An odontogenic cutaneous sinus tract in an unusual site with multiple misdiagnoses

Key Clinical Message Dental clinicians and physicians should be careful in differential diagnosis of facial cutaneous nodules, since they might have an odontogenic origin. Odontogenic cutaneous sinus tracts are commonly misdiagnosed and mismanaged; thus, they are prone to recurrence. Herein, a 21‐ye...

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Main Authors: Pegah Sarraf, Mehrfam Khoshkhounejad, Maryam Babaahmadi, Fatemeh Hamidzadeh
Format: Article
Language:English
Published: Wiley 2023-10-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.8049
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author Pegah Sarraf
Mehrfam Khoshkhounejad
Maryam Babaahmadi
Fatemeh Hamidzadeh
author_facet Pegah Sarraf
Mehrfam Khoshkhounejad
Maryam Babaahmadi
Fatemeh Hamidzadeh
author_sort Pegah Sarraf
collection DOAJ
description Key Clinical Message Dental clinicians and physicians should be careful in differential diagnosis of facial cutaneous nodules, since they might have an odontogenic origin. Odontogenic cutaneous sinus tracts are commonly misdiagnosed and mismanaged; thus, they are prone to recurrence. Herein, a 21‐year‐old female patient is reported with a red fluctuant nodule on her right cheek which had been misdiagnosed as an epidermoid cyst, cystic acne, and parotid gland fistula. The odontogenic origin of the lesion was first suspected when the patient presented to the Department of Endodontics, Faculty of Dentistry for a routine dental check‐up. Multiple‐visit non‐surgical root canal retreatment of the maxillary right first molar, without any additional treatment, resulted in shrinkage of the lesion. After 1 year, the lesion was resolved completely, the respective tooth and the cheek were asymptomatic, and the patient had no complaint.
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spelling doaj.art-b956519699794a1a8b54e7fc639e006f2023-10-25T07:12:44ZengWileyClinical Case Reports2050-09042023-10-011110n/an/a10.1002/ccr3.8049An odontogenic cutaneous sinus tract in an unusual site with multiple misdiagnosesPegah Sarraf0Mehrfam Khoshkhounejad1Maryam Babaahmadi2Fatemeh Hamidzadeh3Department of Endodontics, School of Dentistry Tehran University of Medical Sciences Tehran IranDepartment of Endodontics, School of Dentistry Tehran University of Medical Sciences Tehran IranDepartment of Endodontics, School of Dentistry Tehran University of Medical Sciences Tehran IranDepartment of Endodontics, School of Dentistry Tehran University of Medical Sciences Tehran IranKey Clinical Message Dental clinicians and physicians should be careful in differential diagnosis of facial cutaneous nodules, since they might have an odontogenic origin. Odontogenic cutaneous sinus tracts are commonly misdiagnosed and mismanaged; thus, they are prone to recurrence. Herein, a 21‐year‐old female patient is reported with a red fluctuant nodule on her right cheek which had been misdiagnosed as an epidermoid cyst, cystic acne, and parotid gland fistula. The odontogenic origin of the lesion was first suspected when the patient presented to the Department of Endodontics, Faculty of Dentistry for a routine dental check‐up. Multiple‐visit non‐surgical root canal retreatment of the maxillary right first molar, without any additional treatment, resulted in shrinkage of the lesion. After 1 year, the lesion was resolved completely, the respective tooth and the cheek were asymptomatic, and the patient had no complaint.https://doi.org/10.1002/ccr3.8049cutaneous sinus tractmisdiagnosisodontogenic sinus tractroot canal therapy
spellingShingle Pegah Sarraf
Mehrfam Khoshkhounejad
Maryam Babaahmadi
Fatemeh Hamidzadeh
An odontogenic cutaneous sinus tract in an unusual site with multiple misdiagnoses
Clinical Case Reports
cutaneous sinus tract
misdiagnosis
odontogenic sinus tract
root canal therapy
title An odontogenic cutaneous sinus tract in an unusual site with multiple misdiagnoses
title_full An odontogenic cutaneous sinus tract in an unusual site with multiple misdiagnoses
title_fullStr An odontogenic cutaneous sinus tract in an unusual site with multiple misdiagnoses
title_full_unstemmed An odontogenic cutaneous sinus tract in an unusual site with multiple misdiagnoses
title_short An odontogenic cutaneous sinus tract in an unusual site with multiple misdiagnoses
title_sort odontogenic cutaneous sinus tract in an unusual site with multiple misdiagnoses
topic cutaneous sinus tract
misdiagnosis
odontogenic sinus tract
root canal therapy
url https://doi.org/10.1002/ccr3.8049
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AT fatemehhamidzadeh anodontogeniccutaneoussinustractinanunusualsitewithmultiplemisdiagnoses
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AT mehrfamkhoshkhounejad odontogeniccutaneoussinustractinanunusualsitewithmultiplemisdiagnoses
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