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Clinical Records
Introduction
Nasal teeth causing nasal discharge are a rare clinical entity.1,2This scarcity restricts the implementation of large-scale clinical studies investigating the aetiology, diagnosis and treatment. Clinical case records provide the best form of evidence. We therefore report this clinical case of a symptomatic nasal tooth. In addition, we provide an overview of the literature regarding nasal teeth.
Case report
A 26-year-old man was referred to the otolaryngology department with a history of recurrent left-sided nasal obstruction, facial pain and discomfort, and chronic purulent rhinorrhoea. There was no history of trauma, allergy or smoking. On examination, he was found to have hypertrophic inferior nasal conchae and a mild left-sided nasal septum deviation.
Computed tomography of the paranasal sinuses revealed the left-sided septum deviation and hypertrophic inferior conchae, as well as a mucocele on the floor of the left maxillary sinus and a radiopaque mass resembling an ectopic tooth in the left nasal floor (Figure 1). After consultation with the patient, and once informed consent had been obtained, an elective procedure under general anaesthesia was planned in order to remove the radiopaque mass.
Fig. 1
Coronal computed tomography image of the paranasal sinuses, depicting a tooth in the left nasal cavity and left-sided septum deviation.
An incision was made over the mucosal thickening that covered the mass,...