Recurrent Epistaxis due to Bizarre Finding of Supernumerary Nasal Tooth

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Abstract

A supernumerary tooth is an additional tooth that erupted more than the normal dentition. A rarer form of a supernumerary tooth is when it erupted ectopically into the nasal cavity. Since childhood, this case report describes a 32-year-old male patient with recurrent mild nasal bleeding from his left nostril. It was never investigated seriously as the bleeding was mild and infrequent. After he was recently referred to our centre, a thorough Ear, Nose, and Throat examination was done. Direct vision with Hopkins zero-degree rigid endoscope and orthopantomogram computed tomography confirmed the provisional diagnosis of a supernumerary nasal tooth. The patient was offered surgical extraction of the tooth under general anesthesia. He denied the surgery and decided to have regular follow up. He is maintaining good health without worsening the symptoms.
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因奇怪的多出的鼻牙而复发性鼻出血
多出的牙齿是指比正常牙列多出的牙齿。一种罕见的多生牙齿的形式是当它异位地进入鼻腔时。这个病例报告描述了一个32岁的男性患者,从童年开始,他的左鼻孔反复出现轻度鼻出血。由于出血轻微且不频繁,因此从未认真调查过。在他最近被转介到我们中心后,我们做了彻底的耳鼻喉检查。直接视觉与霍普金斯零度刚性内窥镜和正体层摄影计算机断层扫描证实了临时诊断为多生鼻牙。病人在全身麻醉下接受拔牙手术。他拒绝接受手术,并决定定期随访。他身体状况良好,症状没有恶化。
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