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

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.

scholarly journals Non surgical management of cutaneous sinus tract of odontogenic origin: A case report

2014 ◽  
Vol 6 (3) ◽  
pp. 30-35
Author(s):  
Abdelmoumen Ehsen ◽  
Zouiten Skhiri Sonia ◽  
Boughzela Abdelatif
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Sinus Tract ◽  
Odontogenic Origin ◽  
Cutaneous Sinus

scholarly journals Significance of Correct Diagnosis of Odontogenic Extraoral Sinus: A Report Of Two Cases

2018 ◽  
Vol 1 (11) ◽  
pp. 334-338
Author(s):  
Shweta Bansal ◽  
Ruchi Juneja ◽  
Gyanendra Mishra ◽  
Akshay Nambiar
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Antibiotic Therapy ◽  
Clinical Course ◽  
Correct Diagnosis ◽  
Sinus Tract ◽  
Short Term ◽  
Diagnostic Challenge ◽  
Odontogenic Origin

Cutaneous draining sinus tracts of odontogenic origin often are a diagnostic challenge. A delay in correctly diagnosing these types of lesions can result in unnecessary antibiotic therapy and surgical treatment. This case report presents the clinical course of two cases with extra-oral sinus tract formation, from diagnosis and treatment to short-term follow-up and evaluation. These facial lesions were initially misdiagnosed as lesions of non-odontogenic origin. Later on an odontogenic cause was identified and endodontic intervention resulted in resolution of the problem, confirming the initial misdiagnosis.

scholarly journals Surgical management of an odontogenic cutaneous sinus tract misdiagnosed for 4 years

2021 ◽  
Author(s):  
Latifa Hammouda ◽  
dorsaf touil ◽  
amira kikly ◽  
karim jlassi ◽  
Nabiha Douki
Keyword(s):  
Surgical Management ◽  
Male Patient ◽  
Sinus Tract ◽  
Medical Doctors ◽  
Dental Origin ◽  
Odontogenic Origin ◽  
Cutaneous Sinus

A cutaneous sinus tract of dental origin may easily be misdiagnosed and incorrectly treated. This paper reported a case of a 20-years-old male patient referred for a productive cutaneous sinus tract misdiagnosed by medical doctors for more than 4 years. The clinical and radiographic examinations confirmed the odontogenic origin

Surgical Management of a Cutaneous Sinus Tract: A Case Report and Review of the Literature

2010 ◽  
Vol 11 (5) ◽  
pp. 49-55
Author(s):  
Ahmed Chkoura ◽  
Wafaa Elwady ◽  
Bouchra Taleb
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Surgical Management ◽  
Scar Tissue ◽  
Sinus Tract ◽  
Review Of The Literature ◽  
Source Of Infection ◽  
Dental Origin ◽  
Pathological Situation ◽  
Cutaneous Sinus

Abstract Aim The purpose of this paper is to present a case involving the surgical management of a cutaneous sinus tract and a literature review. Background A cutaneous sinus tract of dental origin may easily be misdiagnosed. Exact diagnosis is necessary in the management of this pathological situation. Case Description A healthy 40-year-old man presented with a dimple in the skin of his right cheek. Upon further examination, the clinical crown of the mandibular right first molar was missing, leaving only the roots visible. Palpation of the affected area revealed a cord-like tract that was surgically excised. Summary A cutaneous sinus tract of dental origin is a canal that drains the infection from a dental source to the face or neck. A misdiagnosis of these lesions could lead to an ineffective and inappropriate treatment. We report a case of a cutaneous sinus tract of dental origin that we removed from the periapical zone of the causal teeth. The aim of this paper is to present a dental and medical literature review of cutaneous sinus tract that has a dental origin and to report a case where the sinus tract was surgically eliminated. Patients with a cutaneous facial sinus tract of dental origin often do not have obvious dental symptoms that can lead to misdiagnosing this pathological situation. Clinical Significance Elimination of the source of infection by endodontic treatment or tooth removal generally results in resolution of the sinus tract. But in the case of an older sinus tract, wound contraction and scar tissue formation may require surgical management to excise the cordlike tract. Citation Chkoura A, Elwady W, Taleb B. Surgical Management of a Cutaneous Sinus Tract: A Case Report and Review of the Literature. J Contemp Dent Pract [Internet]. 2010 October; 11(5):049-055. Available from: http://www.thejcdp. com/journal/view/volume11-issue5-chkoura

scholarly journals Management of cutaneous sinus tract of odontogenic origin: Eighteen months follow-up

2021 ◽  
Vol 24 (2) ◽  
pp. 231
Author(s):  
Ines Kallel ◽  
Eya Moussaoui ◽  
Islem Kharret ◽  
Asma Saad ◽  
Nabiha Douki
Keyword(s):  
Sinus Tract ◽  
Odontogenic Origin ◽  
Cutaneous Sinus

Corneal cross-linking for treatment of progressive keratoconus in a patient with Alport syndrome: A case report

2021 ◽  
pp. 112067212199767
Author(s):  
Iva Krolo ◽  
Aida Kasumović ◽  
Ivana Radman ◽  
Pavao Pavić
Keyword(s):  
Case Report ◽  
Alport Syndrome ◽  
Contact Lenses ◽  
Corneal Dystrophy ◽  
Clinical Findings ◽  
Cross Linking ◽  
Posterior Polymorphous Corneal Dystrophy ◽  
One Year ◽  
Corneal Tomography

Purpose: Ocular features of Alport syndrome include anterior lenticonus, posterior polymorphous corneal dystrophy, and fleck-and-dot retinopathy in most cases. Keratoconus in such patients has been rarely mentioned in previous studies. To our knowledge, this is the first report of corneal cross-linking for halting the progression of keratoconus in a patient with Alport syndrome. Case report: A 22-year-old male was referred for his initial corneal topography, after he was already prescribed with rigid gas-permeable contact lenses. Alport syndrome was diagnosed in his infancy and gene COL4A5 mutation was confirmed. Ophthalmological evaluation confirmed keratoconus. One-year follow-up showed a progression on his right eye and standard corneal cross-linking was performed. Stabilization of the disease marked by normalization in visual function and corneal tomography values was noticed 1 year after the procedure. Conclusions: When diagnosing ocular clinical findings of Alport syndrome, keratoconus should be considered. Standard corneal cross-linking protocol can halt its progression.

scholarly journals Patient Related Outcome Measures (PROMs) in Morton’s Neuroma: Conservative vs. Surgical Management at One-Year Follow-Up

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0002
Author(s):  
Alastair Faulkner ◽  
Alistair Mayne ◽  
Fraser Harrold
Keyword(s):  
Outcome Measures ◽  
Surgical Management ◽  
Conservative Management ◽  
Morton’S Neuroma ◽  
Significant Difference ◽  
Morton's Neuroma ◽  
One Year ◽  
Patient Related Outcome ◽  
Eq Vas

Category: Midfoot/Forefoot Introduction/Purpose: Morton’s neuroma is a common condition affecting the foot and is associated with chronic pain and disability. Conservative management including a combination of orthotic input; injection or physiotherapy, and surgical excision are current treatment options. There is a paucity of literature regarding patient related outcome measures (PROMs) data in patients managed conservatively. We sought to compare conservative with surgical management of Morton’s neuroma using PROMs data in patients with follow-up to one year. Methods: Prospective data collection commenced from April 2016. Patients included had to have a confirmed Morton’s neuroma on ultrasound scan. Patient demographics including age, sex and BMI were collected. The primary outcome measures were the Manchester Foot Score for pain (MOX-FQ), EQ time trade off (TTO) and EQ visual analogue scale (VAS) taken pre-operatively; at 26-weeks and at 52-weeks post-operatively. Results: 194 patients were included overall: 79 patients were conservatively managed and 115 surgically managed. 19 patients were converted from conservative to surgical management. MOX-FQ pain scores: pre-op conservative 52.15, surgical 61.56 (p=0.009), 6-months conservative 25.1, surgical 25.39 (p=0.810), 12 months conservative 18.54, surgical 20.52 (p=0.482) EQ-TTO scores: pre-op conservative 0.47, surgical 0.51 (p=0.814), 6-months conservative 0.41, surgical 0.49 (p=0.261), 12 months conservative 0.26, surgical 0.37 (p=0.047) EQ-VAS scores: pre-op conservative 63.84, surgical 71.03 (p=0.172), 6-months conservative 46.10, surgical 52.51 (p=0.337), 12 months conservative 30.77, surgical 37.58 (p=0.227) Satisfaction at 12 months: conservative 17 (21.5%), surgical 32 (27.8%) p=0.327 Conclusion: This is one of the first studies investigating long-term PROMs specifically in conservative management for Morton’s neuroma patients. There was no significant difference in pain score and EQ-VAS between all conservative treatments and surgical management at 12 months There was no significant difference in satisfaction at 12 months between conservative and surgical groups.

scholarly journals Scrotal hematoma as a sign of adrenal hemorrhage in newborns

2011 ◽  
Vol 129 (2) ◽  
pp. 113-115 ◽  
Author(s):  
Renata Gonçalves ◽  
Allan Abuabara ◽  
Rubia Fatima Fuzza Abuabara ◽  
Claudia Aparecida Feron
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Conservative Treatment ◽  
Complete Resolution ◽  
Testicular Tumor ◽  
Adrenal Hemorrhage ◽  
Meconium Peritonitis ◽  
Scrotal Hematoma ◽  
Bluish Discoloration

CONTEXT: Bluish discoloration and swelling of the scrotum in newborns can arise from a number of diseases, including torsion of the testes, orchitis, scrotal or testicular edema, hydrocele, inguinal hernia, meconium peritonitis, hematocele, testicular tumor and traumatic hematoma. Forty-two cases of scrotal abnormalities as signs of neonatal adrenal hemorrhage were found in the literature. CASE REPORT: We present a case of scrotal hematoma due to adrenal hemorrhage in a newborn. Conservative treatment with clinical follow-up was adopted, with complete resolution within 10 days. The possible differential diagnoses are reviewed and discussed.

scholarly journals Nasal Sinus Tract of Odontogenic Origin: Report of a Case

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Sagar Sareen ◽  
Anjani Kumar Pathak ◽  
Parth Purwar ◽  
Jaya Dixit ◽  
Divya Singhal ◽  
...  
Keyword(s):  
Holistic Approach ◽  
Health Care Research ◽  
Sinus Tract ◽  
Treatment Modalities ◽  
Diagnostic Challenge ◽  
Nasal Sinus ◽  
Comprehensive Management ◽  
Odontogenic Origin ◽  
The Right

Extraoral sinus tract often poses a diagnostic challenge to the clinician owing to its rare occurrence and absence of symptoms. The accurate diagnosis and comprehensive management are inevitable as the aetiology of such lesions is often masked and requires holistic approach. The present case report encompasses the management of an extraoral discharging sinus tract at the base of the right nostril in a chronic smoker. The lesion which was earlier diagnosed to be of nonodontogenic origin persisted even after erratic treatment modalities. Our investigations showed the aetiology of sinus tract to be odontogenic. Initially, a five-step program as recommended by the Agency for Health Care Research and Quality was used for smoking cessation followed by root canal therapy (RCT) and surgical management of the sinus tract. The patient has been under stringent follow-up and no reoccurrence has been noted.

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