Ectopic tooth eruption from inferior turbinate with rhinolith, rare case of ectopic tooth in nose: a case report

Abstract

We report a rare occurrence of an ectopic tooth in the nose, which erupted from the inferior turbinate and was associated with rhinolith formation, in a 38-year-old female patient with chronic rhinosinusitis. The condition caused significant nasal obstruction, headache, and unilateral foul-smelling nasal discharge. This case highlights the diagnostic challenges and treatment strategies involved in managing this uncommon condition. The intra-nasal tooth and rhinolith were removed endoscopically. Ectopic teeth, growing in abnormal locations like the maxillary sinus, are rare occurrences, with uncertain causes including trauma, infection, and developmental abnormalities. They often appear in the second or third decade of life, sometimes without symptoms. They are often missed as symptoms can mimic chronic sinusitis but may include sino-nasal issues like obstruction and facial pain. Complications ranging from recurrence to potential blindness or carcinoma have been reported. Diagnosis involves radiographic imaging, with CT scans providing precise localization. Following accurate diagnosis, treatment typically involves surgical removal, with endoscopic procedures gaining popularity due to reduced risks. Follow-up for asymptomatic cases can be conducted through periodic radiographs.