Odontogenic Cutaneous Fistula: A Cause of Persistent Cervical Discharge

Odontogenic cutaneous fistulas often lead to intense levels of patient discomfort and suffering. Due to its rarity and the absence of dental symptoms, a considerable number of patients are usually misdiagnosed which results in inappropriate management. This case report presents a 16-year-old patient...

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Main Authors: Nicholas Figaro, Solaiman Juman
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2018/3710857
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author Nicholas Figaro
Solaiman Juman
author_facet Nicholas Figaro
Solaiman Juman
author_sort Nicholas Figaro
collection DOAJ
description Odontogenic cutaneous fistulas often lead to intense levels of patient discomfort and suffering. Due to its rarity and the absence of dental symptoms, a considerable number of patients are usually misdiagnosed which results in inappropriate management. This case report presents a 16-year-old patient with a 2-year history of a nonhealing, persistently discharging lesion in the left submandibular region of the neck. The patient underwent exploration of the left submandibular region, and a fistulous tract directed superomedially to the ipsilateral lower molar teeth was excised. A subsequent panoramic orthopantomogram performed one week postoperatively demonstrated radiolucency is the distal root of tooth 37. A final diagnosis of odontogenic cutaneous fistula was made, and the patient was referred to the Maxillofacial Department for treatment of the offending tooth.
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spelling doaj-art-366fcbc485a84c0897ab2240127345f82025-08-20T03:55:07ZengWileyCase Reports in Medicine1687-96271687-96352018-01-01201810.1155/2018/37108573710857Odontogenic Cutaneous Fistula: A Cause of Persistent Cervical DischargeNicholas Figaro0Solaiman Juman1Department of Clinical Surgical Sciences, University of the West Indies, Eric Williams Medical Sciences Complex, Champs Fleur, Trinidad and TobagoDepartment of Clinical Surgical Sciences, University of the West Indies, Eric Williams Medical Sciences Complex, Champs Fleur, Trinidad and TobagoOdontogenic cutaneous fistulas often lead to intense levels of patient discomfort and suffering. Due to its rarity and the absence of dental symptoms, a considerable number of patients are usually misdiagnosed which results in inappropriate management. This case report presents a 16-year-old patient with a 2-year history of a nonhealing, persistently discharging lesion in the left submandibular region of the neck. The patient underwent exploration of the left submandibular region, and a fistulous tract directed superomedially to the ipsilateral lower molar teeth was excised. A subsequent panoramic orthopantomogram performed one week postoperatively demonstrated radiolucency is the distal root of tooth 37. A final diagnosis of odontogenic cutaneous fistula was made, and the patient was referred to the Maxillofacial Department for treatment of the offending tooth.http://dx.doi.org/10.1155/2018/3710857
spellingShingle Nicholas Figaro
Solaiman Juman
Odontogenic Cutaneous Fistula: A Cause of Persistent Cervical Discharge
Case Reports in Medicine
title Odontogenic Cutaneous Fistula: A Cause of Persistent Cervical Discharge
title_full Odontogenic Cutaneous Fistula: A Cause of Persistent Cervical Discharge
title_fullStr Odontogenic Cutaneous Fistula: A Cause of Persistent Cervical Discharge
title_full_unstemmed Odontogenic Cutaneous Fistula: A Cause of Persistent Cervical Discharge
title_short Odontogenic Cutaneous Fistula: A Cause of Persistent Cervical Discharge
title_sort odontogenic cutaneous fistula a cause of persistent cervical discharge
url http://dx.doi.org/10.1155/2018/3710857
work_keys_str_mv AT nicholasfigaro odontogeniccutaneousfistulaacauseofpersistentcervicaldischarge
AT solaimanjuman odontogeniccutaneousfistulaacauseofpersistentcervicaldischarge