Management of extra oral sinus cases: a clinical dilemma

Journal of Endodontics
Neelam Mittal, Pooja Gupta

Abstract

The cutaneous sinus tract of dental origin is an uncommon but well documented condition. Its diagnosis is not always easy unless the treating clinician considers the possibility of its dental origin. Such patients may undergo multiple surgical excisions, biopsies, and antibiotic regimens, but all of them fail with the recurrence of the sinus tract. This is because the primary etiology is incorrectly diagnosed. This case report describes the treatment of four patients presenting with variable complaints of pain and purulent or hemorrhagic discharge from lesions of the face. Clinical and radiographic examination revealed carious teeth with radiolucent areas indicating chronic periradicular abscess. The teeth were restorable, so nonsurgical endodontic therapy was performed in all of them. No systemic antibiotic therapy was provided. The patients responded well, and the cutaneous lesions healed uneventfully. Improper diagnosis can lead to needless loss of teeth that can be otherwise maintained through timely and proper management.

References

Jul 1, 1990·Plastic and Reconstructive Surgery·P R Cohen, Y D Eliezri
Nov 1, 1988·Oral Surgery, Oral Medicine, and Oral Pathology·G M McWalterJ W Knott
Aug 1, 1985·International Journal of Oral Surgery·J K SharmaV K Chauhan
Jan 1, 1986·Journal of the American Academy of Dermatology·G A CioffiH L Parlette
Jan 1, 1971·British Journal of Plastic Surgery·D MahlerA Sharon
Apr 1, 1983·Journal of the American Academy of Dermatology·K L SpearH O Perry
Jun 1, 1995·Endodontics & Dental Traumatology·M K CalişkanM A Ozinel
Apr 13, 1963·JAMA : the Journal of the American Medical Association·H L STOLL, H A SOLOMON
Sep 1, 1964·The Journal of the American Dental Association·D M LASKIN

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Citations

Aug 16, 2012·Anais Brasileiros De Dermatologia·Allan AbuabaraFlares Baratto-Filho
Oct 19, 2013·International Journal of Dermatology·Elizabeth Guevara-GutiérrezAlberto Tlacuilo-Parra
Jan 11, 2014·The Journal of Craniofacial Surgery·Sunil YadavPuneet Puri
Dec 7, 2013·British Dental Journal·S SammutV Lopes
Jul 3, 2020·HNO·Karl MetzgerJürgen Hoffmann
Jul 22, 2020·BMJ Case Reports·Lynn Lilly VargheseAbhishek Apratim
Feb 15, 2012·Pediatric Dermatology·Lipa BodnerGeorge Szabo
Oct 24, 2015·International Journal of Paediatric Dentistry·Karen Louise SwalesShan Gandhi
Feb 21, 2009·International Endodontic Journal·B Pasternak-JúniorM D Sousa-Neto
Apr 5, 2014·International Endodontic Journal·J BaiM-W Huang
Jul 27, 2017·International Endodontic Journal·M R BolfoniR C Jacinto
Apr 16, 2019·International Endodontic Journal·M SalvadoriS Salgarello
Dec 10, 2015·Case Reports in Dentistry·Sagar SareenVaibhav Sheel Gupta
May 1, 2016·Postgraduate Medical Journal·Pallav Mahesh PatniMona Jain Patni
Feb 13, 2020·Journal of Applied Oral Science : Revista FOB·Olavo César Lyra PortoCarlos Estrela
Aug 5, 2016·Annals of Dermatology·Eun-Young LeeJi Yeoun Lee
Aug 28, 2019·Journal of Endodontics·Elisabetta CottiHagay Shemesh
Feb 27, 2021·Journal of the Korean Association of Oral and Maxillofacial Surgeons·Buyanbileg Sodnom-IshSoung Min Kim
Mar 18, 2021·BMJ Case Reports·Mairéad Sarah Kelly, Dylan J Murray
Sep 11, 2014·International Journal of Clinical Pediatric Dentistry·Rahul Mishra, Tayyeb Sultan Khan
Oct 11, 2020·The Journal of Craniofacial Surgery·Claudia BorbonGuglielmo Ramieri

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