Extra‐oral cutaneous sinus tract secondary to chronic dental infection in an 8‐year‐old: An uncommon presentation leading to delayed diagnosis and subsequent treatment

Orocutaneous fistulas or cutaneous sinus, a tract of dental origin, is an uncommon but welldocumented condition that usually requires emergency treatment. Such condition may be misdiagnosed by physicians and dentists and may sometimes be confused with bone and skin tumor, osteomyelitis, congenital fistula, salivary gland fistula, pyogenic granuloma, infected cyst, deep mycotic infection, and other pathologies. A case of facial sinus tract that was initially misdiagnosed by a physician as a nonodontogenic lesion is presented. Nonsurgical endodontic therapy was the treatment of choice for this case. Facial cutaneous sinus tracts must be considered of dental origin. Early diagnosis and prompt treatment minimize patient discomfort and esthetic problems, reducing the possibility of further complications such as sepsis and osteomyelitis.

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Submental cutaneous sinus tract of mandibular second molar origin

International Endodontic Journal ◽

10.1111/iej.12266 ◽

2014 ◽

Vol 47 (12) ◽

pp. 1185-1191 ◽

Cited By ~ 4

Author(s):

J. Bai ◽

A.-P. Ji ◽

M.-W. Huang

Keyword(s):

Sinus Tract ◽

Second Molar ◽

Mandibular Second Molar ◽

Cutaneous Sinus

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Lung parenchymal consolidation as an uncommon presentation and cause of delayed diagnosis in atypical Kawasaki syndrome

Rheumatology International ◽

10.1007/s00296-008-0830-2 ◽

2008 ◽

Vol 29 (11) ◽

pp. 1373-1376 ◽

Cited By ~ 5

Author(s):

Francesco De Maddi ◽

Roberto Cinelli ◽

Donato Rigante ◽

Gianfranco Mazzarella ◽

Paolo Siani

Keyword(s):

Delayed Diagnosis ◽

Kawasaki Syndrome ◽

Uncommon Presentation

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Chronic cheek ulcer caused by odontogenic cutaneous sinus tract

JPRAS Open ◽

10.1016/j.jpra.2015.03.006 ◽

2015 ◽

Vol 4 ◽

pp. 22-25

Author(s):

Tomoya Sato ◽

Shigeru Ichioka

Keyword(s):

Sinus Tract ◽

Cutaneous Sinus

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Treatment of Odontogenic Cutaneous Sinus Tract Misdiagnosed for 6 Years: A Case Study

10.9734/bpi/nfmmr/v13/12766d ◽

2021 ◽

pp. 18-25

Author(s):

Ines Kallel ◽

Haifa Ben Rejeb ◽

Nabiha Douki

Keyword(s):

Sinus Tract ◽

Cutaneous Sinus

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Non-surgical management of an extraoral cutaneous sinus tract of odontogenic origin

BMJ Case Reports ◽

10.1136/bcr-2020-234699 ◽

2020 ◽

Vol 13 (7) ◽

pp. e234699

Author(s):

Lynn Lilly Varghese ◽

Auric Bhattacharya ◽

Praveena Sharma ◽

Abhishek Apratim

Keyword(s):

Case Report ◽

Surgical Management ◽

Dental Pulp ◽

Complete Resolution ◽

Sinus Tract ◽

Odontogenic Origin ◽

One Year ◽

Minimal Scar ◽

Cutaneous Sinus

Chronic apical periodontitis associated with dental pulp necrosis is the main cause of odontogenic extraoral cutaneous sinus openings. These tracts are often initially misdiagnosed unless the treating clinician considers a dental aetiology. This case report of a 19-year-old woman describes the diagnosis and treatment of an extraoral cutaneous sinus tract of odontogenic origin. Non-surgical conservative endodontic therapy was opted as the involved teeth were restorable. One month after the completion of obturation, there was closure of the sinus tract. One year follow-up showed complete resolution of the sinus tract with minimal scar formation.

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Blade of Grass as an Unusual Cause of Recurrent Facial Cutaneous Sinus Tract: A Clinical Case

Case Reports in Dentistry ◽

10.1155/2016/4639693 ◽

2016 ◽

Vol 2016 ◽

pp. 1-5

Author(s):

Resmije Ademi-Abdyli ◽

Feriall Perjuci ◽

Teuta Bicaj ◽

Yll Abdyli

Keyword(s):

Foreign Body ◽

Surgical Procedures ◽

Foreign Bodies ◽

Plain Radiograph ◽

Sinus Tract ◽

Surgical Removal ◽

Facial Soft Tissue ◽

Careful Clinical Examination ◽

Orofacial Region ◽

Cutaneous Sinus

The presence of an embedded foreign body in the oral and maxillofacial region is not unusual, but the impaction of a foreign body with vegetative nature is rare. Prompt diagnosis and surgical removal of these foreign bodies will minimize their associated complications. This case report presents a patient with recurrent submandibular abscess and persistent facial cutaneous sinus tract caused by a retained blade of grass inside the facial soft tissue. The fact that the plain radiograph misdiagnosed the presence of a foreign body meant that the pathology persisted for about three months, and the patient underwent hospitalization, surgical procedures, and antibiotic regimens; however all of these failed until the foreign body was detected and removed.Conclusion. To avoid misdiagnosis of foreign body presence in the orofacial region, notably suspected foreign bodies with low radiopacity, the clinician must perform careful clinical examination and use the ultrasonography. Also, in the uncertain cases where the pathology persists, despite having undertaken surgical procedures and antibiotic regimens, the clinician should pay more attention to the patient’s history which may suggest the presence of the foreign body.

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