Koçak Hasan-Emre, Özdamar Kadir, Bilgi Bekir, Acıpayam Harun
DepartmentofOtolaryngology Head and Neck Surgery,Bakırköy Dr.Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
DepartmentofOtolaryngology, Suruc State Hospital, Sanliurfa, Turkey.
Iran J Otorhinolaryngol. 2017 Sep;29(94):287-289.
Ectopic teeth occur in a wide variety of sites, including the maxillary sinus, mandibular condyle, coronoid process, orbital, and nasal cavities. Reported symptoms and signs associated with nasal teeth include facial pain, external nasal deformities, foul-smelling rhinorrhea, recurrent epistaxis, and oronasal fistula. Ectopic teeth occurring bilaterally in the nasal cavity is very very rare.
A bilateral intranasal ectopic teeth case, which is asymptomatic on the right side and symptomatic on the left side, is presented. The tooth on left side was extracted endoscopically. There were no complications.
Extraction of an intranasal tooth under endoscopic guidance is an adequate treatment. If the ectopic intranasal tooth is asymptomatic, clinicians should follow with clinical examination and radiological imaging.
异位牙可发生于多种部位,包括上颌窦、下颌髁突、冠状突、眼眶和鼻腔。与鼻内牙相关的报告症状和体征包括面部疼痛、鼻外部畸形、恶臭流涕、反复鼻出血和口鼻瘘。双侧鼻腔内出现异位牙非常罕见。
本文介绍了一例双侧鼻内异位牙病例,右侧无症状,左侧有症状。左侧牙齿在内镜下被拔除。未出现并发症。
在内镜引导下拔除鼻内牙是一种合适的治疗方法。如果鼻内异位牙无症状,临床医生应进行临床检查和影像学检查随访。