scholarly journals Iatrogenic Cutaneous Sinus Tract of Dental Origin: Case Report

2015 ◽  
Vol 2 (2) ◽  
pp. 96-98
Author(s):  
Özlem Atan ◽  
Ahmet Küçükçelebi ◽  
Çavgın Özman

2010 ◽  
Vol 11 (5) ◽  
pp. 49-55
Author(s):  
Ahmed Chkoura ◽  
Wafaa Elwady ◽  
Bouchra Taleb

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



2020 ◽  
Vol 13 (7) ◽  
pp. e234699
Author(s):  
Lynn Lilly Varghese ◽  
Auric Bhattacharya ◽  
Praveena Sharma ◽  
Abhishek Apratim

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.



2002 ◽  
Vol 14 (4) ◽  
pp. 235 ◽  
Author(s):  
Soo Hong Kim ◽  
Sang Jin Park ◽  
Jeong Joon Oh ◽  
Eil Soo Lee




2021 ◽  
Vol 6 (1) ◽  
pp. 01-05
Author(s):  
Daniel Jiménez Zaragoza ◽  
Jorge Paredes Vieyra ◽  
Francisco Javier Jiménez Enríquez

Aim: To report an uncommon case of an extraoral sinus tract of the facial region caused by a tooth with an acute apical abscess in the mandible. Case report: Established on oral examination and radiographic examination, an Acute Apical Abscess (cellulitis/phlegmon) of tooth 47 was diagnosed, which had resulted in a cutaneous sinus tract. The continuous purulent discharge of the sinus tract in the facial right region ceased after drainage and extraction of tooth 47. Conclusion: It is challenging to diagnose and identify a cutaneous draining sinus tract of dental origin. Thus, treatment of skin lesions of the face (impetigo), and neck odontogenic infections should always be considered. Clinical and radiographic dental examinations can identify the tooth involved.





2016 ◽  
Vol 92 (1092) ◽  
pp. 625-625
Author(s):  
Pallav Mahesh Patni ◽  
Pradeep Jain ◽  
Mona Jain Patni


Author(s):  
Latifa Hammouda ◽  
dorsaf touil ◽  
amira kikly ◽  
karim jlassi ◽  
Nabiha Douki

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



2020 ◽  
Vol 1 (2) ◽  
pp. 84-90
Author(s):  
Deng Qianyi ◽  
Mustapha Rammal ◽  
Zhang Huini ◽  
He Hongwen ◽  
Huang Fang

Cutaneous sinus tracts of dental origin are relatively rare, but frequently misdiagnosed. In this case report, we present a seven-year-old patient with a cutaneous lesion in the left submandibular region misdiagnosed by a physician as an abscess secondary to suppurative lymphadenitis, and thus incorrectly treated with surgery and systemic antibiotics. Following a detailed dental examination, the patient was correctly diagnosed with an odontogenic sinus tract from a periapical abscess of tooth 36. Treatment of the immature tooth was initiated with apexification combined with nonsurgical endodontic treatment. The cutaneous and the periapical lesions were all resolved after the treatment and there has been no recurrence during an eight-year follow-up.



2014 ◽  
Vol 6 (3) ◽  
pp. 30-35
Author(s):  
Abdelmoumen Ehsen ◽  
Zouiten Skhiri Sonia ◽  
Boughzela Abdelatif


Sign in / Sign up

Export Citation Format

Share Document