Abstract
The finding of intranasal ectopic or supernumerary tooth although have been reported in the past, is still considered a rare presentation. It may remain silent for a long period of time, before manifesting with nasal symptoms. We report the case of a 33-year-old lady with an ectopic pre-molar tooth in the floor of her right nostril, presenting with intermittent epistaxis and foul-smelling nasal discharge. She was referred for a rhinolith in her nose. The tooth was successfully extracted via intranasal endoscopic approach. DOI: http://dx.doi.org/10.3329/bjms.v13i3.19157 Bangladesh Journal of Medical Science Vol.13(3) 2014 p.336-339
Highlights
One of the common referrals to the Otorhinolaryngology unit is for nasal mass symptoms
Very rarely a tooth is found in the nose, especially one with caries, and the clinical presentation mimics a rhinolith, such as in this case
A foreign body which acts as a nucleus for calcification can be either endogenous or exogenous in origin
Summary
One of the common referrals to the Otorhinolaryngology unit is for nasal mass symptoms. Patients may present with rhinorrhea, epistaxis, foul-smelling discharge and nasal block. A 33-year-old Malay lady, was under follow up for allergic rhinitis for 5 years in our clinic but defaulted in between for the last 2 years when she felt well She presented with 3-month history of right nasal. Pre-operative radiographs (occipitomental view) showed the presence of a radioopaque lesion at the lateral wall of right inferior turbinate with a tooth-like appearance (Figure 2). Histopathological examination showed a premolar tooth structures evidenced by a dentine, covered by well-organized enamel, central pulp cavity and root canal with neutrophilic accumulation within it, forming a microabscess (Figures 4a-c). Figure 4a: The tooth is composed of dentine, cov- Figure 4c: Note the microabscess formation within ered by predentine with central pulp cavity the root canal
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