Oro-Cutaneous Sinus Tract: A Case Report (original) (raw)

Cutaneous sinus tracts (or emerging sinus tracts) of odontogenic origin: a report of 3 cases

Clinical, Cosmetic and Investigational Dentistry, 2010

Three cases are presented in which patients presented with either cutaneous swelling or cutaneous sinus tracts of odontogenic origin. A cutaneous sinus tract of odontogenic origin is a pathway through the alveolar bone that typically begins at the apex of an infected tooth or of an infected portion of the dental alveolus and empties infected material (pus) through the skin. Where as the more common finding of an oral fistula is a pathway from the apical periodontal area of a tooth to the surface of the oral mucous membrane, permitting the discharge of suppurative material. Diagnosis, etiology and treatment are discussed with reference to patient history, clinical examinations, imaging, and treatment perspectives.

Treatment of odontogenic cutaneous sinus tract misdiagnosed for 6 years

Dental, Oral and Craniofacial Research

Cutaneous odontogenic fistulas or sinus tracts are frequently misdiagnosed and incorrectly treated, leading to unnecessary procedures and patient suffering. An understanding of the draining of cutaneous sinus tracts will lead to more appropriate treatment [1]. Most cases respond to conservative, nonsurgical root canal therapy. Our objective is to report a case of cutaneous sinus tract evolving for 6 years secondary to chronic periapical dental infection caused by old trauma. The conservative treatment of the causal teeth was sufficient to achieve healing despite the oldness of the fistula.

Non Surgical Management of Cutaneous Sinus Tract of Dental Origin: A Report of Three Cases

Journal of Evolution of Medical and Dental sciences, 2013

Chronic inflammation of the dental pulp is one of the reasons for cutaneous sinus tract of odontogenic origin. A cutaneous sinus or extra oral sinus from a lesion of endodontic origin is rare as compared to an intra oral sinus and may occur as result of long standing inflammatory process associated with necrotic pulp. Such patients are usually healthy and are unaware of the underlying asymptomatic dental problem. Common clinical presentation in these patients is a papule or nodule located most commonly in the chin, cheek or in submandibular area and this leads them to seek treatment from a general physician or a dermatologist. They may undergo unnecessary multiple biopsies, multiple surgical interventions, multiple antibiotic regimens, and even be subjected to radiation therapy or electrodessication. However more often than not, recurrence of sinus tract takes place because the primary dental etiology is never taken care of. The present article aims to report three cases of cutaneous sinus tracts in the submental area which were treated conservatively by endodontic treatment of the involved teeth.

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

Authorea (Authorea), 2021

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 Introduction: Cutaneous sinus tracts of dental origin are relatively uncommon and are often initially misdiagnosed and inappropriately treated, due to their rarity and the absence of specific symptoms (1). This condition is defined as a pathologic canal leading from an enclosed area of inflammation or infection that opens to an epithelial surface of the face or the neck. (2)

Management of Cutaneous Draining Sinus Tract of Odontogenic Origin

Int. j. adv. multidisc. res. stud, 2024

Chronic inflammation of the dental pulp is one of the reasons for cutaneous sinus tract of odontogenic origin. A cutaneous sinus or extra oral sinus from a lesion of endodontic origin is rare as compared to an intra oral sinus and may occur as result of long-standing inflammatory process associated with necrotic pulp. Such patients are usually healthy and are unaware of the underlying asymptomatic dental problem. Thus, the treatment protocol should be elimination of the etiological factors first. A 24year-old male was presented with a draining sinus tract on his left cheek. In radiographic assessment, periapical lesion was noticed associated with the roots of the affected tooth. Root canal treatment was performed using Calcium hydroxide as an intracanal medicament. The sinus tract disappeared one weeklater. However, longterm clinical and radiological evaluation is necessary.

Nonsurgical management of cutaneous sinus tract of odontogenic origin: A report of two cases

Journal of Conservative Dentistry, 2021

Cutaneous sinus tracts of dental origin are often initially misdiagnosed and inappropriately treated because of their uncommon occurrence and the absence of symptoms in approximately half the individuals affected. This paper reports a case describing the diagnosis and treatment of an extra-oral cutaneous sinus tract of odontogenic origin in relation to a mandibular left first molar. Non-surgical endodontic treatment was performed, and it resulted in resolution of the sinus tract and promoted periapical healing of the tooth involved.

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

Journal of Dentistry and Oral Hygiene, 2014

Extraoral cutaneous sinus tracts of dental origin: A report of two pedodontic cases

International Dental & Medical Journal of Advanced Research - VOLUME 2015

Odontogenic extraoral, cutaneous sinus is described as a path leading from an enclosed area of inflammation to an epithelial surface. The patients visit a physician first for evaluation, diagnosis, and treatment and both do not give consideration most of the times to the dental etiology. The misdiagnosis and mismanagement leading to persistence of infection can cause frustration to the patient. Successful management of the odontogenic cutaneous sinus tracts of pulpal pathology depends on proper diagnosis. However, these lesions continue to be a diagnostic quandary. Two cases of 11-year-old and 13-year-old female patients with cutaneous extraoral sinus tract have been discussed in this article. These patients were not taken seriously by the physicians, and due to their negligence, these pediatric patients had to undergo a lot of trauma. The case report describes how after proper history, diagnosis, and correct treatment by a pedodontist, the infection healed in these two different patients. Proper diagnosis is the basic requirement for the successful management of the odontogenic cutaneous sinus tracts of pulpal origin. Several case reports reveal that the appropriate diagnosis could not be made leading the incorrect treatment offered to the patients. It causes the cutaneous sinus tract to reoccur as the dental etiology is not addressed. The cutaneous sinus tracts are a rare entity in the pedodontic patients. Proper management can lead to treatment at a much earlier stage thus curbing the progression of the disease and also saving of time and expenses of the patient.

Facial sinuses from dental pathosis

Canadian family physician Médecin de famille canadien, 1982

Sinus tracts presenting on the face may be the result of dental pathosis. This etiologic possibility should be ruled out before such lesions are treated by prolonged antibiotic therapy or surgical excision. The diagnosis can often be confirmed by a good clinical intraoral examination supplemented by appropriate radiographs. Four cases are presented in which treatment of the underlying pathology resulted in resolution of the sinus tract.

Oro-Cutaneous Sinus Tract: A Case Report (original) (raw)

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