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Supernumerary, ectopic tooth in the maxillary antrum presenting with recurrent haemoptysis
Taimur Saleem1, Umair Khalid, Anam Hameed
1Medical College, Aga Khan University, Stadium Road, Karachi 74800, Pakistan.
Head & Face Medicine
|November 13, 2010
Summary
A rare case of recurrent hemoptysis was caused by an ectopic supernumerary tooth in the maxillary sinus. This highlights the importance of investigating underlying anomalies in refractory sinusitis cases.
Area of Science:
- Otorhinolaryngology
- Dental Anomalies
- Medical Case Reports
Background:
- Ectopic teeth in non-dental sites are rare, typically presenting with sinusitis or obstruction.
- Recurrent hemoptysis has not been previously documented as a symptom of ectopic teeth.
Observation:
- A 45-year-old male presented with a two-month history of episodic hemoptysis.
- Initial treatments for sinusitis were ineffective, with fiber-optic visualization revealing nasal abnormalities and CT scan showing maxillary sinus opacification.
- Endoscopic examination identified an ectopic supernumerary molar tooth in the left maxillary antrum.
Findings:
- Surgical removal of the ectopic tooth successfully resolved the patient's recurrent hemoptysis.
- The tooth was associated with purulent discharge and maxillary sinus opacification.
Implications:
- This case suggests that ectopic teeth should be considered in the differential diagnosis of refractory sinusitis with hemoptysis.
- Radiological imaging and endoscopic examination are crucial for identifying foreign bodies and ectopic teeth in paranasal sinuses.
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