Esthetic improvement of a cutaneous sinus tract of odontogenic origin

Zemmouri, Yousra; Chbicheb, Saliha

doi:10.11604/pamj.2020.37.204.21596

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…Clinically the orifice of OCSTs might extend from 1-20 mm in diameter and may present different shapes, it commonly resembles a furuncle, a cyst, an ulcer, a nodulocystic lesion with suppuration or it looks like a retracted or sunken skin lesion [7,12]. If misdiagnosed patients may undergo many inappropriate surgeries and courses of antibiotics before a definitive diagnosis is made and an appropriate therapy are initiated [4].…”

Section: Discussionmentioning

confidence: 99%

Limits of Conventional Treatment of Odontogenic Cutaneous Sinus Tract: A Case Report

Hajer

2023

J Clin Med Surgery

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Section: Discussionmentioning

confidence: 99%

Limits of Conventional Treatment of Odontogenic Cutaneous Sinus Tract: A Case Report

Hajer

2023

J Clin Med Surgery

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“…A fistula cutânea observada neste estudo apresentava um aspecto nodular cístico com supuração. No exame intraoral é importante estar atento à presença de cárie dentária, coroas protéticas, doença periodontal e restaurações infiltradas ou mal adaptadas, uma vez que estes dentes podem estar assintomáticos 5 . No presente caso não havia presença de lesões de cárie ou restaurações insatisfatórias, sendo observadas apenas linhas sugestivas de trincas próximas à restauração de amálgama presente na oclusal da coroa dentária, possíveis vias de penetração de microrganismos.…”

Section: Discussionunclassified

“…A drenagem da secreção purulenta, geralmente, ocorre a partir de uma abertura intraoral na área gengival (na mucosa alveolar, gengiva livre ou ligamento periodontal), ou a partir de uma abertura extraoral na pele 4 . Além disso, a drenagem extraoral depende da localização do dente afetado, bem como de fatores específicos como a virulência do microrganismo, a resistência do hospedeiro e a relação entre a anatomia e as inserções musculares faciais 5 .…”

Section: Introductionunclassified

Fístula cutânea odontogênica: relato de um caso clínico após múltiplos diagnósticos errôneos

Pereira¹,

Andrade-Júnior²,

Silva

2021

Rev Odontol Bras Central

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A fístula cutânea de origem odontogênica é decorrente da infecção crônica que pode comprometer a estética do paciente e quando mal disgnóstica, por médicos e/ou cirurgiões-dentistas, pode ocasionar alteração estética e transtornos psicológicos ao paciente. O presente relato de caso descreve o correto diagnóstico e o tratamento de uma paciente que foi anteriormente encaminhada a diferentes profissionais de saúde, sendo inclusive submetida a biopsia após hipóteses diagnósticas incorretas. Após avaliação clínica e de exames radiográficos periapicais e tomografia computadorizada de feixe cônico, solicitados por um endodontista, o caso foi diagnosticado de maneira adequada e um plano de tratamento foi proposto. O tratamento endodôntico não-cirúrgico foi realizado, proporcionando a resolução da fístula em curto período de tempo. O presente caso clínico reforça a necessidade de se realizar o diagnóstico diferencial de patologias associadas as fístulas cutâneas ocorridas na região facial ou cervical, e da importância da colaboração interprofissional, inclusive considerando a etiologia odontogênica.

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Odontogenic Cutaneous Fistula: A Zombie Diagnosis

Taylor,

Mirsky,

Jabori

et al. 2024

Journal of Craniofacial Surgery

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Background: Odontogenic cutaneous fistula (OCF) is a pathologic communication between the cutaneous surface of the face and oral cavity. Majority of oral cutaneous fistulas are reported to arise from chronic dental infection. Delay in treatment may result in chronic tissue injury as well as cosmetic deformities. Lesions are often misdiagnosed, leading to delayed management. Misdiagnosis may be the result of the variability of clinical morphological presentation and location of lesions compounded by the lack of knowledge that these lesions can have dental etiology. It is estimated that half of patients with OCF undergo multiple dermatologic surgical operations, antibiotic regimens, and other excisions and biopsies before a correct diagnosis is made. Herein, we present a systematic review to detail cases of odontogenic cutaneous lesions that had been previously misdiagnosed or managed inappropriately. In addition, we include a case report from our own institution. The aims are to demonstrate various presentations of OCF, increase awareness of plastic surgeons and oral maxillofacial surgeons to this pathological condition, and reinforce the importance of prompt diagnosis and treatment. Methods: The study was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. A literature search was conducted in PubMed, Web of Science, and Cochrane databases from January 1, 2013 to July 24, 2023. The following search terms were utilized: “odontogenic cutaneous fistula” OR “odontogenic cutaneous sinus.” Results: Twenty-three articles published between 2013 and 2023 were included in this review. In addition, we report a case from our own institution. A total of 28 cases were included in the review. Conclusions: Diagnosis of OCF is challenging for numerous reasons. Misdiagnosis can lead to multiple trials of antibiotics and surgical procedures as well as reoccurrence of the lesion. Cases summarized highlight the importance of communication between oral maxillofacial surgery, plastic surgery, other medical subspecialists, and dentists in the evaluation of patients with head and neck lesions. Physicians should consider dental etiology in the differential diagnosis of orofacial skin lesions, even if teeth appear normal on oral examination.

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Esthetic improvement of a cutaneous sinus tract of odontogenic origin

Cited by 3 publications

References 12 publications

Limits of Conventional Treatment of Odontogenic Cutaneous Sinus Tract: A Case Report

Limits of Conventional Treatment of Odontogenic Cutaneous Sinus Tract: A Case Report

Fístula cutânea odontogênica: relato de um caso clínico após múltiplos diagnósticos errôneos

Odontogenic Cutaneous Fistula: A Zombie Diagnosis

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