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Ectopic teeth erupted in the maxillary sinus (MS) or Pterygomaxillary Fossa (PF) are rarely reported. Though often asymptomatic, patients with ectopic teeth in the MS or PF may suffer from facial pain/numbness, purulent nasal discharge, facial edema, epiphora, and haemoptysis. Caldwell-Luc procedure is traditionally performed to remove ectopic teeth from the sinus, though several side effects and complications have been reported. The maxillary facial pain and numbness following such procedure can be extremely bothersome. This paper reports the case of a young woman suffering from maxillary facial pain and swelling due to an ectopic molar tooth in the PF and related maxillary sinusitis. Tooth removal and MS cleaning were carried out through a transnasal endoscopic approach. The postoperative course was uneventful. The patient did not complain any facial pain or numbness. We conclude that transnasal endoscopy is a painless and easy approach for the removal of ectopic teeth from the PF thanks to the low morbidity of intranasal antrotomy and advantages of endoscopic vision.

The use of mastoid vibration in addition to repositioning maneuvers for the treatment of benign paroxysmal positional vertigo of the posterior semicircular canal (PSC-BPPV) was described for the first time by Epley. There is evidence in the literature that the additional use of mastoid vibration could provide a substantial advantage also in the treatment of the apogeotropic variant of BPPV of the horizontal semicircular canal (HSC-BPPV). The present is a case report about a patient with a left PSC-BPPV resistant to the conventional treatment with Epley repositioning maneuver.

The optimal surgical approach for extended parapharyngeal pleomorphic adenomas of the parotid gland is still controversial, also in relation to the possible complications of this type of surgery. We report our experience on 5 patients treated in the last 4 years with the “extracapsular dissection-endocapsular decompression” surgical approach for parotid deep lobe extended adenomas. The surgical details are described. No complication in terms of temporary/permanent facial paralysis, sialocele or Frey’s syndrome was noticed. No adenoma recurrence was recorded. Further trials with long-term follow-up should be performed to confirm these findings and definitely demonstrate the efficacy of this method to prevent recurrences.