Submandibular Cutaneous Draining Sinus Tract from Mandibular Osteomyelitis
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초록
Chronically draining cutaneous sinus tracts are frequently misdiagnosed and incorrectly treated. Diagnostic errors can result in multiple surgical excisions and biopsies, long-term antibiotic therapy, and even radiation therapy or electrodessication. The most common cause of skin drainage is a chronically infected tooth. A sinus tract from a mandibular osteomyelitis is very rare and hard to detect. A 36-year-old woman was presented to the hospital with a 1.5 year history of purulent discharge from a cutaneous sinus present at submandibular region. The patient had received three excisions and drainage procedures but the drainage recurred. The neck computed tomography revealed a focal disruption with radiolucence on the posterior surface of the left inferior mandibular body. The disease was completely cured after the excision of sinus tract and thorough curettage of the affected lesion of the mandible. We report a cutaneous submandibular draining sinus tract that developed from a mandibular osteomyelitis unrelated to a tooth inflammation.
Abstract
Chronically draining cutaneous sinus tracts are frequently misdiagnosed and incorrectly treated. Diagnostic errors can result in multiple surgical excisions and biopsies, long-term antibiotic therapy, and even radiation therapy or electrodessication. The most common cause of skin drainage is a chronically infected tooth. A sinus tract from a mandibular osteomyelitis is very rare and hard to detect. A 36-year-old woman was presented to the hospital with a 1.5 year history of purulent discharge from a cutaneous sinus present at submandibular region. The patient had received three excisions and drainage procedures but the drainage recurred. The neck computed tomography revealed a focal disruption with radiolucence on the posterior surface of the left inferior mandibular body. The disease was completely cured after the excision of sinus tract and thorough curettage of the affected lesion of the mandible. We report a cutaneous submandibular draining sinus tract that developed from a mandibular osteomyelitis unrelated to a tooth inflammation.
참고문헌 (13)
- 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)
- Cioffi GA, "Cutaneous draining sinus tract:An odontogenic etiology", J Am Acad Dermatol, 14(1), pp.94~100 (1986)
- Perry TL, "Dermal sinus of dental origin", Arch Dermatol, 106(3), pp.420~421 (1972)
- Jacobs J, "Dermal fistula of dental origin masquerading as a skin cancer", Oral Surg Oral Med Oral Pathol, (19), pp.184~187 (1965)
- Mahler D, "Cutaneous dental sinus imitating skin cancer", Br J Plast Surg, 24(1), pp.78~81 (1971)
- Purohit SD, "Tuberculosis fistula of cheek. Report of a case", Oral Surg Oral Med Oral Pathol, 60(1), pp.41~42 (1985)
- Goldstein BH, "Actinomycosis of the maxilla: Review of literature and report of case", J Oral Surg, 30(5), pp.362~366 (1972)
- Craig RM, "Draining fistulas associated with an endodontically treated tooth", J Am Dent Assoc, 108(5), pp.851~852 (1984)
- Katou F, "Congenital midline sinus of the upper lip. Report of a case", Int J Oral Maxillofac Surg, 18(4), pp.237~238 (1989)
- Caliskan MK, "Treatment of extraoral sinus tracts from traumatized teeth with apical periodontitis", Endod Dent Traumatol, 11(3), pp.115~120 (1995)
- Javid B, "Chronic extraoral fistulae of dental origin", Compendium, 10(1), pp.11~14 (1989)
- Yeoh SC, "Chronic suppurative osteomyelitis of the mandible: Case report", Aust Dent J, 50(3), pp.200~203 (2005)
- Hudson JW, "Osteomyelitis of the jaws: A 50-year perspective", J Oral Maxillofac Surg, 51(12), pp.1294~1301 (1993)