Case Report Ectopic Odontoma of the Nasal Cavity英文文献资料.docVIP

Open Journal of Radiology, 2011, 1, 17-19 doi:10.4236/ojrad.2011.11003 Published Online September 2011 (http://www.SciRP.org/journal/ojrad) Case Report: Ectopic Odontoma of the Nasal Cavity Brandon Musgrave, Robert Stapp, Frank Torres, Vanessa Schweitzer Henry Ford Health System, Detroit, USA E-mail: bmusgra1@ Received August 12, 2011; revised September 10, 2011; accepted September 24, 2011 Abstract Ectopic odontomas are a rare disease process and need to be in the differential of the Otolaryngologist and Radiologist. Previous reports reveal the most common location to be the maxilla. We present a rare case of odontoma involving a turbinate causing nasal obstruction and foul-smelling rhinorrhea. Surgical excision is the treatment of choice with an endoscopic approach, if feasible. Keywords: Odontoma, Turbinate, Ectopic, Complex, Compound, Dentin, Odontogenic, Rhinosinusitis 1. Case Presentation A 54-year-old female presented with complaints of chronic right-sided nasal obstruction, rhinorrhea and a foul odor emanating from the nostril. The patient was otherwise healthy and reported only seasonal allergies and hypertension in her past medical history. On physical exam, there appeared to be a bony concretion in the floor of the right nasal cavity, impinging against the septal wall. A CT scan of the sinuses was performed and showed an expansile, centrally calcified lesion within the right nasal cavity involving the inferior turbinate and obstructing the inferior meatus (Figure 1 and 2). There Figure 2. Coronal CT Scan. was no bony destruction; however, there was thinning and possible erosion of the septum. There appeared to be no association to the underlying maxillary alveolar bone. The patient underwent endoscopic removal of the calci- fied mass and the histopathology contained two frag- ments of dentin (Figure 3 and 4). Admixed with the odontoma were partially calcified clust