Cutaneous Draining Sinus Tract of Odontogenic Origin

Adel Bouguezzi^1, , Hajer Hentati¹, Abdellatif Chokri¹ and Jamil Selmi¹

¹Department of Medicine and Oral Surgery, University Dental Clinic, Monastir, Tunisia

Cite this paper:
Adel Bouguezzi, Hajer Hentati, Abdellatif Chokri and Jamil Selmi. Cutaneous Draining Sinus Tract of Odontogenic Origin. Global Journal of Surgery. 2014; 2(2):21-24. doi: 10.12691/js-2-2-1

Abstract

A 12-year-old girl presented with a chronically draining lesion on her left cheek. The lesion was refractory to treatment with oral antibiotics. Physical examination revealed a decayed left mandibular first molar, and a panoramic radiograph demonstrated periapical lesion associated with the incriminated teeth. A diagnosis of cutaneous fistula of odontogenic origin was made, and the patient was treated with elective tooth extraction. The cutaneous fistula subsequently resolved. Intraoral examinations and radiographs are critical for making the diagnosis of cutaneous draining sinus tract of odontogenic origin. Many patients undergo unnecessary surgical therapies before having the correct diagnosis made, but root canal therapy or surgical extraction is the treatment of choice. A dental origin must be considered for any chronically draining sinus of the face or neck.

Keywords:
Fistula odontogenic skin antibiotics healing

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]	Al-Kandari A.M, Al-Quoud O.A, Ben-Naji A, Gnanasekhar J.D. Cutaneous sinus tracts of dental origin to the chin and cheek: Case reports. Quintessence Int 1993, 24: 729-733.
[2]	Sheehan DJ, Potter BJ & Davis LS. Cutaneous draining sinus tract of odontogenic origin: Unusual Presentation of a Challenging Diagnosis. South Med J 2005, 98: 250-2.
[3]	Mittal N & Gupta P. Management of Extra oral Sinus Cases: A clinical dilemma. J Endod 2004, 30: 541-7.
[4]	Tidwell E, Jenkins JD & Ellis CD et al. Cutaneous odontogenic sinus tract to the chin: a case report. Int Endod J 1997, 30: 352-5.
[5]	Pasternak-Junior B, Teixeira CS, Silva-Sousa YTC & Sousa-Neto MD. Diagnosis and treatment of odontogenic cutaneous sinus tracts of endodontic origin: three case studies. Int endod J 2009; 42: 271-276.
[6]	Johnson BR, Remeikis NA & Van Cura JE.. Diagnosis and treatment of cutaneous facial sinus tracts of dental orign. J Am Dent Assoc1999, 130: 832-6.
[7]	Foster KH, Primack PD, Kulild JC. Odontogenic cutaneous sinus tract.J Endodontics 1992; 18:304-306.
[8]	Yang ZP, Lai YL. Healing of a sinus tract of periodontal origin. J Endodontics 1992; 18:178-180.
[9]	Slutzky-Goldberg I, Tsesis I, Slutzky H, Heling I. Odontogenic sinus tracts: a cohort study. Quintessence Int. 2009; 40: 13-18.
[10]	Spear KL, Sheridan PJ & Perry HO. Sinus tracts to the chin and jaw of dental origin. J Am Acad Dermatol 1983, 8: 486-92.
[11]	Cantatore JL, Klein PA, Lieblich LM. Cutaneous dental sinus tract, a common misdiagnosis: a case report and review of the literature. Cutis 2002; 70: 264-267.
[12]	Cioffi GA, Terezhalmy GT, Parlett HL. Cutaneous draining sinus tract: an odontogenic etiology. J Am Acad Dermatol 1986; 14: 94-100.
[13]	Held JL, Yunakov MJ, Barber RJ, et al. Cutaneous sinus of dental origin: a diagnosis requiring clinical and radiologic correlation. Cutis 1989; 43: 22-24.
[14]	Chidyllo SA. Intraoral examination in pyogenic facial lesions. Am Fam Physician 1992; 46: 461-464.
[15]	Ong ST, Ngeow WC. Medial mental sinus in twins. Dent Update 1999; 26: 163-165.
[16]	Witherow H, Washan P, Blenkinsopp P. Midline odontogenic infections: a continuing diagnostic problem. Br J Plast Surg 2003; 56: 173-175.
[17]	Bodner L, Bar-Ziv J. Cutaneous sinus tract of dental origin: imaging with a dental CT software programme. Br J Oral Maxillofacial Surg 1998; 36: 311-313.
[18]	Stoll HL, Solomon HA. Cutaneous sinuses of dental origin. JAMA 1963; 184: 120-138.
[19]	Chowdri N, Sheikh S & Gagloo M et al. Clinicopathological profile and surgical results of nonhealing sinuses and fistulous tracts of the head and neck region. J Oral Maxillofac Surg 2009. 67: 2332-6.
[20]	Johnson BR, Remeikis NA, Van Cura JE. Diagnosis and treatment of cutaneous facial sinus tracts of dental origin. J Am Dent Assoc. 1999;130:832–836.
[21]	Javid B, Barkhordar RA. Chronic extra-oral fistulae of dental origin. Compend Contin Educ Dent. 1989:108-114.
[22]	Brown RS, Johnson CD, Melissinos EG, Smith BR. A large necrotic defect secondary to a cutaneous sinus tract of odontogenic origin: a case report. Compend Contin Educ Dent. 1995;16:362, 264, 366-372.
[23]	Swift JQ, Gulden WS. Antibiotic therapy: managing odontogenic infections. Dent Clin N Am 2002; 46:623-633.
[24]	Castellucci A. Nonsurgical therapy of mucosal and cutaneous fistulae. Roots 1_2009; 32-42.
[25]	Grossman, L.I., Oliet, S., Del Rio, C.E.: Endodontic practice. 11th ed. Lea & Febiger, Philadelphia, 1988; p. 179-227.
[26]	Bender, I.B., Seltzer, S.: The oral fistula: its diagnosis and treatment. Oral Surg.1961, 14:1367-1376.
[27]	Gulec AT. Seckin D. Bulut S, et al. Cutaneous sinus tract of dental origin. Int J Dermatol 2001;40: 650-652.