Ectopic located tooth which obstrcuted the maxillary sinus ostium

Abstract

A giant mucocele secondary to obstruction of the maxillary sinus ostium with an ectopic tooth. Mucocele secondary to ectopic maxillary tooth is very rare. We present a case of giant mucocele which is caused by obstruction of the maxillary sinus ostium with an ectopic tooth. The patient presented with headache and facial asymmetry. CT of the paranasal sinuses revealed an ectopic maxillary tooth, obstructing the maxillary sinus ostium and a mucocele of the maxillary sinus that erodes bony walls. The ectopic tooth was removed with Caldwel-Luc approach and the mucocele was marsupialized to the middle meatus with endoscopic sinus surgery. Ectopic maxillary tooth should be kept in mind as rare cause of paranasal sinus mucoceles.

Keywords

• Tooth Eruption
• Ectopic
• Mucocele
• Maxillary Sinus

References

1. tooth –an unusual cause of recurrent sinusitis.Signapure Med J 2001;42(2):80-1. Carvalho mandibular second premolar in a patient with cleft lip and palate. J Appl Oral Sci. 2008; 16 (5):360-3
2. Dentigerous cyst associated with an ectopic third molar in the maxillary sinus:A rare entity.Indian J Dent Res.2007;18(3):141-3.
3. Localization of Third Molar Tooth in Maxillary Sinus, Causing Postnasal Haemorrhage: Case Report.Turkiye Klinikleri J Dental Sci 2009;15(3):220-3.
4. Takano-Yamamoto T. Orthodontic treatment of a patient with an impacted maxillary second premolar and odontogenic keratocyst in the maxillary sinus. Angle Orthod. 2005;75(6):1077-83.
5. FL, Oliveira LF, Sotter AC. Endoscopic treatment of odontogenic cyst with intra-sinusal extension. Rev Bras Otorrinolaringol (Engl Ed). 2005 ;71(3):392-395. Scand.
6. Di Pasquale P, Shermetaro C. Endoscopic of a dentigerous cyst producing Jude R, Horowitz T, Loree J. A case report. molars that cause osteomeatal complex Dagistan S, Cakur B, Goregen MA dentigerous Hekimoglu K., Cınar F., Hekimoglu C. Ectopic Tanimoto Y, Miyawaki S, Imai M, Takeda R, Cedin AC, Paula Junior FA, Landim ER, Silva