염증성 경부 종괴로 오인된 구강피부누공 1예
A Case of Orocutaneous Fistula Misdiagnosed as an Inflammatory Cervical Mass
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Odontogenic cutaneous fistula is rarely reported in otolaryngologic literature. As the lesion mimics other common cutaneous skin lesion, accurate diagnosis is challenging problem. We report a case of a 39-year-old man who presented with relapsing nodular mass in submental region. Physical, radiological, and cytological examination suggested recurrent cervical lymphadenitis and excisional biopsy was performed. The fistula tract penetrating deep to the oral floor was found on surgical field and lower right second molar tooth was identified as the origin site of fistula by fistulography. A tooth extraction and root canal treatment was performed and the patient remained disease free.
Abstract
Odontogenic cutaneous fistula is rarely reported in otolaryngologic literature. As the lesion mimics other common cutaneous skin lesion, accurate diagnosis is challenging problem. We report a case of a 39-year-old man who presented with relapsing nodular mass in submental region. Physical, radiological, and cytological examination suggested recurrent cervical lymphadenitis and excisional biopsy was performed. The fistula tract penetrating deep to the oral floor was found on surgical field and lower right second molar tooth was identified as the origin site of fistula by fistulography. A tooth extraction and root canal treatment was performed and the patient remained disease free.
참고문헌 (14)
- Barrowman RA, "Cutaneous sinus tracts of dental origin", Med J Aust, 186(5), pp.264~265 (2007)
- Sheehan DJ, "Cutaneous draining sinus tract of odontogenic origin: unusual presentation of a challenging diagnosis", South Med J, 98(2), pp.250~252 (2005)
- Sharma JK, "Extraoral sinus and its management. A clinical study", Int J Oral Surg, 14(4), pp.346~349 (1985)
- Al-Kandari AM, "Cutaneous sinus tracts of dental origin to the chin and cheek: case reports", Quintessence Int, 24(10), pp.729~733 (1993)
- Kaban LB, "Draining skin lesions of dental origin: the path of spread of chronic odontogenic infection", Plast Reconstr Surg, 66(5), pp.711~717 (1980)
- Cantatore JL, "Cutaneous dental sinus tract, a common misdiagnosis: a case report and review of the literature", Cutis, 70(5), pp.264~267 (2002)
- Witherow H, "Midline odontogenic infections: a continuing diagnostic problem", Br J Plast Surg, 56(2), pp.173~175 (2003)
- Bodner L, "Cutaneous sinus tract of dental origin-imaging with a dental CT software programme", Br J Oral Maxillofac Surg, 36(4), pp.311~313 (1998)
- Cioffi GA, "Cutaneous draining sinus tract: an odontogenic etiology", J Am Acad Dermatol, 14(1), pp.94~100 (1986)
- McWalter GM, "Cutaneous sinus tracts of dental etiology", Oral Surg Oral Med Oral Pathol, 66(5), pp.608~614 (1988)
- Stoll HL Jr, "Cutaneous sinuses of dental origin", JAMA, 184, pp.120~124 (1963)
- Swift JQ, "Antibiotic therapy--managing odontogenic infections", Dent Clin North Am, 46(4), pp.623~633 (2002)
- Johnson BR, "Diagnosis and treatment of cutaneous facial sinus tracts of dental origin", J Am Dent Assoc, 130(6), pp.832~836 (1999)
- Gomes BP, "Associations of specific bacteria with some endodontic signs and symptoms", Int Endod J, 27(6), pp.291~298 (1994)