On November 8th, the Interdisciplinary Department of Bac Giang Obstetrics and Pediatrics Hospital reported that they had recently admitted and treated Nguyen Dinh Duong (4 years old, residing in Tan Lieu commune, Yen Dung district, Bac Giang province) with a misplaced tooth growing in the floor of his right nostril.
Surgeons remove an extra, misplaced tooth from a 4-year-old patient (photo courtesy of the hospital).
Mr. Nguyen Dinh Vuong (Duong's father) said: "For more than a year, Duong has been experiencing nosebleeds and frequent nasal congestion. We took him to a nearby medical facility for examination, but nothing unusual was detected. The doctor prescribed medication, but it didn't seem to help; the nosebleeds continued. Worried about our son's health, my wife and I took him to Bac Giang Obstetrics and Pediatrics Hospital for examination and treatment."
At the hospital, doctors from the Interdisciplinary Department examined the child and found a mass protruding from the nasal floor in the right nasal cavity, along with pus in the nasal floor and the space between the two sides. The child was scheduled for nasal endoscopy, and along with the results of a CT scan of the nasal sinuses, the doctors from the Interdisciplinary Department consulted and unanimously diagnosed the child with acute sinusitis, with the mass in the right nasal floor suspected to be an ectopic supernumerary tooth. After a week of medical treatment for acute sinusitis, the doctors decided to perform endoscopic surgery to remove the supernumerary tooth.
Following the surgery, the child's health stabilized and the nosebleeds and nasal congestion subsided.
Dr. Tran Minh Tan, a specialist in Interdisciplinary Medicine, stated that, based on existing literature, there is no clear explanation for why tooth buds fail to erupt in the correct position within the dental arch, instead growing in other locations such as the palate, inside or outside the dental arch, in the sinuses, or in the nasal floor, resulting in ectopic teeth. However, some possible causes have been suggested, including: dental trauma, maxillary osteomyelitis, development of a cleft palate defect, and genetic factors. Ectopic teeth in the nasal floor are very rare; in this case, the tooth bud does not point downwards but upwards towards the nasal floor, causing the tooth to develop into the nasal cavity. This is considered an extra tooth, while all other teeth develop fully and normally.
Dr. Tan added that, in medical literature, only 23 cases of ectopic teeth growing in the nasal floor were recorded between 1959 and 2008. Patients usually have no symptoms and are only discovered incidentally during a medical examination. Depending on the location of the ectopic tooth, symptoms may include nasal congestion, runny nose, nosebleeds, headaches, etc. These symptoms are usually unilateral, do not respond to medical treatment, and recur frequently. If the tooth is not surgically extracted in time, the condition will worsen, causing complications. Therefore, early diagnosis and timely treatment are extremely necessary to ensure the child's health and safety.
Source: https://www.baogiaothong.vn/hi-huu-rang-moc-lac-len-mui-be-trai-4-tuoi-o-bac-giang-192241108135535196.htm
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