Iacomino Enzo, Fratini Chiara, Zoccali Federica, Cambria Francesca, Laudani Matteo, Eibenstein Alberto, Barbato Christian, de Vincentiis Marco, Minni Antonio
Department of Life, Health, and Environmental Sciences, Università degli Studi di L'Aquila, 67100 L'Aquila, Italy.
Department of Sense Organs, Sapienza University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.
Reports (MDPI). 2024 Jun 13;7(2):46. doi: 10.3390/reports7020046.
The nasal cavity is a sporadic site for mesiodens, and if it is impacted in the lower nasal floor or localized in the nasal septum, it may cause various nasal symptoms such as nasal obstruction, recurrent rhinitis, and epistaxis. Early diagnosis is made through clinical findings and a cone-beam computed tomography (CBCT) scan, but a definite treatment plan has not yet been developed. This study aims to present a case of a mesiodens in a 27-year-old male, located in the nasal septum, an unusual and rare site, and its surgical removal using an endoscopic nasal approach with subperiosteal intranasal dissection. The result of the study appears significant because this technique led to fewer postoperative complications, and it appears to be safer and more effective than the traditional palatal or transoral approach. Moreover, the nasal endoscopic approach is more natural to the ear, nose, and throat (ENT) surgeons than the transoral approach.
鼻腔是额外牙的一个散在部位，如果它在下鼻道受阻或位于鼻中隔，可能会引起各种鼻部症状，如鼻塞、复发性鼻炎和鼻出血。早期诊断通过临床检查和锥形束计算机断层扫描（CBCT）进行，但尚未制定出明确的治疗方案。本研究旨在介绍一例27岁男性鼻中隔部位额外牙的病例，该部位不常见且罕见，并介绍采用鼻内镜下鼻内骨膜下剥离术进行手术切除的情况。该研究结果意义重大，因为该技术导致的术后并发症较少，而且似乎比传统的腭侧或经口入路更安全、更有效。此外，与经口入路相比，鼻内镜入路对耳鼻喉科（ENT）医生来说更为自然。
