Adenomatoid odontogenic tumor mimicking nasal pathology: A case report on endoscopic endonasal management
Issued Date
2026-03-01
Resource Type
eISSN
27729060
Scopus ID
2-s2.0-105027669603
Journal Title
Oral Oncology Reports
Volume
17
Rights Holder(s)
SCOPUS
Bibliographic Citation
Oral Oncology Reports Vol.17 (2026)
Suggested Citation
Atipas K., Ruangprasertkul S., Atipas S. Adenomatoid odontogenic tumor mimicking nasal pathology: A case report on endoscopic endonasal management. Oral Oncology Reports Vol.17 (2026). doi:10.1016/j.oor.2026.100783 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/114574
Title
Adenomatoid odontogenic tumor mimicking nasal pathology: A case report on endoscopic endonasal management
Author(s)
Author's Affiliation
Corresponding Author(s)
Other Contributor(s)
Abstract
Background Adenomatoid odontogenic tumor (AOT) is a rare benign epithelial odontogenic tumor that typically occurs in young females and is most often associated with an impacted maxillary canine. Although usually managed via transoral enucleation, endoscopic endonasal surgery has emerged as a potential alternative for selected lesions. Case presentation A 25-year-old woman presented with progressive right-sided nasal obstruction and clear rhinorrhea. Nasal endoscopy revealed a smooth submucosal bulge arising from the right inferior meatus that filled the right nasal cavity. Computed tomography demonstrated a well-defined expansile lesion occupying the right maxillary sinus, containing internal calcifications and an impacted canine tooth. The tumor was completely removed using an endoscopic endonasal approach. Histopathology confirmed the diagnosis of AOT. At the 18-month follow-up, endoscopic examination showed complete healing without recurrence. Discussion Endoscopic endonasal surgery offers advantages over transoral approaches in selected cases, including improved visualization, avoidance of oroantral complications, absence of external incisions, and suitability for large maxillary sinus lesions. Conclusion This case demonstrates the feasibility of complete AOT removal using an endoscopic endonasal approach. Further reports with long-term follow-up are required to clarify indications and outcomes for this technique.