A Surprising Nasal Obstruction

A 38-year-old man has chronic nasal obstruction. Exam and CT reveal a hard, radiodense mass. Explore the Differential Diagnosis for this unusual finding.

Tooth


A 38-year-old man presented to the otolaryngology clinic with chronic difficulty breathing through his right nostril. Physical examination showed nasal septal deviation, calcified septal spurs, and a 2-cm perforation in the posterior septum. On rhinoscopy, a hard, nontender, white mass was observed in the floor of the right nostril. CT of the paranasal sinuses showed a well-defined, radiodense mass. Which of the following is the most likely etiology of the nasal mass?

What is the most likely diagnosis?

Calcified polyp
Enchondroma
Osteoma
Rhinolith
Tooth

Ectopic Tooth, Nasal Mass, Nasal Obstruction, Otolaryngology, Tooth

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