Revisando mis emails que me llegan, encontrè un artículo sobre un diente ectópico, al paciente se le realizó una tomografía y se encontró un diente en seno maxilar. Aquí les dejo el resumen del caso y las imagenes en el siguiente link: http://www.nejm.org/doi/full/10.1056/NEJMicm1101021?query=TOC&
A 15-year-old boy was referred by his dentist for evaluation of recurrent episodes of maxillary and dental pain on the right side, accompanied by a purulent oral discharge. Physical examination revealed purulent material draining from a small opening in the gum next to the upper right maxillary first molar. A presumptive diagnosis of oroantral fistula was made, with probable extension to the maxillary sinus. Computed tomographic imaging revealed an ectopic tooth in the right maxillary sinus (Panel A, axial image, and Panel B, coronal image, with tooth indicated by black arrows). The ectopic tooth had obstructed the osteomeatal complex (Panels A and B, white arrows), causing the formation of a large mucocele (Panel A, red arrows) that resulted in the destruction of the bony floor of the maxillary sinus and the development of the oroantral fistula (Panel B, arrowhead). The presence of ectopic teeth in the maxillary sinus is most often asymptomatic but on rare occasions can be a cause of recurrent sinusitis. This patient’s ectopic tooth was extracted from the maxillary sinus by means of endoscopic surgery, and the patient has been symptom-free for more than 8 months.
Lluís Nisa, M.D.
Roland Giger, M.D.
Hôpital de Sion, Sion, Switzerland