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

Research output: Contribution to journalArticle

22 Citations (Scopus)

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

Fingerprint

Cutaneous Fistula
Skin
Periapical Abscess
Root Canal Therapy
Tooth Extraction
Dentition
Cheek
Incisor
Physical Examination
Canidae
Tooth
Neck
Therapeutics
Anti-Bacterial Agents

Keywords

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

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Cutaneous draining sinus tract of odontogenic origin : Unusual presentation of a challenging diagnosis. / Sheehan, Daniel J; Potter, Brad J.; Davis, Loretta S.

In: Southern medical journal, Vol. 98, No. 2, 01.02.2005, p. 250-252.

Research output: Contribution to journalArticle

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