{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:40:04Z","timestamp":1756327204444,"version":"3.44.0"},"reference-count":24,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,4,9]]},"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>Ectopic teeth are commonly present in unusual positions or locations within the dentoalveolar structures. Rarely, ectopic teeth may present in more distant locations within the maxillofacial region, such as the maxillary sinus, mandibular condyle and mandibular coronoid process. Given the condition\u2019s rarity, the aetiology, clinical presentation and optimal management of distantly located ectopic teeth remain poorly defined. We present a patient with an ectopic molar in the left mandibular subcondylar region associated with recurring swelling and pain. Imaging revealed associated pericoronal radiolucency and surrounding cortical bone expansion of the mandibular ramus. The patient was treated surgically with removal of the ectopic tooth and pericoronal lesion via a retromandibular transparotid approach, with the resolution of the patient\u2019s recurring symptoms. In the postoperative period, the patient developed a presumed salivary leak at the incision site that resolved with conservative management. This case highlights the utility of an extraoral approach in the management of an ectopic molar located in the mandibular subcondylar region.<\/jats:p>","DOI":"10.1136\/bcr-2025-265200","type":"journal-article","created":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T04:15:31Z","timestamp":1745554531000},"page":"e265200","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Ectopic molar removal via retromandibular approach"],"prefix":"10.1136","volume":"18","author":[{"given":"Ashley","family":"Zhang","sequence":"first","affiliation":[{"name":"VA Greater Los Angeles Healthcare System, North Hills, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2788-8205","authenticated-orcid":false,"given":"Jeffrey","family":"Tsai","sequence":"additional","affiliation":[{"name":"VA Greater Los Angeles Healthcare System, North Hills, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,4,24]]},"reference":[{"key":"2025082713093458000_18.4.e265200.1","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/s43163-024-00564-x","article-title":"Ectopic upper third molar embedded in a dentigerous cyst of the maxillary sinus: a case report and literature review","volume":"40","author":"Al-Ani","year":"2024","journal-title":"Egypt J Otolaryngol"},{"key":"2025082713093458000_18.4.e265200.2","doi-asserted-by":"crossref","first-page":"4718","DOI":"10.1007\/s12070-021-03039-0","article-title":"Ectopic Upper Third Molar in Maxillary Sinus: A Case Report and Literature Review","volume":"74","author":"Al-Ani","year":"2022","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"2025082713093458000_18.4.e265200.3","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1007\/s10006-012-0346-5","article-title":"Ectopic mandibular third molar leading to osteomyelitis of condyle: a case report with literature review","volume":"17","author":"Lambade","year":"2013","journal-title":"Oral Maxillofac Surg"},{"key":"2025082713093458000_18.4.e265200.4","doi-asserted-by":"publisher","DOI":"10.1186\/s13005-017-0157-x"},{"key":"2025082713093458000_18.4.e265200.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2007.04.009"},{"key":"2025082713093458000_18.4.e265200.6","doi-asserted-by":"crossref","first-page":"e133","DOI":"10.4317\/jced.51871","article-title":"Ectopic third molar in the mandibular sigmoid notch: Report of a case and literature review","volume":"7","author":"F\u0131nd\u0131k","year":"2015","journal-title":"J Clin Exp Dent"},{"key":"2025082713093458000_18.4.e265200.7","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1055\/s-0036-1594275","article-title":"Ectopic Molar Removal from the Ramus\/Condyle Unit: A Minimally Invasive Approach","volume":"11","author":"Forgach","year":"2018","journal-title":"Craniomaxillofac Trauma Reconstr"},{"key":"2025082713093458000_18.4.e265200.8","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1111\/edt.12626","article-title":"Retromandibular transparotid approach for subcondylar mandibular fracture: A retrospective study","volume":"37","author":"Koirala","year":"2021","journal-title":"Dent Traumatol"},{"key":"2025082713093458000_18.4.e265200.9","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2019-233246","article-title":"Novel use of the transparotid approach to the mandible for benign pathology","volume":"13","author":"Manzie","year":"2020","journal-title":"BMJ Case Rep"},{"key":"2025082713093458000_18.4.e265200.10","doi-asserted-by":"crossref","first-page":"2677","DOI":"10.1097\/SCS.0000000000007971","article-title":"Retromandibular Transparotid Approach for the Treatment of Benign Nontraumatic Conditions of the Mandible. A Retrospective Consecutive Case-Series Study","volume":"32","author":"Hauer","year":"2021","journal-title":"J Craniofac Surg"},{"key":"2025082713093458000_18.4.e265200.11","doi-asserted-by":"crossref","first-page":"168","DOI":"10.4103\/ams.ams_193_19","article-title":"The Retromandibular Transparotid Approach for Reduction and Internal Fixation of Mandibular Condylar Fractures","volume":"10","author":"Felix","year":"2020","journal-title":"Ann Maxillofac Surg"},{"key":"2025082713093458000_18.4.e265200.12","doi-asserted-by":"crossref","first-page":"210","DOI":"10.4103\/ccd.ccd_138_24","article-title":"Atypical Presentation and Surgical Management of Ectopic Mandibular Third Molar in Subcondylar Region: A Rare Case Report","volume":"15","author":"Khandelwal","year":"2024","journal-title":"Contemp Clin Dent"},{"key":"2025082713093458000_18.4.e265200.13","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1186\/s13005-016-0133-x","article-title":"Ectopic third molars in the sigmoid notch: etiology, diagnostic imaging and treatment options","volume":"12","author":"Hanisch","year":"2016","journal-title":"Head Face Med"},{"key":"2025082713093458000_18.4.e265200.14","doi-asserted-by":"crossref","unstructured":"Apaydin A . 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