Clinicopathological Profile and Surgical Results of Nonhealing Sinuses and Fistulous Tracts of the Head and Neck Region

Chowdri, Nisar A.; Sheikh, Shakil R.; Gagloo, Mushtaq A.; Parray, Fazl Q.; Sheikh, Manzoor A.; Khan, Fayaz Ahmad

doi:10.1016/j.joms.2008.06.084

Cited by 15 publications

(17 citation statements)

References 15 publications

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“…Other sites were the chin (mentum), buccal cheek, nasolabial fold (paranasal) region, submandibular region, infraorbital region, and mandibular angle. Twenty odontogenic cutaneous fistulas (58.9%) were located on the mandibular body or chin and originated from a mandibular tooth ( Table 3 ), similar to previous reports 6 9 . Further study is required to determine whether mandibular teeth tend to drain extra-orally more often than maxillary teeth.…”

Section: Discussionsupporting

confidence: 85%

“…The traditional consensus is that fistulas do not exhibit gender preference, with no significant relationship between prevalence and age 4 5 6 7 . However, in the present study, the 22 males seemed to be more affected than the 11 females.…”

Section: Discussionmentioning

confidence: 99%

“…Further study is required to determine whether mandibular teeth tend to drain extra-orally more often than maxillary teeth. Notably, misdiagnoses have also been reported in edentulous patients with fistulas resulting from infected implants, bones, or bone grafts 6 .…”

Section: Discussionmentioning

confidence: 99%

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Clinical Characteristics of Odontogenic Cutaneous Fistulas

et al. 2016

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BackgroundOdontogenic cutaneous fistula appears as dimpling or a nodule with purulent discharge, usually in the chin or jaw. Affected patients usually seek help from dermatologists or surgeons rather than from dentists. However, clinical symptoms of facial skin fistula without dental problems can lead to misdiagnosis.ObjectiveThe purpose of this study was to investigate the clinical characteristics of patients with odontogenic cutaneous fistulas.MethodsThis retrospective observational study was performed at Chungbuk National University Hospital by analyzing patients who visited from April 1994 to September 2014. Following clinical and radiographic examinations, the paths and origins of sinus fistulas were determined. Investigated factors were gender, age, morphology, location, originating tooth, time to evolution, recurrence, and treatment method.ResultsThirty-three patients (22 males, 11 females; average age 49.2 years) were examined during the investigation period. Thirty-four fistulas were diagnosed as odontogenic cutaneous fistulas. The most common morphology was dimpling (n=14, 41.2%). The various locations observed were related to the originating tooth. The most common site was the mandibular body related to mandibular molars. The referral clinical diagnosis was of odontogenic origin in 6 cases (18.2%). The majority of patients had experienced recurrence after treatment in previous clinics that had failed to diagnose odontogenic cutaneous fistula. Surgical fistulectomy and/or tooth treatment were performed in all cases. All patients were followed-up for 1 year. None showed signs of recurrence.ConclusionExtraoral and dental examinations are required to make a diagnosis of odontogenic cutaneous fistula. Thus, cooperation between dermatologists and dentists is essential.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

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Clinical Characteristics of Odontogenic Cutaneous Fistulas

et al. 2016

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“…3 We found very few studies in indexed literature. Some are missing information, like the series by Chowdri et al, 6 that includes 64 cases but does not specify ages nor time of evolution. Others are more complete, like the series by Chan et al, 7 but a reduced number of cases (Table 4).…”

Section: Commentarymentioning

confidence: 99%

Odontogenic cutaneous fistulas: clinical and epidemiologic characteristics of 75 cases

et al. 2013

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“…An antecedent of trauma, as in our case, was identified in only 6% of patients1. Chowdri et al confirmed that osteomyelitis was the third cause (11%) of nonhealing sinuses, and fistulous tracts of head and neck in 117 patients11. In their report, dental tracts (53%) and infected implants or bone grafts (20%) were the two main causes.…”

Section: Discussionmentioning

confidence: 46%

Extensive, Non-Healing Scalp Ulcer Associated with Trauma-Induced Chronic Osteomyelitis

et al. 2011

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A 77-year-old woman presented with a trauma to the scalp caused from the blade of a windmill. The condition was persistent from the past 50 years. At the initial examination, a deep, foul-smelling and well-circumscribed ulcer was apparent on the head region, involving the majority of the cranium. Skin biopsy specimens of the lesion were nonspecific. The bone biopsy showed extensive necrotic areas of bone and soft tissues, with lymphocytic exudate foci. A computed tomography scan of the head revealed bone destruction principally involving both the parietal bones, and parts of the frontal and occipital bones. Streptococcus parasanguis was isolated from the skin culture, and Proteus mirabilis and Peptostreptococcus sp. were identified in the cultures from the bone. A long-term treatment with amoxicillin-clavulanic acid (1 g/12 h) and levofloxacin (500 mg/day) was prescribed, but even after 6 months, the lesion remained unchanged. The frequency of occurrence of scalp ulcers in dermatological patients is less, principally because of the rich blood supply to this area. We have not found any similar case report of a scalp ulcer secondary to chronic osteomyelitis discovered more than 50 years after the causal trauma. We want to highlight the importance of complete cutaneous evaluation including skin and bone biopsies, when scalp osteomyelitis is suspected.

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Clinicopathological Profile and Surgical Results of Nonhealing Sinuses and Fistulous Tracts of the Head and Neck Region

Cited by 15 publications

References 15 publications

Clinical Characteristics of Odontogenic Cutaneous Fistulas

Clinical Characteristics of Odontogenic Cutaneous Fistulas

Odontogenic cutaneous fistulas: clinical and epidemiologic characteristics of 75 cases

Extensive, Non-Healing Scalp Ulcer Associated with Trauma-Induced Chronic Osteomyelitis

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