Clinical Characteristics of Odontogenic Cutaneous Fistulas
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Background: Odontogenic 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. Objective: The purpose of this study was to investigate the clinical characteristics of patients with odontogenic cutaneous fistulas. Methods: This 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. Results: Thirty-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. Conclusion: Extraoral and dental examinations are required to make a diagnosis of odontogenic cutaneous fistula. Thus, cooperation between dermatologists and dentists is essential.
Abstract
Background: Odontogenic 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. Objective: The purpose of this study was to investigate the clinical characteristics of patients with odontogenic cutaneous fistulas. Methods: This 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. Results: Thirty-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. Conclusion: Extraoral and dental examinations are required to make a diagnosis of odontogenic cutaneous fistula. Thus, cooperation between dermatologists and dentists is essential.
참고문헌 (13)
- Mittal N., "Management of extra oral sinus cases : a clinical dilemma", J Endod, 30, pp.541~547 (2004)
- Pasternak-Júnior B., "Diagnosis and treatment of odontogenic cutaneous sinus tracts of endodontic origin : three case studies", Int Endod J, 42, pp.271~276 (2009)
- Kim SH., "A case of cutaneous sinus tract of dental origin", Ann Dermatol, 14, pp.235~238 (2002)
- Barbosa CAM., "Diagnosis of cutaneous sinus tract in association with traumatic injuries to the teeth", Braz J Dent Traumatol, 2, pp.75~79 (2011)
- Sadeghi S., "Prevalence of odontogenic sinus tracts in 728 endodontically treated teeth", Med Oral Patol Oral Cir Bucal, 16, pp.e296~e299 (2011)
- Chowdri NA., "Clinicopathological profile and surgical results of nonhealing sinuses and fistulous tracts of the head and neck region", J Oral Maxillofac Surg, 67, pp.2332~2336 (2009)
- Slutzky-Goldberg I., "Odontogenic sinus tracts : a cohort study", Quintessence Int, 40, pp.13~18 (2009)
- Ghodsi SZ., "Two unusual cases of dental(periapical)infection", Dermatol Online J, 12, pp.15~ (2006)
- Spear KL., "Sinus tracts to the chin and jaw of dental origin", J Am Acad Dermatol, 8, pp.486~492 (1983)
- Samir N., "Odontogenic cutaneous fistula : report of two cases", Sultan Qaboos Univ Med J, 11, pp.115~118 (2011)
- Cohen PR., "Cutaneous odontogenic sinus simulating a basal cell carcinoma : case report and literature review", Plast Reconstr Surg, 86, pp.123~127 (1990)
- Cioffi GA., "Cutaneous draining sinus tract : an odontogenic etiology", J Am Acad Dermatol, 14, pp.94~100 (1986)
- Braun RJ., "A dermatologic lesion resulting from a mandibular molar with periradicular pathosis", Oral Surg Oral Med Oral Pathol, 52, pp.210~212 (1981)