Korean J Dermatol.
2000 Aug;38(8):1138-1139.
An Odontogenic Sinus Tract Draining to the Skin
- Affiliations
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- 1Department of Dermatology, Chonnam University Medical School, Kwangju, Korea.
Abstract
- We report a case of a 77-year-old woman with a cutaneous sinus tract located on the right cheek secondary to a periapical abscess of the right maxillary first molar. The lesion was a nodule with surrounding dimple and drained purulent fluid. Previous topical and systemic treatment was temporarily effective. Radiologic examination of the maxillary and mandibular regions demonstrated diffuse radiolucency involving the apices of the right maxillary first molar, consistent with periapical abscesses. Removal of the involved teeth and curettage of the granulation tissue accompanied by antibiotic therapy resulted in the complete healing of the cheek lesion. In the presence of a single chronic suppurative or nodulocystic lesion of the face, it is always useful to perform a radiologic evaluation of the maxillary and mandibular regions to promptly exclude a possible odontogenic background.
