Regístrese
Buscar en
Acta Otorrinolaringológica Española
Toda la web
Inicio Acta Otorrinolaringológica Española Intranasal Ectopic Tooth
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
Full text access
Intranasal Ectopic Tooth
Diente ectópico intranasal
Visits
359
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
This item has received
359
Visits
Article information
Full Text
Download PDF
Statistics
Figures (3)
Show moreShow less
Full Text

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).

(0.12MB).
(0.11MB).
(0.12MB).

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
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

es en pt
Política de cookies Cookies policy Política de cookies
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here. Utilizamos cookies próprios e de terceiros para melhorar nossos serviços e mostrar publicidade relacionada às suas preferências, analisando seus hábitos de navegação. Se continuar a navegar, consideramos que aceita o seu uso. Você pode alterar a configuração ou obter mais informações aqui.