Endoscopic extraction of an ectopic third molar.

Area of Science:

• Otolaryngology
• Oral and Maxillofacial Surgery
• Radiology

Background:

• Recurring sinusitis can significantly impact patient quality of life.
• Ectopic teeth, particularly third molars, can present with varied and sometimes unusual symptoms.
• Maxillary sinus pathology often requires advanced diagnostic imaging and surgical intervention.

Observation:

• A case of recurrent sinusitis was investigated.
• Imaging revealed an ectopic third molar situated within the maxillary sinus.
• The tooth was fully erupted and appeared to be the source of the chronic inflammation.

Findings:

• The ectopic third molar was identified as the primary cause of the patient's recurring sinusitis.
• Endoscopic surgical techniques allowed for minimally invasive removal of the ectopic tooth.
• Histopathological examination confirmed the tooth's intra-antral location.

Implications:

• This case underscores the importance of considering dental origins in refractory sinusitis.
• Endoscopic sinus surgery offers a viable treatment option for intra-antral ectopic teeth.
• Early diagnosis and management of ectopic dental structures can prevent chronic sinonasal complications.