Priya Madhu, Doomra Sofia, Angral Sumeet, Malhotra Manu, Bhardwaj Abhishek, Varshney Saurabh, Moideen Areej, Gupta Manish Kumar
Department of Otorhinolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, Uttrakhand India.
Department of ENT, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203 India.
Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):1143-1146. doi: 10.1007/s12070-020-02221-0. Epub 2020 Oct 17.
The presence of ectopic (supernumerary) teeth is common odontogenic problem in clinical practice. Its presence in dentate region is common but rare in the non dentate areas such as nose and maxillary sinus. The intranasal teeth generally remain asymptomatic but can get misdiagnosed for foreign body, or may present as complications like headache, epistaxis, nasal obstruction, rhinolith formation, oroantral fistula and sinusitis. Here, we discuss a case of intranasal tooth as a rare cause of profuse and recurrent epistaxis. The clinical, radiological findings and surgical treatment via endoscopic approach of this rare entity has been discussed. This interesting case report highlights the need to look beyond nose as cause for epistaxis. Endoscopic removal for this entity can be a preferred option to help minimize complications.
异位（多生）牙的存在是临床实践中常见的牙源性问题。其在有牙区的存在较为常见，但在诸如鼻子和上颌窦等无牙区则较为罕见。鼻内牙通常无症状，但可能被误诊为异物，或者可能表现为头痛、鼻出血、鼻塞、鼻石形成、口鼻瘘和鼻窦炎等并发症。在此，我们讨论一例鼻内牙作为大量复发性鼻出血罕见原因的病例。已探讨了该罕见病例的临床、影像学表现以及通过内镜方法进行的手术治疗。这一有趣的病例报告强调了在鼻出血病因排查中不能仅局限于鼻腔的必要性。对于该病例，内镜下切除可能是帮助减少并发症的首选方案。
