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Journal Information
Vol. 68. Issue 5.
Pages 305-306 (September - October 2017)
Vol. 68. Issue 5.
Pages 305-306 (September - October 2017)
Images in Otorhinolaryngology
DOI: 10.1016/j.otoeng.2017.08.001
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Intranasal Ectopic Tooth
Diente ectópico intranasal
Paula Cruz Toro
Corresponding author
, Ignacio Clemente, Iván Domènech
Agrupació Mèdica i Quirúrgica (AMiQ), Unidad Funcional de Otorrinolaringología y Alergia, Hospital Universitari Dexeus, Barcelona, Spain
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We present the case of a patient aged 36 with constant purulent nasal discharge through the left nostril, associated with ipsilateral pan sinusitis. On examination a calcified lesion was noted on the middle third of the nostril floor and lower nasal concha with adjacent mucosa oedema. The axial and coronal slices of tomography showed an ectopic tooth in the nostril floor which had impacted in the lower nasal concha with associated swollen tissue (Figs. 1 and 2). Endoscopic surgery was performed with extraction of the tooth with no further incidents and complete improvement of clinical symptoms (Fig. 3).


The eruption of an ectopic tooth in the nasal cavity is rare and occurs in approximately 0.1% of the population. The teeth may be found in several regions, including the maxillary sinus, mandibular condyl, choroides, orbit and palate, among others. At present, this event is considered to be an inverted supernumerary tooth in nostrils, which grows towards the nostril floor, but its aetiology is as of yet unknown.

Symptoms are varied and identification is important since complications such as epistaxis, purulent nasal discharge, nasal and facial pain, septal abscess, oral fistulas, maxillary osteomyelitis, etc., may present.

Computerised tomography is the test of choice to confirm diagnosis, and to differentiate its situation and anatomical relationship with the other structures. Treatment is removal of the tooth and the surrounding swollen tissue, with endoscopic surgery being the procedure of choice.

Please cite this article as: Cruz Toro P, Clemente I, Domènech I. Diente ectópico intranasal. Acta Otorrinolaringol Esp. 2017;68:305–306.

Copyright © 2016. Elsevier España, S.L.U. and Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello
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