Removal of nasally impacted mesiodens by maxillary vestibular transnasal approach

Mohamed Elseyoufi , Ayman Hasan Alrabiaa , Peter Tsakiris
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Abstract

The mesiodens is rarely associated with the nasal floor. Several surgical techniques exist for the removal of nasally impacted mesiodens. This case report presents a 13-year-old male who had uneventful surgical extraction of nasally impacted asymptomatic mesiodens using a maxillary transnasal subperiosteal approach via a modified LeFort I vestibular incision. This novel technique, which requires surgical experience and expertise, is recommended due to optimal surgical access, resulting in reduced surgical time and less bone removal with a decreased risk of damage to the adjacent structures.

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上颌前庭经鼻入路去除鼻阻生中牙
甲硫端很少与鼻底有关。有几种外科手术技术可以去除鼻内受影响的甲碘管。本病例报告介绍了一名13岁男性,他通过改良的LeFort I前庭切口,采用上颌骨经鼻骨膜下入路,顺利地切除了受鼻影响的无症状中间节。推荐使用这种需要手术经验和专业知识的新技术,因为它具有最佳的手术途径,可以减少手术时间,减少骨切除,降低对邻近结构的损伤风险。
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