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‘Intranasal toothache’: case report

Published online by Cambridge University Press:  18 December 2012

T A van Essen  and
J B van Rijswijk
T A van Essen
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Erasmus Medical Centre, Rotterdam, The Netherlands
J B van Rijswijk*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery and Facial Plastics, Antonius Hospital, Oostburg, The Netherlands
*
Address for correspondence: Dr J B van Rijswijk, Westzeedijk 230, 3016 AN Rotterdam, The Netherlands E-mail: jeroen@vanryswyk.nl
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Abstract

Objective:

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.

Keywords

Tooth Eruption, EctopicNasal CavityEndoscopesOperative Management, SurgicalDiagnosis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 3 , March 2013 , pp. 321 - 322
Copyright
Copyright © JLO (1984) Limited 2012

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