Iranian Journal of Otorhinolaryngology

Iranian Journal of Otorhinolaryngology

Inverted Supernumerary Intranasal Teeth as Unusual Indications of Endoscopic Surgery

Document Type : Case Report

Authors
Remo Accorona 1
Giovanni Colombo 2
Marco Ferrari 3
Enrico Fazio 4
Andrea Bolzoni-Villaret 3
1 Division of Otorhinolaryngology, “San Maurizio” Hospital, Bolzano, Italy.
2 Department of Otorhinolaryngology, Humanitas Clinical and Research Center, Rozzano, Milano, Italy.
3 Department of Otorhinolaryngology and Head and Neck Surgery, University of Brescia, Italy.
4 Department of Otorhinolaryngology, University of Insubria, Varese, Italy.
10.22038/ijorl.2019.38918.2284
Abstract
Introduction:
Supernumerary teeth are frequently reported in dental clinical practice; however, eruption in nasal cavities and paranasal sinuses is an extremely rare clinical entity.
 
Case Report:
We report two cases with a history of recurrent nasal discharge and obstruction. In both cases, clinical and radiological findings confirmed the presence of an inverted supernumerary tooth erupted in the sinonasal cavities (i.e., the right nasal fossa and left maxillary sinus, respectively). We managed the cases with transnasal endoscopic approach. A survey of the English literature identified 69 documented cases with intranasal supernumerary teeth within January 1st, 1886 to December 31st, 2017.
 
Conclusion:
Inverted supernumerary teeth should be considered among the potential causes of unilateral nasal obstruction and rhinosinusitis and included in differential diagnoses among the fibro-osseous lesions of the sinonasal cavities.
Keywords
Endoscopic sinonasal surgery
Inverted supernumerary tooth
Rhinosinusitis
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Iranian Journal of Otorhinolaryngology
Volume 32, Issue 3 - Serial Number 110
May and June 2020
Pages 181-186