Incisive Canal Oral Opening

Posted by cpabaraboo @cpabaraboo, Sep 21, 2022

I have lived with a condition for all my adult life where I can suck air into my mouth through a tiny hole in the roof of my mouth, which I believe is approximate to my incisive canal. The hole is small enough that I cannot blow air back through it, so it only really affects me when I'm drinking something thick like a milkshake or a smoothie.

It's a minor annoyance, and I would like to consider my options for having it closed, but I don't know where to begin. Could I have the spot in question cauterized to seal the hole?

I've asked many doctors about this and all have been stumped, so I'm guessing it's not a common occurrence.

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@cpabaraboo, if you would like to seek a second opinion at Mayo Clinic, you can submit an appointment request here: http://mayocl.in/1mtmR63

Have you consulted with an otorhinolaryngology specialist (ENT surgeon)?

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I did consult with an ENT specialist and they didn't offer a treatment option. I think it's an uncommon / rare condition and will require a creative solution (even if it's a minor procedure).

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@colleenyoung did you happen to find an answer to your question? I have had the same issue but mine started about a year ago.

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@jwbdental

@colleenyoung did you happen to find an answer to your question? I have had the same issue but mine started about a year ago.

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I asked an Oral & Maxiofacial Surgeon about it and he said it could be a nasopalatine duct cyst. They commonly present with a salty discharge and mine does. I'm in the process of getting a more definitive diagnosis now.

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@jwbdental

@colleenyoung did you happen to find an answer to your question? I have had the same issue but mine started about a year ago.

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Hi @jwbdental, I believe your question is directed to @cpabaraboo.

What tests are you having done to confirm the diagnosis of possibly having a nasopalatine duct cyst?

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@colleenyoung

Hi @jwbdental, I believe your question is directed to @cpabaraboo.

What tests are you having done to confirm the diagnosis of possibly having a nasopalatine duct cyst?

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I apologize for that. Looks like I copied the wrong name over. I haven't had any tests done yet but am kn the process of setting up an appointment with the oral medicine specialist at my university. I imagine that it will be an examination combined with Radiographic tests.

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Hi again,

I am just scheduled to get a CBCT at my University and will get an official diagnosis. I have done some more research and it appears we both have a key symptom of a patent nasopalatine duct (not the nasopalatine duct cyst). It's not necessarily pathogenic and the current recommended surgery to fix it is quite extensive and will likely lead to a loss of feeling in the hard palate anterior from the canines. Here is the study: https://link.springer.com/article/10.1007/s00276-017-1926-8. Hope this helps!

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