Four Cases of Cutaneous Sinus Tract of Dental Origin.
- Author:
Gi Dong JUNG
1
;
Jee Youn WON
;
Eun Sup SONG
Author Information
1. Department of Dermatology, Presbyterian Medical Center Chonju, Korea.
- Publication Type:Case Report
- Keywords:
Cutaneous sinus tract;
Dental origin
- MeSH:
Cheek;
Chin;
Diagnosis;
Humans;
Neck;
Periapical Abscess;
Suppuration;
Tooth
- From:Korean Journal of Dermatology
2001;39(10):1118-1122
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The most common cause of chronic cutaneous sinus tract in the face and neck is chronically draining dental infection. The diagnosis is easily confirmed by dental examination and dental roentgenogram of the involved area, but this disease is frequently misdiagnosed and incorrectly treated in dermatologic department. We report four cases of cutaneous sinus tract of dental origin. First patient had a painful nodule with chronically draining pus and a dimple on the left cheek. Second patient had a dimple with draining bloody fluid on the right chin. Third patient had a pea-sized papule with draining serous fluid on the left chin. Fourth patient had a fluctuant erythematous plaque with draining pus and a dimple on the left buccal area. In all four patients radiologic examination of the maxillary and mandibular regions demonstrated radioluency at the apex of tooth consistent with periapical abscess.
