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Asociación Mexicana de Cirugía Bucal y Maxilofacial, Colegio Mexicano de Cirugía Bucal y Maxilofacial, A.C.

2024, Number 2

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Rev Mex Cir Bucal Maxilofac 2024; 20 (2)

Disinclusion of heterotopic tooth through nasal approach: clinical case report and review of the literature

Ramírez VD, Lazo RS, Barrientos MC, Figueroa CL, Emmrich HM

Language: Spanish
References: 16
Page: 80-85
PDF size: 475.41 Kb.


ABSTRACT

Introduction: supernumerary teeth are those that originate in addition to the normal dental formula, with varied location, usually presenting in the alveolar ridge. Their heterotopic location, outside the alveolar ridge, is rare, and when observed intranasally, it is an unusual phenomenon that can lead to complications such as rhinosinusitis, osteomyelitis, nasal septum abscesses, oronasal fistula, and nasal deformity. Objective: to present a clinical case of ectopic tooth associated with a possible incomplete microform of cleft palate treated in a multidisciplinary manner by an otorhinolaryngology and maxillofacial team. Clinical case: a 45-year-old patient complaining of respiratory obstruction, nasal congestion, and long-standing rhinorrhea was referred to our maxillofacial service from otorhinolaryngology due to the finding of 2 maxillary supernumerary teeth on computed tomography prior to functional nasal surgery, also showing a considerably larger palatine nerve canal, suggestive of an incomplete microform of cleft palate. Result: in surgery performed jointly with otorhinolaryngology, the nasal tooth was successfully removed through an extraoral approach via the nasal cavity without complications. The approach used by the otorhinolaryngologist to extract the heterotopic tooth was utilized to avoid further morbidity in the patient. In follow-up appointments, the patient showed good progress, nasal decongestion, and proper breathing. Conclusion: multidisciplinary work allows for optimizing surgical times and reducing morbidity in the patient.


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