Case Report
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Ektraoral Fistülün Endodontik Müdahale İle Tedavisi: Olgu Sunumu

Year 2020, Volume: 4 Issue: 1, 31 - 35, 30.06.2020
https://doi.org/10.35333/ERD.2020.184

Abstract



















Odontejenik fistüller
çoğunlukla pulpa enflamasyonuna bağlı gelişen tedavisi için genellikle kanal
tedavisi nadiren de cerrahi işlem gereken patolojik oluşumlardır. Pek çoğu
intraoral olarak oluşmasına rağmen bazen ekstraoral olarak da gözlemlenebilmektedir.
Ekstraoral fistül, ağız boşluğu ve cilt arasında patolojik bir yoldur.
Hastaların genellikle dental semptomları olamaması sebebiyle pek çok diğer cilt
lezyonu ile karışabilmekte ve etkisiz tedaviler uygulanabilmektedir. Bu sebeple
bu vakaların ayırıcı tanısının yapılması oldukça önemlidir. Bu vaka sunumu, alt
çene kesici dişlerden oluştuğu tespit edilen ve çene ucu bölgesinden drene
ekstraoral fistül vakasının kök kanal tedavisi uygulamasının ardından 3 aylık
takibini içermektedir.

References

  • References
  • 1. Cohenca N, Karni S, Rotstein I. Extraoral sinus tract misdiagnosed as an endodontic lesion. J Endod 2003;29:841-3.
  • 2. Gupta R, Hasselgren G. Prevalence of odontogenic sinus tracts in patients referred for endodontic therapy. J Endod 2003;29:798-800.
  • 3. M Assery SAS. Cutaneous facial sinus tract of dental origin: a clinical case report. Saudi Dent J 2011;13:37-39.
  • 4. Nakamura Y, Hirayama K, Hossain M, Matsumoto K. A case of an odontogenic cutaneous sinus tract. Int Endod J 1999;32:328-31.
  • 5. Sotiropoulos GG, Farmakis ET. Diagnosis and conservative treatment of extraoral submental sinus tract of endodontic origin: a case report. J Clin Diagn Res 2014;8:Zd10-1.
  • 6. Pasternak‐Júnior B, Teixeira C, Silva‐Sousa Y, Sousa‐Neto M. Diagnosis and treatment of odontogenic cutaneous sinus tracts of endodontic origin: three case studies. Int Endod J 2009;42:271-276.
  • 7. Lee E-Y, Kang J-Y, Kim K-W, Choi KH, Yoon TY, Lee JY. Clinical characteristics of odontogenic cutaneous fistulas. Ann Dermatol 2016;28:417-421.
  • 8. Johnson BR, Remeikis NA, VAN CURA JE. Diagnosis and treatment of cutaneous facial sinus tracts of dental origin. JADA 1999;130:832-836.
  • 9. Atan Ö, Küçükçelebi A, Özman Ç. Iatrogenic Cutaneous Sinus Tract of Dental Origin: Case Report. J Pediatr Res 2015;2:96-98.
  • 10. Cohen PR, Eliezri YD. Cutaneous odontogenic sinus simulating a basal cell carcinoma: case report and literature review. Plast Reconstr Surg 1990;86:123-127.
  • 11. Fatouris PN. A cautionary tale. Case report. Aust Dent J 2000;45:53-54.
  • 12. Foster KH, Primack PD, Kulid JC. Odontogenic cutaneous sinus tract. J Endod 1992;18:304-306.
  • 13. Held J, Yunakov M, Barber R, Grossman M. Cutaneous sinus of dental origin: a diagnosis requiring clinical and radiologic correlation. Cutis 1989;43:22-24.
  • 14. Wilson S, Ward D, Burns A. Dental infections masquerading as skin lesions. Br J Plast Surg 2001;54:358-360.
  • 15. Yasui H, Yamaguchi M, Ichimiya M, Yoshikawa Y, Hamamoto Y, Muto M. A case of cutaneous odontogenic sinus. J Dermatol 2005;32:852-855.
  • 16. Cantatore JL, Klein PA, Lieblich LM. Cutaneous dental sinus tract, a common misdiagnosis: a case report and review of the literature. Cutis 2002;70:264-267.
  • 17. Curvers F, De Haes P, Lambrechts P. Non-surgical endodontic therapy as treatment of choice for a misdiagnosed recurring extraoral sinus tract. Eur Endod J 2017;2:13.
  • 18. Mittal N, Gupta P. Management of extra oral sinus cases: a clinical dilemma. J Endod 2004;30:541-547.
  • 19. Dinçol M, Yılmaz B, Ersev H, Gündüz VM, Arslanoğlu B, Yalçın T, et al. Treatment of extraoral cutaneous sinus tracts with non-surgical endodontic intervention: report of six cases. J Istanb Univ Fac Dent 2015;49:35-40.
  • 20. Javid B, Barkhordar R. Chronic extraoral fistulae of dental origin. Compendium 1989;10:8, 11-4.
  • 21. Kayahan MB, Kaptan F, Altundal H, Bayirli G. The management of an odontogenic cutaneous sinus tract: a case report. Ohdmbsc 2003;2:60-3.
  • 22. Brown RS, Jones R, Feimster T, Sam FE. Cutaneous sinus tracts (or emerging sinus tracts) of odontogenic origin: a report of 3 cases. Clin Cosmet Investig Dent 2010;2:63.
  • 23. Leonardo RT, Leal JM, Leonardo MR. Urgências em endodontia: pulpopatias, periapicopatias. In: Leonardo MR, Leal JM (eds). Endodontia: tratamento de canais radiculares. Sao Paulo: Panamericana 1998:885-902.
  • 24. Cioffi G, Terezhalmy GT, Parlette H. Cutaneous draining sinus tract: an odontogenic etiology. J Am Acad Dermatol 1986;14:94-100.
  • 25. Stoll HL, Solomon HA. Cutaneous sinuses of dental origin. JAMA 1963;184:120-124.
  • 26. Mortensen H, Winther J, Birn H. Periapical granulomas and cysts: An investigation of 1,600 cases. Eur J Oral Sci 1970;78:241-250.
  • 27. Chan C, Jeng J, Chang S, Chen C, Lin C, Lin C. Cutaneous sinus tracts of dental origin: clinical review of 37 cases. J Formos Med Assoc 1998;97:633-637.
  • 28. Hodges TP, Cohen DA, Deck D. Odontogenic sinus tracts. Am Fam Physician 1989;40:113-6.
  • 29. Işık V, Ersev H. Extraoral fistula: A case report. Yeditepe J Dent 2018;14:137-140.
  • 30. Al-Kandari AM, Al-Quoud OA, Ben-Naji A, Gnanasekhar JD. Cutaneous sinus tracts of dental origin to the chin and cheek. Quintessence Int 1993;24.
  • 31. Soares JA, De Carvalho FB, Pappen FG, Araújo GS, De Pontes Lima RK, Rodrigues VMT, et al. Conservative treatment of patients with periapical lesions associated with extraoral sinus tracts. Aust Dent J 2007;33:131-135.
  • 32. Witherow H, Washan P, Blenkinsopp P. Midline odontogenic infections: a continuing diagnostic problem. Br J Plast Surg 2003;56:173-175.
  • 33. Wood G. Pitts, fistulas, and draining lesions In: Cherrick HM (eds). Differential diagnosis of oral lesions. St. Louis: Mosby Co 1985:199 –201.
  • 34. Tidwell E, Jenkins J, Ellis C, Hutson B, Cederberg R. Cutaneous odontogenic sinus tract to the chin: a case report. Int Endod J 1997;30:352-355.
  • 35. Spear KL, Sheridan PJ, Perry HO. Sinus tracts to the chin and jaw of dental origin. J Am Acad Dermatol 1983;8:486-492.
  • 36. Wilcox JW, Kolodny SC. Acceleration of healing of maxillary and mandibular osteotomies by use of hyperbaric oxygen: A preliminary report. Oral Surg Oral Med Oral Pathol 1976;41:423-429.
  • 37. Zerener T, Bayar G, Gulses A, Simsek K, Aydintug Y. Massive cutaneous fistula secondary to an odontogenic submandibular abcess in an immunocompromised patient: a case report. Cumhuriyet Dent J 2014;1:11-15.
  • 38. Zan R, Kanmaz F, Akpınar KE, Hubbezoğlu I. Treatment of an extraoral cutaneous sinus tract with endodontic intervention: a case report. Turk Endod J 2016;1:39-42.
  • 39. Kumar KS, Subbiya A, Vivekanandhan P, Prakash V, Tamilselvi R. Management of an endodontic infection with an extra oral sinus tract in a single visit: a case report. Journal of clinical and diagnostic research. J Clin Diagn Res 2013;7:1247.

Treatment of Extraoral Sinus Tract with Endodontic Intervention: A Case Report

Year 2020, Volume: 4 Issue: 1, 31 - 35, 30.06.2020
https://doi.org/10.35333/ERD.2020.184

Abstract

Abstract





















Odontogenic sinus tracts, mostly caused by
pulp inflammation are pathologic formations which usually require root canal
treatment and rarely surgical procedures. Although most of them occur
intraorally, they may also occur extraorally. An extraoral sinus tract is a
pathologic pathway between the oral cavity and the skin which can be confused
with many other skin lesions and ineffective treatments may be applied because
the patients usually do not have dental symptoms. Therefore, the differential
diagnosis of these cases is very important. This case report describes the
treatment and 3 month follow-up of an extraoral sinus tract which derives from
lower incisors.

References

  • References
  • 1. Cohenca N, Karni S, Rotstein I. Extraoral sinus tract misdiagnosed as an endodontic lesion. J Endod 2003;29:841-3.
  • 2. Gupta R, Hasselgren G. Prevalence of odontogenic sinus tracts in patients referred for endodontic therapy. J Endod 2003;29:798-800.
  • 3. M Assery SAS. Cutaneous facial sinus tract of dental origin: a clinical case report. Saudi Dent J 2011;13:37-39.
  • 4. Nakamura Y, Hirayama K, Hossain M, Matsumoto K. A case of an odontogenic cutaneous sinus tract. Int Endod J 1999;32:328-31.
  • 5. Sotiropoulos GG, Farmakis ET. Diagnosis and conservative treatment of extraoral submental sinus tract of endodontic origin: a case report. J Clin Diagn Res 2014;8:Zd10-1.
  • 6. Pasternak‐Júnior B, Teixeira C, Silva‐Sousa Y, Sousa‐Neto M. Diagnosis and treatment of odontogenic cutaneous sinus tracts of endodontic origin: three case studies. Int Endod J 2009;42:271-276.
  • 7. Lee E-Y, Kang J-Y, Kim K-W, Choi KH, Yoon TY, Lee JY. Clinical characteristics of odontogenic cutaneous fistulas. Ann Dermatol 2016;28:417-421.
  • 8. Johnson BR, Remeikis NA, VAN CURA JE. Diagnosis and treatment of cutaneous facial sinus tracts of dental origin. JADA 1999;130:832-836.
  • 9. Atan Ö, Küçükçelebi A, Özman Ç. Iatrogenic Cutaneous Sinus Tract of Dental Origin: Case Report. J Pediatr Res 2015;2:96-98.
  • 10. Cohen PR, Eliezri YD. Cutaneous odontogenic sinus simulating a basal cell carcinoma: case report and literature review. Plast Reconstr Surg 1990;86:123-127.
  • 11. Fatouris PN. A cautionary tale. Case report. Aust Dent J 2000;45:53-54.
  • 12. Foster KH, Primack PD, Kulid JC. Odontogenic cutaneous sinus tract. J Endod 1992;18:304-306.
  • 13. Held J, Yunakov M, Barber R, Grossman M. Cutaneous sinus of dental origin: a diagnosis requiring clinical and radiologic correlation. Cutis 1989;43:22-24.
  • 14. Wilson S, Ward D, Burns A. Dental infections masquerading as skin lesions. Br J Plast Surg 2001;54:358-360.
  • 15. Yasui H, Yamaguchi M, Ichimiya M, Yoshikawa Y, Hamamoto Y, Muto M. A case of cutaneous odontogenic sinus. J Dermatol 2005;32:852-855.
  • 16. Cantatore JL, Klein PA, Lieblich LM. Cutaneous dental sinus tract, a common misdiagnosis: a case report and review of the literature. Cutis 2002;70:264-267.
  • 17. Curvers F, De Haes P, Lambrechts P. Non-surgical endodontic therapy as treatment of choice for a misdiagnosed recurring extraoral sinus tract. Eur Endod J 2017;2:13.
  • 18. Mittal N, Gupta P. Management of extra oral sinus cases: a clinical dilemma. J Endod 2004;30:541-547.
  • 19. Dinçol M, Yılmaz B, Ersev H, Gündüz VM, Arslanoğlu B, Yalçın T, et al. Treatment of extraoral cutaneous sinus tracts with non-surgical endodontic intervention: report of six cases. J Istanb Univ Fac Dent 2015;49:35-40.
  • 20. Javid B, Barkhordar R. Chronic extraoral fistulae of dental origin. Compendium 1989;10:8, 11-4.
  • 21. Kayahan MB, Kaptan F, Altundal H, Bayirli G. The management of an odontogenic cutaneous sinus tract: a case report. Ohdmbsc 2003;2:60-3.
  • 22. Brown RS, Jones R, Feimster T, Sam FE. Cutaneous sinus tracts (or emerging sinus tracts) of odontogenic origin: a report of 3 cases. Clin Cosmet Investig Dent 2010;2:63.
  • 23. Leonardo RT, Leal JM, Leonardo MR. Urgências em endodontia: pulpopatias, periapicopatias. In: Leonardo MR, Leal JM (eds). Endodontia: tratamento de canais radiculares. Sao Paulo: Panamericana 1998:885-902.
  • 24. Cioffi G, Terezhalmy GT, Parlette H. Cutaneous draining sinus tract: an odontogenic etiology. J Am Acad Dermatol 1986;14:94-100.
  • 25. Stoll HL, Solomon HA. Cutaneous sinuses of dental origin. JAMA 1963;184:120-124.
  • 26. Mortensen H, Winther J, Birn H. Periapical granulomas and cysts: An investigation of 1,600 cases. Eur J Oral Sci 1970;78:241-250.
  • 27. Chan C, Jeng J, Chang S, Chen C, Lin C, Lin C. Cutaneous sinus tracts of dental origin: clinical review of 37 cases. J Formos Med Assoc 1998;97:633-637.
  • 28. Hodges TP, Cohen DA, Deck D. Odontogenic sinus tracts. Am Fam Physician 1989;40:113-6.
  • 29. Işık V, Ersev H. Extraoral fistula: A case report. Yeditepe J Dent 2018;14:137-140.
  • 30. Al-Kandari AM, Al-Quoud OA, Ben-Naji A, Gnanasekhar JD. Cutaneous sinus tracts of dental origin to the chin and cheek. Quintessence Int 1993;24.
  • 31. Soares JA, De Carvalho FB, Pappen FG, Araújo GS, De Pontes Lima RK, Rodrigues VMT, et al. Conservative treatment of patients with periapical lesions associated with extraoral sinus tracts. Aust Dent J 2007;33:131-135.
  • 32. Witherow H, Washan P, Blenkinsopp P. Midline odontogenic infections: a continuing diagnostic problem. Br J Plast Surg 2003;56:173-175.
  • 33. Wood G. Pitts, fistulas, and draining lesions In: Cherrick HM (eds). Differential diagnosis of oral lesions. St. Louis: Mosby Co 1985:199 –201.
  • 34. Tidwell E, Jenkins J, Ellis C, Hutson B, Cederberg R. Cutaneous odontogenic sinus tract to the chin: a case report. Int Endod J 1997;30:352-355.
  • 35. Spear KL, Sheridan PJ, Perry HO. Sinus tracts to the chin and jaw of dental origin. J Am Acad Dermatol 1983;8:486-492.
  • 36. Wilcox JW, Kolodny SC. Acceleration of healing of maxillary and mandibular osteotomies by use of hyperbaric oxygen: A preliminary report. Oral Surg Oral Med Oral Pathol 1976;41:423-429.
  • 37. Zerener T, Bayar G, Gulses A, Simsek K, Aydintug Y. Massive cutaneous fistula secondary to an odontogenic submandibular abcess in an immunocompromised patient: a case report. Cumhuriyet Dent J 2014;1:11-15.
  • 38. Zan R, Kanmaz F, Akpınar KE, Hubbezoğlu I. Treatment of an extraoral cutaneous sinus tract with endodontic intervention: a case report. Turk Endod J 2016;1:39-42.
  • 39. Kumar KS, Subbiya A, Vivekanandhan P, Prakash V, Tamilselvi R. Management of an endodontic infection with an extra oral sinus tract in a single visit: a case report. Journal of clinical and diagnostic research. J Clin Diagn Res 2013;7:1247.
There are 40 citations in total.

Details

Primary Language English
Subjects Dentistry
Journal Section Case Reports
Authors

Güneş Karakaya 0000-0003-3068-2084

Emre İriboz 0000-0002-0515-6106

Hesna Sazak Öveçoğlu This is me 0000-0003-4709-422X

Publication Date June 30, 2020
Published in Issue Year 2020 Volume: 4 Issue: 1

Cite

APA Karakaya, G., İriboz, E., & Sazak Öveçoğlu, H. (2020). Treatment of Extraoral Sinus Tract with Endodontic Intervention: A Case Report. European Journal of Research in Dentistry, 4(1), 31-35. https://doi.org/10.35333/ERD.2020.184