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Case Reports
. 2019 Sep 17:2019:8351825.
doi: 10.1155/2019/8351825. eCollection 2019.

Intranasal Ectopic Tooth in Adult and Pediatric Patients: A Report of Two Cases

Isabela Polesi Bergamaschi  1 , Bernardo Olsson  1 , Aline Monise Sebastiani  1   2   3 , Guilherme Dos Santos Trento  2 , Nelson Luis Barbosa Rebellato  1 , Leandro Eduardo Klüppel  1   2 , Delson Joao da Costa  1 , Rafaela Scariot  1   2   3
Affiliations
Case Reports

Intranasal Ectopic Tooth in Adult and Pediatric Patients: A Report of Two Cases

Isabela Polesi Bergamaschi et al. Case Rep Surg. .

Abstract

The aim of this study was to report two rare cases of ectopic tooth into the nasal cavity. The first case reports a 32-year-old female patient with the main complaint of having a tooth inside her nose. According to her, this condition causes pain and sporadic nosebleed. The patient had a facial trauma when she was 6 years old. The second case refers to an 8-year-old girl with left incomplete unilateral cleft lip and palate. The main complaint was left-sided nasal obstruction by a white hard mass. The treatment for both cases was surgical removal of the ectopic erupted tooth under general anesthesia. In conclusion, we can state that the surgical removal of intranasal tooth is a safe procedure and improves patient's quality of life.

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Conflict of interest statement

The authors declare that there is no conflict of interest regarding the publication of this paper.

Figures

Figure 1
Figure 1
(a) Panoramic radiograph shows an ectopic tooth in the nasal cavity. (b) Sagittal cut of CT scan showing the horizontal orientation of the right superior incisor tooth inside the nasal nostril. (c) 3D reconstruction of CT scan showing the ectopic position of element 11.
Figure 2
Figure 2
(a) Preoperative picture showing the exposition of the ectopic tooth inside the right nostril. (b, c) With the aid of nasal speculum, the tooth was removed by intranasal approach. (d) Tooth removed. (e) Panoramic radiograph confirms the complete removal of the element 11.
Figure 3
Figure 3
(a, b) CT scan showing intranasal location and soft tissue surrounding the dysmorphic tooth. (c) 3D reconstruction of CT scan showing the ectopic position of element 21.
Figure 4
Figure 4
(a) Nasal speculum provided direct access to the toothlike structure removal with a Kelly hemostatic forceps. (b) Hemostasis obtained after the toothlike structure has been removed. No stiches were needed. (c) Ectopic tooth removed.
See this image and copyright information in PMC

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