Persistent Sinus Tracts of Dental Origin

Anderson, Nelson Paul

doi:10.1001/archderm.1937.01470240054004

Cited by 31 publications

(4 citation statements)

References 5 publications

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“…OCST is often described in the dental literature but is difficult to diagnose because patients may present with minimal subjective symptoms, such as pain in the affected tooth. As a result, OCST patients are treated by non-dental specialists such as dermatologists, plastic surgeons, or, in the case of pediatric patients, pediatricians, which can lead to delayed diagnosis and potentially inappropriate treatment [8,9]. The primary site of OCST is the mandibular molar, which has a high incidence of dental caries.…”

Section: Discussionmentioning

confidence: 99%

“…OCST occurs in all age groups, but in children, it is more common in teenagers and less common in children under 10 years of age [ 12 , 13 ]. The buccal space is the most common site of the fistula, followed by the mental, masseter, and submandibular space [ 9 ]. Variation in the fistula site is related to the location of the causative tooth, the length of the root, the location and thickness of the surrounding muscle attachments, the density and sparsity of the subcutaneous tissue, the virulence of the infection, the thickness of the cortical bone, and the effect of gravity [ 3 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

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Odontogenic Cutaneous Sinus Tract in a 10-Year-Old Girl: A Case Report of a Rare Entity

Hanaki¹,

Katayama²,

Watanabe³

2023

Cureus

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Odontogenic cutaneous sinus tract (OCST) is defined as pulp necrosis caused by dental caries or trauma that forms a fistula on the body surface as a drainage channel for the infected pulp. OCST can be difficult to diagnose because subjective symptoms, such as pain in the affected tooth, may be minimal. In addition, lesions in the cervical region are extremely rare. In this report, we discuss the case of a 10-year-old girl who presented with inflammation, edema, and purulent exudation on the right neck. Her symptoms resembled those of lateral cervical cysts and fistulas. However, upon evaluation, she was diagnosed with OCST. Although OCST is an important differential diagnosis for head and neck lesions, it is often overlooked. OCST should be considered in the differential diagnosis of neck masses and fistulas.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Odontogenic Cutaneous Sinus Tract in a 10-Year-Old Girl: A Case Report of a Rare Entity

Hanaki¹,

Katayama²,

Watanabe³

2023

Cureus

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“…Such sinuses were recognised in the early part of the 20 th Century, in association with dental infection, osteomyelitis of the mandible and syphilis. 14 The person may not be always aware of his/her original dental infection, 15 especially if the infection was chronic, low-level natural state. 16 Spread of the infection may be intraoral or exteraoral, depending on whether the infection tracks deep or superficial to the buccinator or mylohyoid muscles.…”

Section: Discussionmentioning

confidence: 99%

Massive cutaneous fistula secondary to an odontogenic submandibular abcess in an immunocompromised patient: a case report

Zerener¹,

Bayar²,

Gülses³

et al. 2014

Cumhuriyet Dent J

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A B S T R A C TExtraoral sinus tracts of dental origin often are a diagnostic challenge. A delay in correctly diagnosing these types of lesions can result in ineffective and inappropriate treatment. A 64 year-old immunocompromised female with a huge cutaneous draining tract was referred to our clinic complaining of a purulent discharge from her skin on her right submandibular area. In clinical examination and radiographic assessment, periapical lesion associated with roots of lower right first molar was noticed. According to the patient history, she had kidney transplantation 17 years ago. Following the identification of the source of infection, it was surgically and medically resolved, and skin closure was performed. Her postoperative healing period was supported with hyperbaric oxygen therapy as well. Sinus tract was successfully treated.

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“…The most common cause of sinus tract is a chronic periapical abscess. 1 The periapical inflammatory process results from a necrotic pulp and spreads into the surrounding periodontal ligament and bone. Following the onset of apical periodontitis, depending on the inflammatory process and immunological response, bone resorption is induced.…”

Section: Introductionmentioning

confidence: 99%

Inter disciplinary approach of chronic periapical lesion with extraoral sinus tract opening on to the nasal floor: A case report

Ranjithkumar¹,

Datta²,

N³

et al. 2019

IJCE

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Dental pulp and periodontium are closely related and the pathway of communication between these structures helps in determining the progress and prognosis of the disease. Though periapical lesions can be managed non-surgically, surgical intervention is needed in cases of recalcitrant chronic periapical lesions that do not respond to conventional endodontic therapy. This case report highlights the surgical management of chronic periapical lesion of endodontic origin with an unusual location of the extra-oral sinus on the nasal floor.

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Persistent Sinus Tracts of Dental Origin

Cited by 31 publications

References 5 publications

Odontogenic Cutaneous Sinus Tract in a 10-Year-Old Girl: A Case Report of a Rare Entity

Odontogenic Cutaneous Sinus Tract in a 10-Year-Old Girl: A Case Report of a Rare Entity

Massive cutaneous fistula secondary to an odontogenic submandibular abcess in an immunocompromised patient: a case report

Inter disciplinary approach of chronic periapical lesion with extraoral sinus tract opening on to the nasal floor: A case report

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