Ong Hui Yan, Ng Jia Ji, Ong Hui Jun, Wong Shii Joshua, Gopalan Shashi
Otolaryngology - Head and Neck Surgery, University of Malaysia Medical Centre, Kuala Lumpur, MYS.
Otorhinolaryngology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Cureus. 2021 Feb 28;13(2):e13616. doi: 10.7759/cureus.13616.
A tooth in the nasal cavity is an uncommon phenomenon. The exact mechanism is unclear, and patients may present with non-specific nasal symptoms. We encountered a 24-year-old patient with history of cleft palate repair, presenting to us with unilateral nasal discharge not improving with conventional medications. Rigid nasal endoscopy revealed a rhinolith-like foreign body at the floor of the left nasal cavity. Removal of the rhinolith was done under general anesthesia, and it turned out to be an intranasal tooth. Intranasal tooth is often misdiagnosed due to its non-specific symptoms. Detailed dental and oropharyngeal examination as well as imaging studies are essential in diagnosing an intranasal tooth. Early surgical removal is the mainstay of treatment in order to prevent further complications. Patients with unilateral nasal symptoms not responding to conventional treatment require proper ear, nose, and throat (ENT) evaluation to rule out other pathology.
鼻腔内出现牙齿是一种罕见的现象。确切机制尚不清楚，患者可能表现出非特异性的鼻部症状。我们遇到一名24岁曾行腭裂修复术的患者，因单侧鼻分泌物增多前来就诊，常规药物治疗无效。硬性鼻内镜检查发现左侧鼻腔底部有一个类似鼻石的异物。在全身麻醉下取出该鼻石，结果发现是一颗鼻内牙。鼻内牙因其非特异性症状常被误诊。详细的口腔和口咽检查以及影像学检查对于诊断鼻内牙至关重要。早期手术切除是治疗的主要手段，以防止进一步的并发症。单侧鼻部症状对常规治疗无反应的患者需要进行适当的耳鼻喉科（ENT）评估，以排除其他病变。
