Endoscopic Management of Migrated Teeth in the Nasal Cavity and Paranasal Sinuses: Clinical Experience with 20 Cases

Objective: This study presents a ten-year retrospective overview of the clinical outcomes associated with endoscopic removal of intranasal teeth, based on a case series of twenty consecutive patients.Methods: A retrospective review was conducted using medical records of twenty patients who underwent endoscopic intranasal tooth extraction at Baghdad Medical City between 2010 and 2020.Results: All patients experienced complete resolution of their initial symptoms and uneventful postoperative recovery. The follow-up period ranged from 3 months to 10 years, with an average duration of 6 years and 3 months. Among the extracted teeth, 11 were supernumerary, while 9 were ectopic permanent canines.Conclusions: Based on our clinical experience, endoscopic extraction of intranasal teeth provides excellent surgical control, enhanced illumination, and precise visualization. This technique allows for safe and accurate dissection with minimal trauma. We recommend the routine use of rigid nasal endoscopy for the management of intranasal ectopic or supernumerary teeth.