Extraoral Sinus Tracts of Odontogenic Origin: A Case Series Publisher



Azizlou E¹ ; Sobhani MA² ; Ghabraei S¹ ; Khoshkhounejad M^{1, 3} ; Ghorbanzadeh A¹ ; Tahan SS¹
Source: Frontiers in Dentistry Published:2020

Abstract

Extraoral sinus tracts of odontogenic origin often develop as the result of misdiagnosis of persistent dental infections due to trauma, caries, or periodontal disease. Due to these lesions' imitation from cutaneous lesions, misdiagnosis, and mismanagement, which we frequently encounter, this article aims to describe four cases with manifestations in different parts of the face and the neck. Patients were referred to an endodontist with a history of several surgical procedures and/or antibiotic therapy due to misdiagnosis. After comprehensive examinations, root canal treatment was performed. The resolution of signs and symptoms during the follow-up period confirmed the correct diagnosis. Dermatologists and other physicians should be aware of the possibility of the relationship of extraoral sinus tracts with dental infections. Precise examination and taking a comprehensive history can aid to prevent unnecessary and incorrect therapeutic and/or pharmaceutical interventions. Elimination of dental infection leads to complete recovery in such patients. © 2020 The Authors. Published by Tehran University of Medical Sciences.