Diagnosis and Treatment of odontogenic cutaneous sinus tract : a retrospective study

Kim,  Sung-Joon; Kahm,  Se Hoon

J Korean Dent Assoc > Volume 54(9); 2016 > Article

The Journal of The Korean Dental Association 2016;54(9):684-691.
Published online September 30, 2016.

치성 피부 누공 환자의 진단과 치료 : 후향적 연구

김성준¹, 감세훈²

^¹제주대학교 의학전문대학원 치과학교실, 제주대학교병원 치과
^²제주대학교 의학전문대학원 치과학교실, 제주대학교병원 치과

Diagnosis and Treatment of odontogenic cutaneous sinus tract : a retrospective study

Sung-Joon Kim¹, Se Hoon Kahm²

¹Department of Dentistry, School of Medicine, Jeju National University, Department of Dentistry, Jeju National University Hospital
²Department of Dentistry, School of Medicine, Jeju National University, Department of Dentistry, Jeju National University Hospital

Abstract

The odontogenic cutaneous fistula in facial area is uncommon but, well defined disease. It is difficult to diagnose from the dental origin of cutaneous sinus tract. Most patients may visit to the dermatologists or general hospital without cause of disease. They usually be treated by repeated surgical excisions, biopsies, and antibiotic medications, but suffered from recurrences. We studied odontogenic cutaneous fistula through retrospective study in Jeju Special Self-Governing Province between 1 January 2009 and 12 December 2015. There were 3 males, 5 females from 14 to 78 years old with an average age of 50.4 years old. Only 2 patients felt the toothache, others didn't detect it. They suffered from recurrences and repeated treatments for 3 to 11 months with an average period of 7.9 months. They visited average 2.8 hospitals before a precise diagnosis in a dental clinic. All cases were fully healed endodontic treatment or extraction of origin teeth without recurrences. In conclusion, the cause of cutaneous fistula in facial area can be odontogenic. If dentists or doctors diagnose a patient with cutaneous fistula on face, they should check dental problems or take x-ray views for precise diagnosis. It could be helpful for differential diagnosis.

Key Words: odontogenic cutaneous fistula;cutaneous sinus tract;retrospective analysis;