swellings.