Endoscopic treatment of ectopic teeth in the maxillary sinus

Muhamed Masalha; Shay Schneider; Firas Kassem; Ilan Koren; Ron Eliashar; Ariel Margulis; Roee Landsberg

doi:10.4317/jced.57905

Endoscopic treatment of ectopic teeth in the maxillary sinus

J Clin Exp Dent. 2021 Mar 1;13(3):e227-e233. doi: 10.4317/jced.57905. eCollection 2021 Mar.

Authors

Muhamed Masalha^{1

2}, Shay Schneider², Firas Kassem³, Ilan Koren⁴, Ron Eliashar⁵, Ariel Margulis², Roee Landsberg²

Affiliations

¹ Department of Otolaryngology-Head and Neck Surgery, Emek Medical Center in Afula, The Ruth and Bruce Rappaport School of Medicine, The Technion Institute of Technology in Haifa, Israel.
² A.R.M, Center of Otolaryngology-Head and Neck Surgery. Assuta Medical Center in Tel Aviv, Tel Aviv University, Israel.
³ Department of Otolaryngology-Head and Neck Surgery, Meir Medical Center in Kfar Saba, Sackler school of Medicine, Tel Aviv University, Tel Aviv, Israel.
⁴ Department of Otolaryngology- Head and Neck Surgery, Rabin medical center in Petah Tikva, Tel Aviv University, Israel.
⁵ Department of Otolaryngology- Head and Neck Surgery, Hadassah Medical Center, and the Faculty of Health Sciences, Jerusalem Hebrew University, Jerusalem, Israel.

Abstract

Background: Ectopic teeth in maxillary sinus is rare and are usually removed via sub-labial trans-canine fossa approach (SLCFA). The aim of our study was to present our experience with extraction of ectopic teeth in the maxillary sinus via transnasal endoscopic approach (TEA).

Material and methods: Rhinologists were asked to share their experience in the management of ectopic teeth in the maxillary sinus. Data were reviewed retrospectively.

Results: Eleven cases were reported in 10 patients from 2010 to 2019, six males and four females with a mean age of 33.5 +/-17 years (range 16 to 61). Seven patients complained of sinonasal symptoms, two were diagnosed incidentally during routine dental work-up, and one had oro-antral fistula. In eight patients, a cyst coexisted within the maxillary sinus. Teeth were located arbitrarily within the sinus. All cases were operated by TEA. One patient had self-limited periorbital emphysema, one had transient cheek numbness, and one had early post-operative bleeding that stopped after endoscopic cauterization. Long-term follow-up revealed good clinical outcomes.

Conclusions: Transnasal endoscopic removal of ectopic teeth from the maxillary sinus is a feasible and rational approach when SLCFA is contraindicated. Key words:Ectopic teeth, dentigerous cyst, endoscopic sinus surgery, Caldwell-Luc.