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Related Concept Videos

Tooth Anatomy01:21

Tooth Anatomy

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The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
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The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
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Second branchial cleft anomaly with an ectopic tooth: a case report.

Jennifer C Alyono1, Paul Hong, Nathan C Page

  • 1Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, 801 Welch Rd., Stanford, CA 94305, USA. jalyono@stanford.edu.

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Summary

This study reports the first case of an ectopic tooth within a branchial cleft anomaly in a child with Townes-Brocks syndrome. This rare finding highlights the diverse presentations of congenital neck lesions.

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Area of Science:

  • Pediatric Surgery
  • Developmental Biology
  • Genetics

Background:

  • Branchial cleft cysts, sinuses, and fistulas are common congenital lateral neck lesions in children.
  • These anomalies result from abnormal development of branchial arches and clefts.
  • Second branchial cleft lesions are the most frequent, comprising 95% of branchial arch pathologies.

Observation:

  • A case of an ectopic tooth within a branchial cleft anomaly is presented.
  • The patient was a young girl with multiple congenital abnormalities and syndromic features.
  • The diagnosis was Townes-Brocks syndrome.

Findings:

  • Detailed clinical presentation, management, and pathological analysis of the ectopic tooth are described.
  • Surgical intervention and postoperative outcomes were documented.
  • This represents the first reported instance of an ectopic tooth in a branchial cleft anomaly.

Implications:

  • This case expands the spectrum of known branchial cleft anomalies.
  • It underscores the importance of thorough evaluation in children with congenital neck masses and syndromic features.
  • Further research into the embryological basis of ectopic tissues in branchial cleft anomalies is warranted.