supernumerary, ectopic tooth in the maxillary antrum presenting with recurrent haemoptysis多余的,异位牙上颌窦与反复咯血.pdfVIP

Saleem et al. Head Face Medicine 2010, 6:26 /content/6/1/26 HEAD FACE MEDICINE SHORT REPORT Open Access Supernumerary, ectopic tooth in the maxillary antrum presenting with recurrent haemoptysis 1 1 1 2* Taimur Saleem , Umair Khalid , Anam Hameed , Shehzad Ghaffar Abstract Background: Ectopic eruption of teeth in non-dental sites is a rare phenomenon and can present in a variety of ways such as chronic or recurrent sinusitis, sepsis, nasolacrimal duct obstruction, headaches, ostiomeatal complex disease and facial numbness. However, presentation of such patients with recurrent haemoptysis has not been described in the literature so far. We have described a case of an ectopic, supernumerary molar tooth in the maxillary antrum in a patient who initially presented with haemoptysis. Case presentation: A 45-year-old male presented with a 2-month history of episodic haemoptysis. A pedunculated growth from the inferior nasal turbinate was seen with fibre-optic visualization. Although the patient was empirically started on antibiotic and anti-allergic therapy, there was no improvement after a few weeks and the patient had recurrent episodes of haemoptysis. Fibre-optic visualization was repeated showing bilateral osteomeatal erythema. Computed tomography scan of the paranasal sinuses demonstrated complete opacification of the left maxillary antrum along with a focal area of density comparable to bone. An ectopic, supernumerary molar tooth was found in the left maxillary antrum on endoscopic examination and subsequently removed. In addition, copious purulent discharge was seen. Post-operatively, the patient was treated with a 10-day course