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上颌窦双侧异位第三磨牙伴含牙囊肿——1例罕见病例报告

Bilateral ectopic third molars in maxillary sinus associated with dentigerous cyst-A rare case report.

作者信息

Sharma Sarwpriya, Chauhan Jaideep Singh

机构信息

Consultant, Department of Maxillofacial Surgery & 'Smile Train' Cleft Centre CHL Hospitals, AB Road, LIG Square, Indore (M.P.) India.

Consultant & Head, Department of Maxillofacial Surgery & 'Smile Train' Cleft Centre CHL Hospitals, AB Road, LIG Square, Indore (M.P.) India.

出版信息

Int J Surg Case Rep. 2019;61:298-301. doi: 10.1016/j.ijscr.2019.07.072. Epub 2019 Aug 2.

DOI:10.1016/j.ijscr.2019.07.072
PMID:31401439
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6699555/
Abstract

INTRODUCTION

Ectopic eruptions of a tooth in a non-dentate region is a rare entity and such cases have been reported to occur in the nasal cavity, orbital floor, maxillary sinus, mandibular condyle, chin, palate and coronoid process.

CASE PRESENTATION

We report a case of bilateral ectopic eruption of maxillary third molars associated dentigerous cyst. A 27 years old female patient reported to us with chief complaint of purulent discharge form nose and recurrent facial swelling for last 2 years. Complete removal of cystic lining and extraction of ectopic maxillary third molars along with mandibular third molars was carried out.

RESULTS

Post-operative healing was uneventful.

DISCUSSION

Bilateral ectopic eruptions of maxillary third molars in Antrum of Highmore (Maxillary sinus) are rarely seen and scantly documented in the literature. Dental ectopia may occur in antrum and present with local sino-nasal symptoms attributed to chronic sinusitis. Due to its rarity and lack of consensus over its management, the incidence deserves to be added to the literature & discussed.

摘要

引言

牙齿在无牙区的异位萌出是一种罕见情况，据报道此类病例发生在鼻腔、眶底、上颌窦、下颌髁突、颏部、腭部和冠突。

病例报告

我们报告一例双侧上颌第三磨牙异位萌出伴含牙囊肿的病例。一名27岁女性患者前来就诊，主诉在过去两年中鼻腔有脓性分泌物且面部反复肿胀。对囊肿壁进行了完整切除，并拔除了异位的上颌第三磨牙以及下颌第三磨牙。

结果

术后愈合顺利。

讨论

上颌第三磨牙在高莫尔窦（上颌窦）双侧异位萌出的情况很少见，文献中记载也很少。牙齿异位可能发生在上颌窦，并表现出归因于慢性鼻窦炎的局部鼻窦症状。由于其罕见性以及在治疗方面缺乏共识，其发病率值得补充到文献中并进行讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d038/6699555/9b897653444b/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d038/6699555/0533cc53f2a6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d038/6699555/f82ad3d285b4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d038/6699555/e5fde4ad7bee/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d038/6699555/3b2685f163cb/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d038/6699555/5d6c16997acb/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d038/6699555/9b897653444b/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d038/6699555/0533cc53f2a6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d038/6699555/f82ad3d285b4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d038/6699555/e5fde4ad7bee/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d038/6699555/3b2685f163cb/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d038/6699555/5d6c16997acb/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d038/6699555/9b897653444b/gr6.jpg

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Teeth in the maxillary sinus--imaging and management.上颌窦内的牙齿——影像学检查与处理
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