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The regular use of cotton buds or pushing other blunt objects into the ear may cause wax impaction and could damage the ear drum. We use a combination of controlled water irrigation and instruments to lift and remove wax accumulations.
These cases where a child can’t sit still or cooperate with the doctor, the procedure will be done in an operating room with the child given general anesthesia. If you have any concerns about your child’s ears or hearing, get the ear tested for hearing after wards. Dr Paulose FRCS, DLO is a Consultant ENT Plastic & Laser Surgeon with over 38 years of world class experience in Ear, Nose, Throat and Laser Surgery treating patients across the world from UK, US, Middle East to Asia. This service is professionally done, in a private room, following the Health Canada's highest standards. It is produced naturally by specialised cells that line the walls of the ear canal but is seldom a problem since it works its way naturally out of the ear. At Ear Wax Gone, we can usually see you at short notice and will normally be able to remove ear wax in one visit without any pretreatment of the wax. If you have had any of the following you may not be a suitable candidate for wax removal at Ear wax Gone.
There might be a little discomfort but it isn’t painful, though some kids may be uncomfortable with the sensation of someone handling their ears. It is done as a day case, the child come to the operation theatre on empty stomach, the procedure done by inhalation anesthesia a€“mask over the face.
This is a safe service professionally done, in a private room, following Health Canada's highest Standards. Dentigerous cyst associated with an ectopic third molar in the maxillary sinus: A rare entity.
Dentigerous cyst associated with an ectopic third molar in the maxillary sinus: A case report and review of literature.


The teeth most involved are in descending order of occurrence, the third molars, the canines, and the second premolars. As with other cysts, dentigerous cyst expands the cortical plates and may involve other teeth causing destruction of the tissues as it expands. There was slight obvious facial asymmetry caused by the swelling over the right maxillary region.
Paranasal sinus (PNS) radiographic view demonstrates dentigerous cyst (arrow) and impacted third molar in the right maxillary sinus.
Based on the clinical and radiological findings, a diagnosis of infected dentigerous cyst of maxillary sinus arising from an ectopic third molar was arrived at. Excised specimen shows the cystic lining remnants along with the impacted third molar.Click here to viewHistopathological examination revealed non-keratinized stratified squamous epithelium confirming the clinical diagnosis of dentigerous cyst [Figure 9]. Postoperative panoramic radiograph after 6-months showed a normal maxillary sinus [Figure 10]. However, there have been a few reports of tooth erupting in the nose, mandibular condyle, coronoid process, and maxillary sinus, which is also the largest of the paranasal sinuses. Usually these teeth are associated with dentigerous cysts, which can occupy the maxillary sinus partially or totally and can be the cause of various symptoms.
Usually these teeth are detected during routine radiographic examination or the patient could have a history of typical, sinus-related symptoms. It is also important to completely remove all diseased antral tissues and thoroughly assess all resected soft tissue histologically with proper follow-up for a period of 1 year.
Unicystic ameloblastoma occurs in people under the age of 30 years, is seen equally in both genders, and has a tendency to occur in the posterior mandible associated with the crown of an unerupted third molar. Approximately one-third of cases are associated with an unerupted tooth, most often a canine.
CEOT is an uncommon lesion, which is most often encountered between 3 rd and 5 th decades, occurs equally in both genders, and has a tendency to occur in posterior mandible associated with an impacted third molar.


Ameloblastic fibroma is an uncommon tumor, occurs in the first 2 decades, more common in males, commonly found in posterior mandible, and is associated with an unerupted tooth in about 75% of cases.
Ameloblastic fibro-odontoma often occurs in the maxilla and is associated with an impacted tooth.
However, the ameloblastic fibro-odontoma is rarely found within the maxillary sinus and usually occurs in young adults under the age of 20 years.
Odontogenic keratocyst may be found in patients in any age group, is commonly found in posterior body and ascending ramus of the mandible, and in 25-40% of cases, an unerupted tooth is involved. Cases of ameloblastoma or epidermoid carcinomas developing from the lining epithelium of a dentigerous cyst are adequately documented as potential long-term complications, whereas mucoepidermoid carcinomas are less well-documented.
In large cysts, an initial marsupialization to diminish the size of the osseous defect, followed by enucleation and tooth extraction, has been followed.
The major disadvantage of marsupialization is recurrence or persistence of the lesion along with the residual cystic lining. Endoscopic approach for management of dentigerous cyst of maxilla is also described in the literature. Imaging studies including CT scans aid in diagnosis of dentigerous cysts and associated tooth abnormalities. Management of dentigerous cyst arising from ectopic third molar in the maxillary sinus is usually enucleation. Caldwell-Luc procedure along with enucleation and primary closure was followed in this case as the ectopic tooth was the cause of recurrent sinusitis and purulent rhinorrhea in spite of administering antibiotics repeatedly.



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