Extraoral cutaneous sinus tracts of dental origin in the paediatric patient. A report of three cases and a review of the literature

Swales, Karen Louise; Rudralingam, Meena; Gandhi, Shan

doi:10.1111/ipd.12205

Cited by 17 publications

(24 citation statements)

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“…[10] The treatment of these teeth depends on the overall health, cooperation, the tooth position in the oral cavity, clinical and radiographic findings, and sometimes the orthodontic considerations. [10] The surgical and non-surgical modalities can be used to treat these cases. A non-surgical approach should be done initially.…”

Section: Discussionmentioning

confidence: 99%

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Extraoral cutaneous sinus tracts of dental origin: A report of two pedodontic cases

Uppal¹,

Thakur²,

Chauhan³

et al. 2017

IDJAR

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Odontogenic extraoral, cutaneous sinus is described as a path leading from an enclosed area of inflammation to an epithelial surface. The patients visit a physician first for evaluation, diagnosis, and treatment and both do not give consideration most of the times to the dental etiology. The misdiagnosis and mismanagement leading to persistence of infection can cause frustration to the patient. Successful management of the odontogenic cutaneous sinus tracts of pulpal pathology depends on proper diagnosis. However, these lesions continue to be a diagnostic quandary. Two cases of 11-year-old and 13-year-old female patients with cutaneous extraoral sinus tract have been discussed in this article. These patients were not taken seriously by the physicians, and due to their negligence, these pediatric patients had to undergo a lot of trauma. The case report describes how after proper history, diagnosis, and correct treatment by a pedodontist, the infection healed in these two different patients. Proper diagnosis is the basic requirement for the successful management of the odontogenic cutaneous sinus tracts of pulpal origin. Several case reports reveal that the appropriate diagnosis could not be made leading the incorrect treatment offered to the patients. It causes the cutaneous sinus tract to reoccur as the dental etiology is not addressed. The cutaneous sinus tracts are a rare entity in the pedodontic patients. Proper management can lead to treatment at a much earlier stage thus curbing the progression of the disease and also saving of time and expenses of the patient.

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Section: Discussionmentioning

confidence: 99%

“…Extraction of the tooth is recommended if prognosis is poor, tooth is not restorable or endodontic therapy cannot be done. [10,12] A patent pathway is made for drainage of pus.…”

Section: Discussionmentioning

confidence: 99%

Extraoral cutaneous sinus tracts of dental origin: A report of two pedodontic cases

Uppal¹,

Thakur²,

Chauhan³

et al. 2017

IDJAR

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“…As a result, OCSTs may occur when the infection is superior to the maxillary attachment of the buccinator muscle and inferior to the mandibular attachments of the buccinator, mylohyoid, and mentalis muscles (Laskin, 1964). Odontogenic infections in children and adolescents are theoretically easier to develop into extraoral sinus tracts because teeth are often partially erupted with immature roots and the alveolar process is less developed than in adults, with a higher chance of the infection to cause a perforation beyond the muscular attachments (Swales et al, 2016). However, OCSTs in children are infrequently reported.…”

Section: Introductionmentioning

confidence: 99%

Odontogenic cutaneous sinus tract - misdiagnosis and follow-up in a seven-year-old boy

Deng

Rammal

Zhang

et al. 2020

IJOHS

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Cutaneous sinus tracts of dental origin are relatively rare, but frequently misdiagnosed. In this case report, we present a seven-year-old patient with a cutaneous lesion in the left submandibular region misdiagnosed by a physician as an abscess secondary to suppurative lymphadenitis, and thus incorrectly treated with surgery and systemic antibiotics. Following a detailed dental examination, the patient was correctly diagnosed with an odontogenic sinus tract from a periapical abscess of tooth 36. Treatment of the immature tooth was initiated with apexification combined with nonsurgical endodontic treatment. The cutaneous and the periapical lesions were all resolved after the treatment and there has been no recurrence during an eight-year follow-up.

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“…They are rare and hence the correct diagnosis is usually missed on the initial presentation to the surgeon [ 1 ]. Most case reports and all large case series were published in the dental and dermatology literature [ [1] , [2] , [3] , [4] , [5] ]. Furthermore, none of the previous reports stressed on the medico-legal consequences of the wrong diagnosis and treatment.…”

Section: Introductionmentioning

confidence: 99%

Facial cutaneous lesions of dental origin: A case series emphasizing the awareness of the entity and its medico-legal consequences

Al‐Qattan

Al-Motairi

2018

International Journal of Surgery Case Reports

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Extraoral cutaneous sinus tracts of dental origin in the paediatric patient. A report of three cases and a review of the literature

Abstract: The importance of correct diagnosis and treatment management of an extra oral cutaneous sinus in the paediatric patient only occurred when the child attended a specialist led paediatric dental clinic for consultation.

Cited by 17 publications

References 25 publications

Extraoral cutaneous sinus tracts of dental origin: A report of two pedodontic cases

Extraoral cutaneous sinus tracts of dental origin: A report of two pedodontic cases

Odontogenic cutaneous sinus tract - misdiagnosis and follow-up in a seven-year-old boy

Facial cutaneous lesions of dental origin: A case series emphasizing the awareness of the entity and its medico-legal consequences

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