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Ectopic nasal tooth: A case report
Nawaf Alfayez1, Salwa AlRashed ALHumaid1, Abdulrhman Alfayez1
1King Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health Sciences, ENT Division, Department of Surgery - King Abdulaziz Medical City- NGHA, Saudi Arabia.
Introduction And Importance:
The ectopic eruption of the teeth into the nasal cavity is a rare phenomenon. It is mostly found incidentally or with nasal symptoms.
Case Presentation:
A 32-year-old male patient presented with nasal obstruction and recurrent epistaxis. Nasal endoscopy revealed a mass in left nasal floor along with septal deviation and right inferior turbinate hypertrophy. Sinus CT confirmed the same clinical finding with emphasis on the mass being a foreign body mostly consistent with a tooth. Septoplasty, inferior turbinoplasty, and endoscopic removal of the nasal tooth were performed. The patient tolerated the procedure well with improvement in nasal symptoms.
Clinical Discussion:
The exact etiology of supernumerary teeth is still unclear. There are different clinical presentations that can occur; however, the intranasal tooth can be asymptomatic or cause a variety of signs and symptoms. The diagnosis of nasal teeth is usually made by the clinical and radiographic findings, and removal of the nasal teeth is generally advised to alleviate the symptoms and prevent complications.
Conclusion:
Ectopic eruption of the teeth into the nasal cavity is a rare form of supernumerary teeth. Thus, crucial attention to the clinical, radiological and histopathological examination should be taken for more accurate diagnosis and thus appropriate management in case of nasal obstruction or recurrent epistaxis.
