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Endoscopic removal of ectopic sinonasal teeth: a systematic review.

Abstract

INTRODUCTION

Ectopic sinonasal teeth are uncommon. The classic approach to removal of such foreign bodies was the Caldwell-Luc. In recent years however, endoscopic approaches have become increasingly utilized. Despite this, there is a dearth of literature and consensus regarding the endoscopic removal of ectopic sinonasal teeth. As such, we conducted a systematic review on all cases of endoscopic removal of ectopic sinonasal teeth in the literature. With an understanding of the literature, clinical and technical decision making for patients with this pathology may be elucidated.

METHODS

Systematic review of the Ovid Medline, EMBASE Classic and Pubmed databases were conducted using PRISMA guidelines.

RESULTS

Our search identified 100 articles. Final inclusion consisted of 23 studies with a total of 27 patient cases. The majority of the patients included were male (70.4%) with a mean age of 27.06 years. Patients presented with a multitude of symptoms, with nasal obstruction (48.14%), rhinorrhea (22.2%), facial pain (22.2%) and epistaxis (22.2%) being most common. Surgeons mostly reported using a 0° endoscope (22.2%) and performing a maxillary antrostomy/uncinectomy (37%) and simple extraction under general anesthetic (41%).

CONCLUSIONS

This systematic review analyzed important epidemiological, clinical and technical information regarding patients with endoscopic removal of sinonasal ectopic teeth. Further research is needed to promote implementation of such data into clinical practice.

Authors+Show Affiliations

Michael G. DeGroote School of Medicine, Michael G. DeGroote Centre for Learning and Discovery, McMaster University, 1280 Main Street West, 3104, Hamilton, ON, L8S 4K1, Canada. marc.levin@medportal.ca.Department of Surgery, Division of Otolaryngology - Head and Neck Surgery, Hamilton Health Sciences, McMaster University, Hamilton, Canada.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31277707

Citation

Levin, Marc, and Doron D. Sommer. "Endoscopic Removal of Ectopic Sinonasal Teeth: a Systematic Review." Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale, vol. 48, no. 1, 2019, p. 30.
Levin M, Sommer DD. Endoscopic removal of ectopic sinonasal teeth: a systematic review. J Otolaryngol Head Neck Surg. 2019;48(1):30.
Levin, M., & Sommer, D. D. (2019). Endoscopic removal of ectopic sinonasal teeth: a systematic review. Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale, 48(1), p. 30. doi:10.1186/s40463-019-0353-8.
Levin M, Sommer DD. Endoscopic Removal of Ectopic Sinonasal Teeth: a Systematic Review. J Otolaryngol Head Neck Surg. 2019 Jul 5;48(1):30. PubMed PMID: 31277707.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic removal of ectopic sinonasal teeth: a systematic review. AU - Levin,Marc, AU - Sommer,Doron D, Y1 - 2019/07/05/ PY - 2019/04/03/received PY - 2019/06/20/accepted PY - 2019/7/7/entrez PY - 2019/7/7/pubmed PY - 2019/7/7/medline KW - Caldwell-Luc KW - Chronic rhinosinusitis KW - Ectopic sinonasal teeth KW - Endoscopic sinus surgery KW - Endoscopic teeth removal SP - 30 EP - 30 JF - Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale JO - J Otolaryngol Head Neck Surg VL - 48 IS - 1 N2 - INTRODUCTION: Ectopic sinonasal teeth are uncommon. The classic approach to removal of such foreign bodies was the Caldwell-Luc. In recent years however, endoscopic approaches have become increasingly utilized. Despite this, there is a dearth of literature and consensus regarding the endoscopic removal of ectopic sinonasal teeth. As such, we conducted a systematic review on all cases of endoscopic removal of ectopic sinonasal teeth in the literature. With an understanding of the literature, clinical and technical decision making for patients with this pathology may be elucidated. METHODS: Systematic review of the Ovid Medline, EMBASE Classic and Pubmed databases were conducted using PRISMA guidelines. RESULTS: Our search identified 100 articles. Final inclusion consisted of 23 studies with a total of 27 patient cases. The majority of the patients included were male (70.4%) with a mean age of 27.06 years. Patients presented with a multitude of symptoms, with nasal obstruction (48.14%), rhinorrhea (22.2%), facial pain (22.2%) and epistaxis (22.2%) being most common. Surgeons mostly reported using a 0° endoscope (22.2%) and performing a maxillary antrostomy/uncinectomy (37%) and simple extraction under general anesthetic (41%). CONCLUSIONS: This systematic review analyzed important epidemiological, clinical and technical information regarding patients with endoscopic removal of sinonasal ectopic teeth. Further research is needed to promote implementation of such data into clinical practice. SN - 1916-0216 UR - https://www.unboundmedicine.com/medline/citation/31277707/Endoscopic_removal_of_ectopic_sinonasal_teeth:_a_systematic_review L2 - https://journalotohns.biomedcentral.com/articles/10.1186/s40463-019-0353-8 DB - PRIME DP - Unbound Medicine ER -