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  • Title: Patent nasopalatine duct: a diagnostic pitfall.
    Author: Valstar MH, van den Akker HP.
    Journal: Br J Oral Maxillofac Surg; 2008 Jun; 46(4):304-5. PubMed ID: 17537559.
    Abstract:
    We describe a patient in whom the combination of excessive air in the maxillary sinus and the presence of a patent nasopalatine duct led to misdiagnosis and subsequent treatment of a non-existent oroantral perforation. When a radiograph indicates that antral involvement during removal of a maxillary molar is unlikely, and yet a routine postoperative nose-blowing test contradicts this, the possible presence of a pre-existent oronasal communication such as a patent nasopalatine duct should be considered.
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