Clinical Characteristics of Odontogenic Cutaneous Fistulas
Identifieur interne : 000A02 ( Main/Exploration ); précédent : 000A01; suivant : 000A03Clinical Characteristics of Odontogenic Cutaneous Fistulas
Auteurs : Eun-Young Lee [Corée du Sud] ; Ji-Yeon Kang [Corée du Sud] ; Kyung-Won Kim [Corée du Sud] ; Ki Hwa Choi [Corée du Sud] ; Tae Young Yoon [Corée du Sud] ; Ji Yeoun Lee [Corée du Sud]Source :
- Annals of Dermatology [ 1013-9087 ] ; 2016.
Abstract
Odontogenic cutaneous fistula appears as dimpling or a nodule with purulent discharge, usually in the chin or jaw. Affected patients usually seek help from dermatologists or surgeons rather than from dentists. However, clinical symptoms of facial skin fistula without dental problems can lead to misdiagnosis.
The purpose of this study was to investigate the clinical characteristics of patients with odontogenic cutaneous fistulas.
This retrospective observational study was performed at Chungbuk National University Hospital by analyzing patients who visited from April 1994 to September 2014. Following clinical and radiographic examinations, the paths and origins of sinus fistulas were determined. Investigated factors were gender, age, morphology, location, originating tooth, time to evolution, recurrence, and treatment method.
Thirty-three patients (22 males, 11 females; average age 49.2 years) were examined during the investigation period. Thirty-four fistulas were diagnosed as odontogenic cutaneous fistulas. The most common morphology was dimpling (n=14, 41.2%). The various locations observed were related to the originating tooth. The most common site was the mandibular body related to mandibular molars. The referral clinical diagnosis was of odontogenic origin in 6 cases (18.2%). The majority of patients had experienced recurrence after treatment in previous clinics that had failed to diagnose odontogenic cutaneous fistula. Surgical fistulectomy and/or tooth treatment were performed in all cases. All patients were followed-up for 1 year. None showed signs of recurrence.
Extraoral and dental examinations are required to make a diagnosis of odontogenic cutaneous fistula. Thus, cooperation between dermatologists and dentists is essential.
Url:
DOI: 10.5021/ad.2016.28.4.417
PubMed: 27489421
PubMed Central: 4969468
Affiliations:
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Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Chungbuk National University College of Medicine, Cheongju</wicri:regionArea><wicri:noRegion>Cheongju</wicri:noRegion></affiliation></author><author><name sortKey="Kang, Ji Yeon" sort="Kang, Ji Yeon" uniqKey="Kang J" first="Ji-Yeon" last="Kang">Ji-Yeon Kang</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Oral and Maxillofacial Surgery, Dongtan Sacred Heart Hospital, Hallym University, Hwaseong, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Dongtan Sacred Heart Hospital, Hallym University, Hwaseong</wicri:regionArea><wicri:noRegion>Hwaseong</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Kyung Won" sort="Kim, Kyung Won" uniqKey="Kim K" first="Kyung-Won" last="Kim">Kyung-Won Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Chungbuk National University College of Medicine, Cheongju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Chungbuk National University College of Medicine, Cheongju</wicri:regionArea><wicri:noRegion>Cheongju</wicri:noRegion></affiliation></author><author><name sortKey="Choi, Ki Hwa" sort="Choi, Ki Hwa" uniqKey="Choi K" first="Ki Hwa" last="Choi">Ki Hwa Choi</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Dermatology, Chungbuk National University College of Medicine, Cheongju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Dermatology, Chungbuk National University College of Medicine, Cheongju</wicri:regionArea><wicri:noRegion>Cheongju</wicri:noRegion></affiliation></author><author><name sortKey="Yoon, Tae Young" sort="Yoon, Tae Young" uniqKey="Yoon T" first="Tae Young" last="Yoon">Tae Young Yoon</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Dermatology, Chungbuk National University College of Medicine, Cheongju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Dermatology, Chungbuk National University College of Medicine, Cheongju</wicri:regionArea><wicri:noRegion>Cheongju</wicri:noRegion></affiliation></author><author><name sortKey="Lee, Ji Yeoun" sort="Lee, Ji Yeoun" uniqKey="Lee J" first="Ji Yeoun" last="Lee">Ji Yeoun Lee</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Dermatology, Chungbuk National University College of Medicine, Cheongju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Dermatology, Chungbuk National University College of Medicine, Cheongju</wicri:regionArea><wicri:noRegion>Cheongju</wicri:noRegion></affiliation></author></analytic><series><title level="j">Annals of Dermatology</title><idno type="ISSN">1013-9087</idno><idno type="eISSN">2005-3894</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Odontogenic cutaneous fistula appears as dimpling or a nodule with purulent discharge, usually in the chin or jaw. Affected patients usually seek help from dermatologists or surgeons rather than from dentists. However, clinical symptoms of facial skin fistula without dental problems can lead to misdiagnosis.</p></sec><sec><title>Objective</title><p>The purpose of this study was to investigate the clinical characteristics of patients with odontogenic cutaneous fistulas.</p></sec><sec><title>Methods</title><p>This retrospective observational study was performed at Chungbuk National University Hospital by analyzing patients who visited from April 1994 to September 2014. Following clinical and radiographic examinations, the paths and origins of sinus fistulas were determined. Investigated factors were gender, age, morphology, location, originating tooth, time to evolution, recurrence, and treatment method.</p></sec><sec><title>Results</title><p>Thirty-three patients (22 males, 11 females; average age 49.2 years) were examined during the investigation period. Thirty-four fistulas were diagnosed as odontogenic cutaneous fistulas. The most common morphology was dimpling (n=14, 41.2%). The various locations observed were related to the originating tooth. The most common site was the mandibular body related to mandibular molars. The referral clinical diagnosis was of odontogenic origin in 6 cases (18.2%). The majority of patients had experienced recurrence after treatment in previous clinics that had failed to diagnose odontogenic cutaneous fistula. Surgical fistulectomy and/or tooth treatment were performed in all cases. All patients were followed-up for 1 year. None showed signs of recurrence.</p></sec><sec><title>Conclusion</title><p>Extraoral and dental examinations are required to make a diagnosis of odontogenic cutaneous fistula. Thus, cooperation between dermatologists and dentists is essential.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Mittal, N" uniqKey="Mittal N">N Mittal</name></author><author><name sortKey="Gupta, P" uniqKey="Gupta P">P Gupta</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pasternak Junior, B" uniqKey="Pasternak Junior B">B Pasternak-Júnior</name></author><author><name sortKey="Teixeira, Cs" uniqKey="Teixeira C">CS Teixeira</name></author><author><name sortKey="Silva Sousa, Yt" uniqKey="Silva Sousa Y">YT Silva-Sousa</name></author><author><name sortKey="Sousa Neto, Md" uniqKey="Sousa Neto M">MD Sousa-Neto</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kim, Sh" uniqKey="Kim S">SH Kim</name></author><author><name sortKey="Park, Sj" uniqKey="Park S">SJ Park</name></author><author><name sortKey="Oh, Jj" uniqKey="Oh J">JJ Oh</name></author><author><name sortKey="Lee, Es" uniqKey="Lee E">ES Lee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Barbosa, Cam" uniqKey="Barbosa C">CAM Barbosa</name></author><author><name sortKey="Tancredo, F" uniqKey="Tancredo F">F Tancredo</name></author><author><name sortKey="Fonseca, Cf" uniqKey="Fonseca C">CF Fonseca</name></author><author><name sortKey="Pinho, Mab" uniqKey="Pinho M">MAB Pinho</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sadeghi, S" uniqKey="Sadeghi S">S Sadeghi</name></author><author><name sortKey="Dibaei, M" uniqKey="Dibaei M">M Dibaei</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chowdri, Na" uniqKey="Chowdri N">NA Chowdri</name></author><author><name sortKey="Sheikh, S" uniqKey="Sheikh S">S Sheikh</name></author><author><name sortKey="Gagloo, Ma" uniqKey="Gagloo M">MA Gagloo</name></author><author><name sortKey="Parray, Fq" uniqKey="Parray F">FQ Parray</name></author><author><name sortKey="Sheikh, Ma" uniqKey="Sheikh M">MA Sheikh</name></author><author><name sortKey="Khan, Fa" uniqKey="Khan F">FA Khan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Slutzky Goldberg, I" uniqKey="Slutzky Goldberg I">I Slutzky-Goldberg</name></author><author><name sortKey="Tsesis, I" uniqKey="Tsesis I">I Tsesis</name></author><author><name sortKey="Slutzky, H" uniqKey="Slutzky H">H Slutzky</name></author><author><name sortKey="Heling, I" uniqKey="Heling I">I Heling</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ghodsi, Sz" uniqKey="Ghodsi S">SZ Ghodsi</name></author><author><name sortKey="Ghiasi, M" uniqKey="Ghiasi M">M Ghiasi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Spear, Kl" uniqKey="Spear K">KL Spear</name></author><author><name sortKey="Sheridan, Pj" uniqKey="Sheridan P">PJ Sheridan</name></author><author><name sortKey="Perry, Ho" uniqKey="Perry H">HO Perry</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Samir, N" uniqKey="Samir N">N Samir</name></author><author><name sortKey="Al Mahrezi, A" uniqKey="Al Mahrezi A">A Al-Mahrezi</name></author><author><name sortKey="Al Sudairy, S" uniqKey="Al Sudairy S">S Al-Sudairy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cohen, Pr" uniqKey="Cohen P">PR Cohen</name></author><author><name sortKey="Eliezri, Yd" uniqKey="Eliezri Y">YD Eliezri</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cioffi, Ga" uniqKey="Cioffi G">GA Cioffi</name></author><author><name sortKey="Terezhalmy, Gt" uniqKey="Terezhalmy G">GT Terezhalmy</name></author><author><name sortKey="Parlette, Hl" uniqKey="Parlette H">HL Parlette</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Braun, Rj" uniqKey="Braun R">RJ Braun</name></author><author><name sortKey="Lehman, J" uniqKey="Lehman J">J Lehman</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Lee, Eun Young" sort="Lee, Eun Young" uniqKey="Lee E" first="Eun-Young" last="Lee">Eun-Young Lee</name></noRegion><name sortKey="Choi, Ki Hwa" sort="Choi, Ki Hwa" uniqKey="Choi K" first="Ki Hwa" last="Choi">Ki Hwa Choi</name><name sortKey="Kang, Ji Yeon" sort="Kang, Ji Yeon" uniqKey="Kang J" first="Ji-Yeon" last="Kang">Ji-Yeon Kang</name><name sortKey="Kim, Kyung Won" sort="Kim, Kyung Won" uniqKey="Kim K" first="Kyung-Won" last="Kim">Kyung-Won Kim</name><name sortKey="Lee, Ji Yeoun" sort="Lee, Ji Yeoun" uniqKey="Lee J" first="Ji Yeoun" last="Lee">Ji Yeoun Lee</name><name sortKey="Yoon, Tae Young" sort="Yoon, Tae Young" uniqKey="Yoon T" first="Tae Young" last="Yoon">Tae Young Yoon</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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