Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (1): 16-20.doi: 10.6040/j.issn.1673-3770.0.2020.091

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Nasal teeth in children: a report of four cases with literature review

WANG Li1,2, YUAN Huwei2, PAN Hongguang2   

  1. 1. Jinzhou Medical University Shenzhen Children's Hospital Graduate Training Base, Otolaryngology, Shenzhen 518033, Guangdong, China;
    2. Department of Otolaryngology, Shenzhen Children's Hospital, Shenzhen 518033, Guangdong, China
  • Published:2021-02-01

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Abstract: Objective The aim of this study was to explore the pathogenesis, diagnosis, and treatment characteristics of intranasal teeth in children in order to improve the diagnosis and treatment and to reduce misdiagnoses and mistreatment in these cases. Methods The clinical data of 4 cases of nasal teeth in children were retrospectively assessed. The features of their frequent sites, main symptoms, diagnoses, surgical methods, and follow-up results were analyzed. Results The growth sites of the nasal teeth in 4 patients were all at the bottom of the nasal cavity, 2 cases on the left, 1 case on the right, and 1 case on both sides. Common symptoms were nasal obstruction, runny nose, epistaxis, and a peculiar nasal smell. CT is useful in the diagnosis. All patients underwent nasal tooth resection under nasal endoscope. Follow-ups from 3 months to 3 years after surgery showed no recurrence, no nasal adhesion, and no cases of hard palate fistula. Conclusions Nasal teeth in children are usually unilateral; however, there are also cases of bilateral nasal teeth which are easily misdiagnosed as nasal foreign bodies. The onset age is older than that of children with nasal foreign bodies. Children over 6-years-old with nasal odor need to be considered for the possible diagnosis of nasal teeth. Endoscopic resection of nasal teeth is the primary method to treat these cases..

Key words: Intranasal teeth, Children, Foreign bodies in nasal cavity, Nose odor, Nasal congestion, Running nose, Epistaxis

CLC Number: 

  • R765.8
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