Asymptomatic Radio-Opacity at the Floor of Nasal Cavity

  • Astha ChaudhryEmail author
Clinical Report


Asymptomatic pathologies are usually discovered incidentally on radiographs. Sometimes, the presentation is characteristic and diagnosis is easily arrived. For uncharacteristic presentations, numerous differential diagnosis can be made and multiple investigations may be required by the radiologist. The present manuscript discusses the differential diagnosis of a commonly presenting asymptomatic radio-opacity at the floor of the nasal cavity and an unusual outcome of the investigation.


Asymptomatic Nasal cavity Radiopaque Tooth 


Compliance with Ethical Standards

Conflicts of interest

The author declares that there is no conflict of interests.


  1. 1.
    Kalan A, Tariq M (2000) Foreign bodies in the nasal cavities: a comprehensive review of the aetiology, diagnostic pointers, and therapeutic measures. Postgrad Med J 76:484–487CrossRefGoogle Scholar
  2. 2.
    DeWeese DD, Saunders AH (1982) Acute and chronic diseases of the nose. In: DeWeese DD, Saunders AH (eds) Textbook of otolaryngology. CV Mosby, St LouisGoogle Scholar
  3. 3.
    Chen A, Huang JK, Cheng SJ, Sheu CY (2002) Nasal teeth: report of three cases. Am J Neuroradiol 23:671–673PubMedGoogle Scholar
  4. 4.
    Lin IH, Hwang CF, Su CY, Kao YF, Peng JP (2004) Intranasal tooth: report of three cases. Chang Gung Med J 27(5):385–388PubMedGoogle Scholar
  5. 5.
    Goldsten E, Gottlieb MA (1973) Foreign bodies in the nasal fossae of children. Oral Surg Oral Med Oral Pathol 36:446–447CrossRefGoogle Scholar
  6. 6.
    Baluyot ST (1980) Foreign bodies in the nasal cavity. In: Paparella MM, Shumrick DA (eds) Otolaryngology. WB Saunders, Philadelphia, pp 2009–2016Google Scholar
  7. 7.
    Walby AP (1997) Foreign bodies in the ear or nose. In: Kerr AG (ed) Scott-Brown’s otolaryngology, 6th edn. Butterworth-Heinemann, OxfordGoogle Scholar
  8. 8.
    Carder HM, Hill JJ (1996) Asymptomatic rhinolith. A brief review of literature and case report. Laryngoscope 76:524–530Google Scholar
  9. 9.
    Mehmet Y, Metin I, Erkan K, Ozcan O (2012) Heterotopic bone formation (Osseous Metaplasia) in nasal polyps. J Craniofac Surg 23(2):620 (letter) CrossRefGoogle Scholar
  10. 10.
    DeShazo RD, Chapin K, Swain RE (1997) Fungal sinusitis. N Engl J Med 337:254–259CrossRefGoogle Scholar
  11. 11.
    Klossek JM, Serrano E, Peloquin L, Percodani J, Fontanel JP, Pessey JJ (1997) Functional endoscopic sinus surgery and 109 mycetomas of the paranasal sinuses. Laryngoscope 107:112–117CrossRefGoogle Scholar
  12. 12.
    Goguen LA, Karmody CS (1995) Nasal tuberculosis. Otolaryngol Head Neck Surg 113:131–135CrossRefGoogle Scholar
  13. 13.
    McKibben BG, Sheehy JL (1956) Tuberculosis of the middle ear and nasal passages. Arch Otolaryngol 63:286–289CrossRefGoogle Scholar
  14. 14.
    Howard D (1997) Nonhealing granulomas. In: Mackay IS, Bull TR (eds) Scott’s Brown otolaryngology: rhinology, vol 4/20, 6th edn. Butterworth and Heineman, Oxford, pp 1–11Google Scholar
  15. 15.
    Thakur JS, Chauhan I, Mohindroo S, Sharma DR, Mohindroo NK (2011) Primary nasal tuberculosis. Clin Rhinol Int J 4(1):39–41CrossRefGoogle Scholar
  16. 16.
    Moon WK, Han MH, Chang KH, Im JG, Kim HJ, Sung KJ, Lee HK (1997) CT and MR imaging of head and neck tuberculosis. Radiographics 17(2):391–402CrossRefGoogle Scholar
  17. 17.
    Hughes RG, Drake Lee A (2001) Nasal manifestations of granulomatous diseases. Hosp Med 62(7):417–421CrossRefGoogle Scholar
  18. 18.
    White SC, Pharoah MJ (2004) Oral radiology, principles and interpretation, 5th edn. Mosby, St LouisGoogle Scholar
  19. 19.
    Soltan M, Kacker A (2008) Complex odontoma of the nasal cavity: a case report. Ear Nose Throat J 87(5):277–279CrossRefGoogle Scholar
  20. 20.
    Suenaga H, Unami M, Hoshi K, Mori Y, Takato T (2014) Ectopic complex odontoma of the nasal cavity: a rare case. J Oral Maxillo fac Surg Med Pathol 26(3):347–350CrossRefGoogle Scholar
  21. 21.
    Duarte VM, Suh JD, Sepahdari AR, Nelson SD (2013) Sinonasal solitary enchondroma: case report and review of the literature. Int J Pediatr Otorhinolaryngol Extra 8:36–38CrossRefGoogle Scholar
  22. 22.
    Kumar N, Mittal V (2011) Maxillary sinus osteoma: a rare cause of headache. Clin Rhinol Int J 4(2):111–113CrossRefGoogle Scholar
  23. 23.
    Gurung U, Joy L, Thapa NM, Pradhan B (2012) Chondrosarcoma of the posterior nasal septum. Kathmandu Univ Med J 38(2):89–91CrossRefGoogle Scholar
  24. 24.
    Langlais RP, Langland OE, Nortje CJ (1995) Diagnostic imaging of the jaws. Williams & Wilkins, BaltimoreGoogle Scholar
  25. 25.
    Russell KA, Folwarczna MA (2003) Mesiodens: diagnosis and management of a common supernumerary tooth. J Can Dent Assoc 69(6):362–366PubMedGoogle Scholar
  26. 26.
    Nayak S (2011) A rare presentation of bilateral mesiodens in maxilla. Bangladesh J Med Sci 10(4):287–288CrossRefGoogle Scholar
  27. 27.
    Quinn JH, Lewis M (1959) Bilateral inverted supernumerary central incisors penetrating nasal cavity. Report of case. J Oral Surg Anaesth Hosp Dent Serv 17:61–62Google Scholar
  28. 28.
    Iwai T, Aoki N, Yamashita Y, Omura S, Matsui Y, Maegawa J, Tohnai I (2012) Endoscopic removal of bilateral supernumerary intranasal teeth. J Oral Maxillofac Surg 70(5):1030–1034CrossRefGoogle Scholar
  29. 29.
    Choi J, Kim BS (2013) Bilateral intranasal supernumerary teeth. J Rhinol 20(1):65–67Google Scholar
  30. 30.
    Kuroda H, Tsutsumi K, Tomisawa H, Koizuka I (2003) A case of an inverted tooth in the nasal cavity. Auris Nasus Larynx 30:s127–s129CrossRefGoogle Scholar
  31. 31.
    Smith RA, Gordon NC, De Luchi SF (1979) Intranasal teeth. Report of two cases and review of the literature. Oral Surg Oral Med Oral Pathol 47:120–122CrossRefGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2017

Authors and Affiliations

  1. 1.Faculty of Dental SciencesSGT UniversityGurgaonIndia

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