Recurrent Epistaxis due to Bizarre Finding of Supernumerary Nasal Tooth

Firamir  Zulkifli; A. B. M. Tofazzal  Hossain; Halimuddin  Sawali; Shaila  Kabir; A. H. M.  Delwar; M. Tanveer Hossain  Parash; Liew Sat Lin Constance; Mohd Firdaus  Mohd Hayati; Fairrul  Kadir; M. Alamgir   Chowdhury

doi:10.51200/bjms.v15i3.3114

Authors

Firamir Zulkifli Department of ORL-HNS, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia
A. B. M. Tofazzal Hossain Department of Otorhinolaryngology, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
Halimuddin Bin Sawali Department of ORL-HNS, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia
Shaila Kabir Department of Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
A. H. M. Delwar Department of Otolaryngology, Comilla Medical College, Comilla, Bangladesh
M. Tanveer Hossain Parash Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
Liew Sat Lin Constance Department of Anesthesiology and Intensive Care, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
Mohd Firdaus Mohd Hayati Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
Fairrul Kadir Department of Emergency Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
M. Alamgir Chowdhury Department of ENT-HNS, Anwar Khan Modern Medical College, Dhaka, Bangladesh

DOI:

https://doi.org/10.51200/bjms.v15i3.3114

Keywords:

otolaryngology/ ENT , oral and maxillofacial surgery , dentistry and oral medicine

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.