Korean J Dermatol.  2017 Sep;55(8):529-532.

A Case of Cutaneous Sinus Tract of Odontogenic Origin

Affiliations
  • 1Department of Dermatology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. hazelkimhoho@gmail.com

Abstract

A cutaneous sinus tract of odontogenic origin occurs when 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 this condition usually visit a dermatologist first, as the lesion can mimic various dermatologic pathologies, ranging from an epidermal cyst to basal cell carcinoma. The location of the sinus in the head and neck region should lead the dermatologist to seek a dental origin in order to avoid misdiagnosis. The lesion may persist for long periods before a correct diagnosis is made and the odontogenic source is treated appropriately. Herein, we report a case of a cutaneous sinus tract of odontogenic origin.

Keyword

Cutaneous sinus; Dental fistula; Dental sinus

MeSH Terms

Carcinoma, Basal Cell
Dental Fistula
Dental Pulp Necrosis
Diagnosis
Diagnostic Errors
Epidermal Cyst
Head
Humans
Neck
Pathology
Skin
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