2016
DOI: 10.1097/md.0000000000003662
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Diagnosis and Treatment of Odontogenic Cutaneous Sinus Tracts in an 11-Year-Old Boy

Abstract: Odontogenic cutaneous sinus tracts (OCSTs) are generally primarily misdiagnosed and inappropriately treated by virtue of their rarity and the absence of dental symptoms. Accurate diagnosis and treatment and the elimination of the source of infection can reduce the incidence of complications and relieve the pain of the patient.In this case report, we present the case of an 11-year-old patient with an apparent abscess but an unobvious draining sinus tract in his left cheek. Intraorally, a glass-ionomer-cement fi… Show more

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Cited by 14 publications
(12 citation statements)
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“…In the case presented, the clinical diagnosis of an odontogenic cutaneous fistula was achieved postoperatively. The diagnosis was elusive in the absence of carious teeth and an unremarkable dental history, a clinical phenomenon reported in 50% of patients [ 4 , 8 – 10 ]. The diagnostic conundrum was compounded by the location of the dental infection to the fistulous aperture and its variability [ 1 , 3 , 9 ].…”
Section: Discussionmentioning
confidence: 99%
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“…In the case presented, the clinical diagnosis of an odontogenic cutaneous fistula was achieved postoperatively. The diagnosis was elusive in the absence of carious teeth and an unremarkable dental history, a clinical phenomenon reported in 50% of patients [ 4 , 8 – 10 ]. The diagnostic conundrum was compounded by the location of the dental infection to the fistulous aperture and its variability [ 1 , 3 , 9 ].…”
Section: Discussionmentioning
confidence: 99%
“…Cone beam CT is unmatched when plane radiography is equivocal or inefficient in determining the extent and the relations of the periapical lesion with the adjacent teeth [ 2 , 8 ]. Fistulography via X-ray or CT using a gutta-percha usually provides the diagnosis when all other modalities fail [ 2 , 4 ]. Several authors describe treatment as removing the original source of infection by means of endodontic or extraction therapy with spontaneous closure of the fistulous tract within as much as 2 weeks [ 1 , 2 , 8 , 10 ].…”
Section: Discussionmentioning
confidence: 99%
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“…Odontogenic cutaneous sinus tracts (OCSTs), uncommon and therefore frequently misdiagnosed, are generally caused by chronic endodontic infections (Chen et al, 2016;Chouk & Litaiem, 2020). Patients presenting with OCSTs are often treated incorrectly with systemic antibiotics or surgical procedures by physicians because the dentition is often asymptomatic.…”
Section: Introductionmentioning
confidence: 99%