Cutaneous sinuses of dental origin

Cutaneous sinuses of dental origin

We report a case of a cutaneous sinus related to a non-vital lower premolar. The case was misdiagnosed by non-dentally trained medical staff and subsequent treatment proved ineffective. Following referral to an Oral and Maxillofacial clinic the correct cause was established. Correct treatment was followed by rapid resolution of signs and symptoms. This case highlights the need for healthcare pr...

Chronic Cutaneous Draining Sinus of Dental Origin

Extra oral sinus of odontogenic origin occurs when the purulent by-products of dental pulp necrosis spread along the path of least resistance from the root apex to the skin on the face. Patients presenting with cutaneous sinus usually visit a general physician or dermatologist first, as the lesion can mimic various dermatologic pathologies, ranging from an infected sebaceous cysts to a basal ce...

Treatment of tuberculous sinuses and abscesses of osteoarticular origin.

Conservative management of persistent facial cutaneous sinus tract with a dental origin.

Facial and cervical area sinus tracts can be odontogenic or non-odontogenic, and so clinicians should be aware that lesions with a dental origin can be confused with dermatological lesions. We describe three cases of cutaneous lesions of dental origin that were initially misdiagnosed as being dermatological in origin. Multiple unsuccessful treatments were attempted but the lesions failed to hea...

Maxillary Sinusitis of Dental Origin

We report a 53 year-old male who suffered 18 months of foul-smelling green nasal discharge, halitosis and a heavy discomfort behind his right eye. The symptoms were consistent with chronic rhinosinusitis. The patient had a right upper molar dental extraction shortly before the onset of symptoms. A radio-opaque foreign body was noted in his right maxillary sinus on CT. During surgery a tooth res...