Mesh : Child Dentigerous Cyst / diagnosis etiology surgery Endoscopy Female Humans Lacrimal Duct Obstruction / etiology Maxillary Sinus / diagnostic imaging Nasal Surgical Procedures / methods Nasolacrimal Duct / diagnostic imaging Tomography, X-Ray Computed Tooth Eruption, Ectopic / complications diagnosis Tooth Extraction Treatment Outcome

来  源:   DOI:10.1097/MD.0000000000025514   PDF(Pubmed)

Abstract:
BACKGROUND: Ectopic tooth is tooth erupting out of normal anatomical position. Ectopic tooth can occur in different positions, such as maxillary sinus and nasal cavity. In this article, we present a rare case of an ectopic tooth with a dentigerous cyst in the maxillary sinus compressing the nasolacrimal canal.
METHODS: An 8-year-old girl presented with a 2-month history of spontaneous lacrimation in her right eye. When she wept, more tear shed from her right eye than that from the left one. Computed tomographic (CT) imaging showed a huge low-density image containing a tooth in the maxillary sinus in her right maxilla; the right nasolacrimal canal vanished due to the compression of the ectopic tooth.
METHODS: Ectopic tooth with dentigerous cyst of right maxilla, and obstruction of nasolacrimal duct.
METHODS: The patient underwent nasal endoscopic maxillary sinus cystectomy.
RESULTS: The patient recovered well after cystectomy and has been symptom-free.
CONCLUSIONS: The unique finding is that this is the first report about ectopic tooth compressing the nasolacrimal canal and inducing spontaneous lacrimation. Treatment: aspect: surgery under endoscope is a minimally invasive approach to ectopic tooth.
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