Cutaneous draining sinus tract of odontogenic origin: Unusual presentation of a challenging diagnosis

Daniel J Sheehan, Brad J. Potter, Loretta S Davis

Research output: Contribution to journalArticle

22 Scopus citations

Abstract

A 44-year-old woman presented with a chronically draining lesion on her cheek just lateral to the nasofacial sulcus. The lesion was refractory to treatment with oral antibiotics. Physical examination revealed poor dentition, and a panoramic radiograph demonstrated periapical abscesses in the maxillary right lateral incisor and canine. A diagnosis of cutaneous fistula of odontogenic origin was made, and the patient was treated with tooth extraction. The cutaneous fistula subsequently resolved. Intraoral examinations and radiographs are critical for making the diagnosis of cutaneous draining sinus tract of odontogenic origin. Many patients undergo unnecessary surgical therapies before having the correct diagnosis made, but root canal therapy or surgical extraction is the treatment of choice. A dental origin must be considered for any chronically draining sinus of the face or neck.

Original languageEnglish (US)
Pages (from-to)250-252
Number of pages3
JournalSouthern medical journal
Volume98
Issue number2
DOIs
StatePublished - Feb 1 2005

Keywords

  • Cutaneous sinus tract of odontogenic origin
  • Dental sinus
  • Dentocutaneous fistula
  • Facial sinus

ASJC Scopus subject areas

  • Medicine(all)

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