A rare cause of persistent facial pain: ectopic tooth in nasal cavity

Presence of ectopic tooth in the nasal cavity of an adult is a rare phenomenon. Exact etiology of this condition is yet to be confirmed. We report a case of a 40-year-old woman, who presented to us with the history of left nasal obstruction of one-year duration along with pain in the left side of face revealing an on examination. Intranasal tooth was removed by surgical intervention with Luc’s forceps. The patient’s nasal obstruction and facial pain subsided after the treatment. We need to suspect an intranasal tooth when there is a white substance mimicking bone in the nasal cavity in patients presenting to us with facial pain and nasal obstruction Keywords: intranasal tooth; nasal obstruction; surgical extraction

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Multiple causes for rhinolithiasis

Rhinology Journal ◽

10.4193/rhino13.153 ◽

2014 ◽

Vol 52 (2) ◽

pp. 183-186

Author(s):

T. Send ◽

M. Jakob ◽

K.W.G. Eichhorn

Keyword(s):

Nasal Cavity ◽

Foreign Bodies ◽

Clinical Symptoms ◽

Pathological Findings ◽

Common Cause ◽

Clinical Pattern ◽

Ectopic Tooth ◽

Low Incidence ◽

Iatrogenic Origin ◽

Endotracheal Anesthesia

Background: Rhinoliths are rare affections of the main nasal cavity and the paranasal sinuses. Initially, as a result of their low incidence, they are often incorrectly classified as calcified tumors in clinical examination. Methodology: We have identified three cases in our patient population and evaluated the clinical symptoms as well as the pathological findings and the causes of the disease. Results: Due to their extension and the respective clinical pattern, all masses were surgically removed under endotracheal anesthesia. The histopathological findings comprised an ectopic tooth, a vegetable (most likely a leaf from the garden) as well as a textile foreign body (probably of iatrogenic origin). Conclusion: Undiscovered foreign bodies of the main nasal cavity are a common cause for the formation of rhinoliths. We have also displayed the respective incidence and the therapeutic options.

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Hyperdentia in adult patient in the ENT practice

Science and Innovations in Medicine ◽

10.35693/2500-1388-2021-6-3-17-20 ◽

2021 ◽

Vol 6 (3) ◽

pp. 17-20

Author(s):

Lyubov V. Fileva ◽

Lyudmila A. Baryshevskaya ◽

Inna O. Chernyshenko ◽

Tatyana A. Zavalko ◽

Svetlana V. Rodionova ◽

...

Keyword(s):

Nasal Cavity ◽

Paranasal Sinuses ◽

Clinical Observation ◽

Clinical Manifestations ◽

Pathological Process ◽

Endoscopic Examination ◽

Supernumerary Teeth ◽

Endoscopic Techniques ◽

Ectopic Tooth ◽

Tooth Retention

According to the literature, such dentition anomaly as supernumerary teeth is more common in the practice of a dentist than of an otorhinolaryngologist. Clinical manifestations of this pathology in adults are less frequent than in children. Periodically, there appear descriptions of individual cases of hyperdentia, in which the tooth is located in the nasal cavity, paranasal sinuses, orbit. It is not always possible to find such a tooth on examination, therefore, additional research methods help to determine the location and pathological process in more detail. We present our clinical observation of tooth retention and ectopia in the nasal cavity and upper jaw. The diagnosis was confirmed by the data of endoscopic examination and computed tomography of the paranasal sinuses. The ectopic tooth was found before the development of pronounced local inflammation. The tooth was removed from the nasal cavity using endoscopic techniques, no communication between the nasal cavity and the oral cavity was found. The postoperative period was uneventful. On examination two weeks after the operation, no pathological changes in the nasal cavity, paranasal sinuses were found, as well as defects in the mucous membrane and bone part of the nasal cavity floor.

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Ectopic Tooth of the Nasal Cavity

Ear Nose & Throat Journal ◽

10.1177/0145561318823640 ◽

2019 ◽

Vol 99 (2) ◽

pp. NP13-NP14

Author(s):

Bryan Kratz ◽

Nipun Chhabra

Keyword(s):

Nasal Cavity ◽

Ectopic Tooth

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Epistaxis, Nasal Obstruction and Unilateral Facial Pain Due to an Ectopic Tooth

Bahrain Medical Bulletin ◽

10.12816/0047482 ◽

2016 ◽

Vol 38 (1) ◽

pp. 41-43

Author(s):

Samer Malas ◽

Hiba Alreefy ◽

Fahad Al-Bedawi

Keyword(s):

Nasal Obstruction ◽

Facial Pain ◽

Ectopic Tooth

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Surgical treatment for a rare case of ectopic tooth in the lateral wall of the nasal cavity

ARCHIVES OF HEALTH INVESTIGATION ◽

10.21270/archi.v8i11.4635 ◽

2020 ◽

Vol 8 (11) ◽

Author(s):

Manoela Moura De Bortoli ◽

José Alcides Almeida de Arruda ◽

Ricardo José Holanda Vasconcellos ◽

Emanuel Dias Oliveira e Silva ◽

Ana Karina de Medeiros Tormes ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Nasal Cavity ◽

Surgical Approach ◽

Rare Case ◽

Treatment Plan ◽

Lateral Wall ◽

Postoperative Result ◽

Endoscopic Extraction ◽

Ectopic Tooth

Among the ways to approach cases of ectopic teeth, the surgical approach is a valid option and should be considered, since it is considered simple and it permits direct visualization and a rapid recovery. The aim of this article is to report a rare case of ectopic tooth in the lateral wall of the nasal cavity caused by trauma in the maxillofacial region in childhood, and to describe its clinical and imaging characteristics as well as ways of treatment and surgical aspects. A 25-year-old woman was seen at the clinic of Maxillofacial Surgery and Traumatology due to the presence of a foreign body in the nose. A treatment plan was elaborated based on physical and radiographic examination. The tooth was removed by a surgical approach and the patient underwent esthetic rehabilitation. Surgical treatment of ectopic teeth provides a good and satisfactory postoperative result, is simple and mostly without complications. Ectopic teeth are rare, and the professional should be able to perform the diagnosis, indication and planning of treatment, as well as its execution. Surgical treatment is an option that produced an effective result in the present case.Descriptors: Mouth; Tooth, Impacted; Ambulatory Surgical Procedures.ReferencesVerma RK, Bakshi J, Panda NK. Ectopic intranasal tooth: an unusual cause of epistaxis in a child. Ear Nose Throat J. 2012;91(6):242-44.Gupta YK, Shah N. Intranasal tooth as a complication of cleft lip and alveolus in a four years old child: case report and literature review. Int J Paediatr Dent. 2001;11(3):221-24.Thor AL. Delayed removal of a fully intruded primary incisor through the nasal cavity: a case report. Dental Traumatol. 2002;18(4):227-30.Koçak HE, Özdamar K, Bilgi B, Aipayam H. Case report a rare cause of intranasal mass: bilateral ectopic nasal teeth. Iran J Otorhinolaryngol. 2017;29(94):287-89.Van Essen TA, Van Rijswijk JB. Intranasal toothache case report. J Laryngol Otol. 2013;127(3):321-22.Kim DH, Kim JM, Chae SW, Hwang SJ, Lee SH, Lee HM. Endoscopic removal of an intranasal ectopic tooth. Int J Pediatr Otorhinolaryngol. 2003;67(1):79-81.Ray B, Singh LK, Das CJ, Roy TS. Ectopic supernumerary tooth on the inferior nasal concha. Clin Anat. 2006;19(1):68-74.Zalagh M, Akhaddar A, Benariba F. Chronic rhinorrhea revealing an actinomycotic rhinolithiasis with ectopic tooth. Int J Oral Maxillofac Surg. 2012;41(3):297-99.Moreano EH, Zich DK, Goree JC, Graham, SM. Nasal tooth. Am J Otolaryngol. 1998;19(2):124-26.Sammatino G, Trosino O, Perillo L, Cioff A, Marenzi G, Mortellaro C. Alternative transoral approach for intranasal tooth extraction. J Craniofac Surg. 2011;22(5):1944-46.Lee FP. Endoscopic extraction of an intranasal tooth: a review of 13 cases. Laryngoscope. 2001;111(6):1027-31.

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‘Intranasal toothache’: case report

The Journal of Laryngology & Otology ◽

10.1017/s0022215112002927 ◽

2012 ◽

Vol 127 (3) ◽

pp. 321-322 ◽

Cited By ~ 7

Author(s):

T A van Essen ◽

J B van Rijswijk

Keyword(s):

Case Report ◽

Facial Pain ◽

Surgical Extraction ◽

History Of ◽

Nasal Tooth ◽

Endoscopic Guidance ◽

Ectopic Tooth ◽

One Year ◽

The One

AbstractObjective:This paper describes a patient with recurrent unilateral nasal discomfort and pain due to an intranasal tooth. A short overview of the literature is provided in relation to the aetiology, symptomatology, diagnosis and treatment of intranasal teeth.Case report:A 26-year-old man was referred with a history of recurrent left-sided nasal obstruction, facial pain and discomfort, and chronic purulent rhinorrhoea. Computed tomography revealed a nasal tooth, which was likely to have been the cause of these symptoms. After transnasal surgical extraction under endoscopic guidance, the patient was relieved of his complaints (at the one-year follow up).Conclusion:An ectopic tooth in the nasal cavity is a rare phenomenon, and in most cases the cause of an intranasal tooth remains unclear. The treatment of an intranasal tooth entails surgical extraction even though such teeth may remain asymptomatic; several cases have illustrated the potential significant morbidity associated with their occurrence.

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Conservative surgical management of a supernumerary tooth in the nasal cavity

BMJ Case Reports ◽

10.1136/bcr-2020-235718 ◽

2020 ◽

Vol 13 (7) ◽

pp. e235718

Author(s):

Vineet Kumar ◽

Akhilesh Bhaskar ◽

Roohi Kapoor ◽

Pratima Malik

Keyword(s):

Foreign Body ◽

Nasal Cavity ◽

General Anaesthesia ◽

Surgical Management ◽

Nasal Congestion ◽

Surgical Removal ◽

Supernumerary Tooth ◽

Ectopic Tooth ◽

Foreign Body Obstruction ◽

The Right

A 9-year-old girl presented with a foreign body obstruction inside her nose. The condition led to pain and nasal congestion. CT showed the presence of a radiopaque mass similar to a tooth in the right nasal cavity. Diagnosis of a supernumerary intranasal tooth was made and extraction was performed under general anaesthesia. An ectopic tooth in the nasal cavity is rare and surgical removal is recommended to eliminate the symptoms.

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