Nasal bleeding is a common disorder in children that is frequently caused by irritation in the Kiesselbach plexus (also known as Little’s area). Other common underlying causes include local inflammatory diseases of the nose, infections, vascular malformations, and trauma. We report here a rare case of an ectopic tooth in the nasal cavity as the cause of recurrent epistaxis in a 3.5-year-old child. The clinical presentation, investigations, and management are discussed.
An ectopic or supernumerary tooth in the nasal cavity is a rare phenomenon. It can be asymptomatic or may present with a myriad of symptoms, including nasal obstruction, headache, and recurrent sinusitis. Rarely, it presents with recurrent epistaxis as the only symptom. Such cases are usually associated with abnormal dentition.
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