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
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.


2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Sagar Sareen ◽  
Anjani Kumar Pathak ◽  
Parth Purwar ◽  
Jaya Dixit ◽  
Divya Singhal ◽  
...  

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.


2018 ◽  
Vol 1 (11) ◽  
pp. 334-338
Author(s):  
Shweta Bansal ◽  
Ruchi Juneja ◽  
Gyanendra Mishra ◽  
Akshay Nambiar

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.


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

2021 ◽  
Vol 24 (2) ◽  
pp. 227
Author(s):  
Jigyasa Duhan ◽  
G Keerthana ◽  
Pankaj Sangwan ◽  
Ritika Yadav

2014 ◽  
Vol 47 (12) ◽  
pp. 1185-1191 ◽  
Author(s):  
J. Bai ◽  
A.-P. Ji ◽  
M.-W. Huang

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