Masalha Muhamed, Schneider Shay, Kassem Firas, Koren Ilan, Eliashar Ron, Margulis Ariel, Landsberg Roee
Department of Otolaryngology-Head and Neck Surgery, Emek Medical Center in Afula, The Ruth and Bruce Rappaport School of Medicine, The Technion Institute of Technology in Haifa, Israel.
A.R.M, Center of Otolaryngology-Head and Neck Surgery. Assuta Medical Center in Tel Aviv, Tel Aviv University, Israel.
J Clin Exp Dent. 2021 Mar 1;13(3):e227-e233. doi: 10.4317/jced.57905. eCollection 2021 Mar.
Ectopic teeth in maxillary sinus is rare and are usually removed via sub-labial trans-canine fossa approach (SLCFA). The aim of our study was to present our experience with extraction of ectopic teeth in the maxillary sinus via transnasal endoscopic approach (TEA).
Rhinologists were asked to share their experience in the management of ectopic teeth in the maxillary sinus. Data were reviewed retrospectively.
Eleven cases were reported in 10 patients from 2010 to 2019, six males and four females with a mean age of 33.5 +/-17 years (range 16 to 61). Seven patients complained of sinonasal symptoms, two were diagnosed incidentally during routine dental work-up, and one had oro-antral fistula. In eight patients, a cyst coexisted within the maxillary sinus. Teeth were located arbitrarily within the sinus. All cases were operated by TEA. One patient had self-limited periorbital emphysema, one had transient cheek numbness, and one had early post-operative bleeding that stopped after endoscopic cauterization. Long-term follow-up revealed good clinical outcomes.
Transnasal endoscopic removal of ectopic teeth from the maxillary sinus is a feasible and rational approach when SLCFA is contraindicated. Ectopic teeth, dentigerous cyst, endoscopic sinus surgery, Caldwell-Luc.
上颌窦异位牙较为罕见，通常经唇下经尖牙窝入路（SLCFA）拔除。本研究的目的是介绍我们经鼻内镜入路（TEA）拔除上颌窦异位牙的经验。
邀请鼻科医生分享他们处理上颌窦异位牙的经验。对数据进行回顾性分析。
2010年至2019年，10例患者共报告11例病例，男性6例，女性4例，平均年龄33.5±17岁（范围16至61岁）。7例患者有鼻窦症状，2例在常规牙科检查时偶然诊断，1例有口腔鼻窦瘘。8例患者上颌窦内存在囊肿。牙齿在鼻窦内位置各异。所有病例均采用TEA手术。1例患者出现自限性眶周气肿，1例有短暂的面颊麻木，1例术后早期出血，经内镜烧灼后停止。长期随访显示临床效果良好。
当SLCFA禁忌时，经鼻内镜拔除上颌窦异位牙是一种可行且合理的方法。异位牙、含牙囊肿、鼻内镜鼻窦手术、柯-陆氏手术
