Clementini M, Morlupi A, Agrestini C, DI Girolamo M, DI Girolamo S, Ottria L
Department of Odontostomatologic Science, University of Rome "Tor Vergata", Italy, U.O.C. of Odontostomatologic Clinic - Director and Chief: Prof. Alberto Barlattani.
Oral Implantol (Rome). 2012 Jan;5(1):21-5. Epub 2012 Jul 17.
A case report showing the removal of a supernumerary tooth from the nasal cavity by means of an endoscopic approach is presented.
A 9-year-old healthy child presented to our department because of the right central incisor which appeared clinically rotated. The observation of orthopantomography revealed the presence of a supernumerary tooth in the anterior maxilla with the crown positioned towards the nasal floor. The maxillary CT demonstrated a quite close relationship of the tooth with the nasal cavity, so a nasal approach was planned.
Under general anesthesia the supernumerary tooth was removed by means of an endoscopic approach from a nostril. During the extraction the adjacent structures were unharmed. The postoperative course was uneventful.
This case report suggests that in case of supernumerary teeth positioned close to the nasal cavity, trans-nasal endoscopy may represent a valid alternative to more demolishing traditional surgery.
本文报告了一例通过内镜手术从鼻腔取出多生牙的病例。
一名9岁健康儿童因临床检查发现右上中切牙旋转就诊于我科。全景片检查发现上颌前部有一颗多生牙，牙冠朝向鼻底。上颌CT显示该牙齿与鼻腔关系密切，因此计划采用鼻腔入路。
在全身麻醉下，通过内镜从鼻孔取出多生牙。拔牙过程中未损伤相邻结构。术后恢复顺利。
本病例报告表明，对于位置靠近鼻腔的多生牙，经鼻内镜手术可能是一种有效的替代传统破坏性手术的方法。
