Clipping Board » Disease & Prevention ─ Understanding diseases, prevention is better than cure.
(Central News Agency reporter Hao Xueqing, Taichung City, 14th) Misaligned bites trouble some individuals. Dr. Tu Zhiwen, an attending physician in the ENT department at Taichung Veterans General Hospital, stated today that misaligned teeth cannot always be corrected solely with braces. A female university student who wore braces still suffered from a misaligned bite and noticed swelling on the right side of her face. After a thorough examination, it was discovered that two teeth had grown below her right eye socket. After removing the ectopic teeth, both the facial swelling and years of nasal congestion were resolved.
A 22-year-old female university student in Taichung City had long been troubled by buck teeth and nasal congestion. After saving money from part-time work, she mustered the courage to get braces during her sophomore summer vacation. Over time, although her buck teeth improved, her misaligned bite remained severe.
The student visited another dental clinic, where a meticulous dentist noticed not only her misaligned teeth but also swelling on the right side of her face. Suspecting sinus issues, the dentist referred her to the ENT department at Taichung Veterans General Hospital for further examination.
Dr. Tu Zhiwen arranged for sinus endoscopy and CT scans, which revealed swelling and deformation of the right nasal cavity wall and inferior turbinate. The right maxillary sinus was filled with mucus-like contrast, with bone erosion in the alveolar region, deformation of the maxillary sinus wall, thinning of the infraorbital bone wall, and abnormal calcification points in the sinus.
Diagnosed with a sinus tumor, the doctor performed a gingivobuccal incision to lift the cheek and entered the sinus by creating a hole in the anterior wall of the maxillary sinus. The sinus was found to be filled with yellow mucus but no solid mass. The alveolar region of the maxillary sinus and the nasal floor bone were abnormally deformed, forming a cavity. These findings supported the preoperative diagnosis of an alveolar cyst with sinus invasion.
After carefully scraping the cyst wall and using a bone grinder to remove the abnormally deformed bone in the alveolar region, the doctor discovered two teeth growing below the patient's right eye socket. After removing the ectopic teeth, the doctor performed maxillary sinus irrigation and packing, corrected the deformed bone wall causing the cheek swelling, and sutured the wound. Post-surgery follow-up showed good wound recovery, with the facial deformity and years of nasal congestion completely resolved.
Dr. Tu Zhiwen mentioned that the patient had found some childhood photos, revealing that her cheek had gradually become asymmetrically swollen since elementary school. Clearly, this alveolar cyst had accompanied her for over a decade.
Dr. Tu pointed out that cysts invading the sinuses account for about 20% of odontogenic cysts and usually present no obvious symptoms. He specifically advised that if one experiences misaligned teeth, unilateral nasal congestion, recurrent sinusitis, or even cheek swelling, they should be cautious of the possibility of odontogenic cysts causing sinus invasion. 950914
Source: http://tw. news. yahoo. com/ article/ url/ d/ a/ 060914/ 5/ 401p. html
Chronic Cheek Swelling Caused by Tooth Growing below Eye Socket
A 22-year-old female university student in Taichung City had long been troubled by buck teeth and nasal congestion. After saving money from part-time work, she mustered the courage to get braces during her sophomore summer vacation. Over time, although her buck teeth improved, her misaligned bite remained severe.
The student visited another dental clinic, where a meticulous dentist noticed not only her misaligned teeth but also swelling on the right side of her face. Suspecting sinus issues, the dentist referred her to the ENT department at Taichung Veterans General Hospital for further examination.
Dr. Tu Zhiwen arranged for sinus endoscopy and CT scans, which revealed swelling and deformation of the right nasal cavity wall and inferior turbinate. The right maxillary sinus was filled with mucus-like contrast, with bone erosion in the alveolar region, deformation of the maxillary sinus wall, thinning of the infraorbital bone wall, and abnormal calcification points in the sinus.
Diagnosed with a sinus tumor, the doctor performed a gingivobuccal incision to lift the cheek and entered the sinus by creating a hole in the anterior wall of the maxillary sinus. The sinus was found to be filled with yellow mucus but no solid mass. The alveolar region of the maxillary sinus and the nasal floor bone were abnormally deformed, forming a cavity. These findings supported the preoperative diagnosis of an alveolar cyst with sinus invasion.
After carefully scraping the cyst wall and using a bone grinder to remove the abnormally deformed bone in the alveolar region, the doctor discovered two teeth growing below the patient's right eye socket. After removing the ectopic teeth, the doctor performed maxillary sinus irrigation and packing, corrected the deformed bone wall causing the cheek swelling, and sutured the wound. Post-surgery follow-up showed good wound recovery, with the facial deformity and years of nasal congestion completely resolved.
Dr. Tu Zhiwen mentioned that the patient had found some childhood photos, revealing that her cheek had gradually become asymmetrically swollen since elementary school. Clearly, this alveolar cyst had accompanied her for over a decade.
Dr. Tu pointed out that cysts invading the sinuses account for about 20% of odontogenic cysts and usually present no obvious symptoms. He specifically advised that if one experiences misaligned teeth, unilateral nasal congestion, recurrent sinusitis, or even cheek swelling, they should be cautious of the possibility of odontogenic cysts causing sinus invasion. 950914
Source: http://tw. news. yahoo. com/ article/ url/ d/ a/ 060914/ 5/ 401p. html