Tung T C, Chen Y R, Chen C T, Lin C J
Division of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan, Republic of China.
J Trauma. 1997 Aug;43(2):357-9. doi: 10.1097/00005373-199708000-00026.
We report two cases of fully intruded tooth after facial fracture in adults. In the first case, the lateral incisor was intruded into the nasal cavity and slipped into the pyriform sinus during operation. The second case involved full intrusion of a molar into the maxillary sinus, resulting in infection. The importance of a thorough intraoral examination for patients with facial trauma is emphasized. All missing teeth should be accounted for to ensure that they have not dislodged inside the body. When full intrusion of a tooth is suspected, facial computed tomography scan may provide assistance with definite diagnosis. If an incisor is completely intruded into the nasal cavity, removal through the floor of the nostril should be considered.
我们报告了两例成人面部骨折后牙齿完全嵌入的病例。第一例中，侧切牙嵌入鼻腔，并在手术过程中滑入梨状窦。第二例是一颗磨牙完全嵌入上颌窦，导致感染。强调对面部创伤患者进行全面口腔检查的重要性。应查明所有缺失牙齿，以确保它们没有在体内移位。当怀疑牙齿完全嵌入时，面部计算机断层扫描可能有助于明确诊断。如果门牙完全嵌入鼻腔，应考虑通过鼻孔底部取出。
