Odontogenic Cutaneous Fistula: A Zombie Diagnosis.
Journal
The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410
Informations de publication
Date de publication:
01 Jun 2024
01 Jun 2024
Historique:
received:
25
01
2024
accepted:
12
02
2024
medline:
3
6
2024
pubmed:
3
6
2024
entrez:
3
6
2024
Statut:
ppublish
Résumé
Odontogenic cutaneous fistula (OCF) is a pathologic communication between the cutaneous surface of the face and oral cavity. Majority of oral cutaneous fistulas are reported to arise from chronic dental infection. Delay in treatment may result in chronic tissue injury as well as cosmetic deformities. Lesions are often misdiagnosed, leading to delayed management. Misdiagnosis may be the result of the variability of clinical morphological presentation and location of lesions compounded by the lack of knowledge that these lesions can have dental etiology. It is estimated that half of patients with OCF undergo multiple dermatologic surgical operations, antibiotic regimens, and other excisions and biopsies before a correct diagnosis is made. Herein, we present a systematic review to detail cases of odontogenic cutaneous lesions that had been previously misdiagnosed or managed inappropriately. In addition, we include a case report from our own institution. The aims are to demonstrate various presentations of OCF, increase awareness of plastic surgeons and oral maxillofacial surgeons to this pathological condition, and reinforce the importance of prompt diagnosis and treatment. The study was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. A literature search was conducted in PubMed, Web of Science, and Cochrane databases from January 1, 2013 to July 24, 2023. The following search terms were utilized: "odontogenic cutaneous fistula" OR "odontogenic cutaneous sinus." Twenty-three articles published between 2013 and 2023 were included in this review. In addition, we report a case from our own institution. A total of 28 cases were included in the review. Diagnosis of OCF is challenging for numerous reasons. Misdiagnosis can lead to multiple trials of antibiotics and surgical procedures as well as reoccurrence of the lesion. Cases summarized highlight the importance of communication between oral maxillofacial surgery, plastic surgery, other medical subspecialists, and dentists in the evaluation of patients with head and neck lesions. Physicians should consider dental etiology in the differential diagnosis of orofacial skin lesions, even if teeth appear normal on oral examination.
Sections du résumé
BACKGROUND
BACKGROUND
Odontogenic cutaneous fistula (OCF) is a pathologic communication between the cutaneous surface of the face and oral cavity. Majority of oral cutaneous fistulas are reported to arise from chronic dental infection. Delay in treatment may result in chronic tissue injury as well as cosmetic deformities. Lesions are often misdiagnosed, leading to delayed management. Misdiagnosis may be the result of the variability of clinical morphological presentation and location of lesions compounded by the lack of knowledge that these lesions can have dental etiology. It is estimated that half of patients with OCF undergo multiple dermatologic surgical operations, antibiotic regimens, and other excisions and biopsies before a correct diagnosis is made. Herein, we present a systematic review to detail cases of odontogenic cutaneous lesions that had been previously misdiagnosed or managed inappropriately. In addition, we include a case report from our own institution. The aims are to demonstrate various presentations of OCF, increase awareness of plastic surgeons and oral maxillofacial surgeons to this pathological condition, and reinforce the importance of prompt diagnosis and treatment.
METHODS
METHODS
The study was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. A literature search was conducted in PubMed, Web of Science, and Cochrane databases from January 1, 2013 to July 24, 2023. The following search terms were utilized: "odontogenic cutaneous fistula" OR "odontogenic cutaneous sinus."
RESULTS
RESULTS
Twenty-three articles published between 2013 and 2023 were included in this review. In addition, we report a case from our own institution. A total of 28 cases were included in the review.
CONCLUSIONS
CONCLUSIONS
Diagnosis of OCF is challenging for numerous reasons. Misdiagnosis can lead to multiple trials of antibiotics and surgical procedures as well as reoccurrence of the lesion. Cases summarized highlight the importance of communication between oral maxillofacial surgery, plastic surgery, other medical subspecialists, and dentists in the evaluation of patients with head and neck lesions. Physicians should consider dental etiology in the differential diagnosis of orofacial skin lesions, even if teeth appear normal on oral examination.
Identifiants
pubmed: 38829145
doi: 10.1097/SCS.0000000000010144
pii: 00001665-202406000-00041
doi:
Types de publication
Journal Article
Case Reports
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1197-1200Informations de copyright
Copyright © 2024 by Mutaz B. Habal, MD.
Déclaration de conflit d'intérêts
SRT receives book royalties from Springer & Thieme Publishers. The remaining authors report no conflicts of interest.
Références
Samir N, Al-Mahrezi A, Al-Sudairy S. Odontogenic cutaneous fistula: report of two cases. Sultan Qaboos Univ Med J 2011;11:115–118
Borbon C, Gallesio C, Ramieri G. Odontogenic cutaneous fistula: a case in aged patient with delayed diagnosis. J Craniofac Surg 2021;32:e340–e342
Fernandez JM, Metlich MA, Bravo JM, et al. Oral-cutaneous fistula of dental origin. J Oral Maxillofac Surg 1982;40:183–185
Ohta K, Yoshimura H. Odontogenic cutaneous fistula of the face. CMAJ 2019;191:E1281
Sammut S, Malden N, Lopes V. Facial cutaneous sinuses of dental origin - A diagnostic challenge. Br Dent J 2013;215:555–558
Wilson SW, Ward DJ, Burns A. Dental infections masquerading as skin lesions. Br J Plast Surg 2001;54:358–360
Al-Qattan MM, Almotairi MI. Facial cutaneous lesions of dental origin: a case series emphasizing the awareness of the entity and its medico-legal consequences. Int J Surg Case Rep 2018;53:75–78
Cantatore JL, Klein PA, Lieblich LM. Cutaneous dental sinus tract, a common misdiagnosis: a case report and review of the literature. Cutis 2002;70:264–267
Jin J, Zhang Y. Odontogenic cutaneous fistula. N Engl J Med 2023;388:543
Figaro N, Juman S. Odontogenic cutaneous fistula: a cause of persistent cervical discharge. Case Rep Med 2018;2018:3710857
Kelly MS, Murray DJ. Surgical management of an odontogenic cutaneous fistula. BMJ Case Rep 2021;14:e240306
Lee EY, Kang JY, Kim KW, et al. Clinical characteristics of odontogenic cutaneous fistulas. Ann Dermatol 2016;28:417–421
Chu CH, Yu CC, Chou TC. Odontogenic cutaneous fistula on the chin. Indian J Dermatol Venereol Leprol 2016;82:225–226
Altemir-Vidal A, Iglesias-Sancho M, Quintana-Codina M. Usefulness of high-frequency ultrasonography in the diagnosis of odontogenic cutaneous fistula. An Bras Dermatol 2021;96:259–260
Baba A, Okuyama Y, Shibui T, et al. Odontogenic cutaneous fistula mimicking malignancy. Clin Case Rep 2017;5:723–724
Yadav S, Malik S, Mittal HC, et al. Odontogenic cutaneous draining sinus. J Craniofac Surg 2014;25:e86–e88
Heng LW, Cheng SWN. Potential pitfalls of odontogenic cutaneous sinus tract. Int J Dermatol 2023;62:e207–e208
Chang LS. Common pitfall of plastic surgeon for diagnosing cutaneous odontogenic sinus. Arch Craniofac Surg 2018;19:291–295
Giménez-García R, Martinez-Vera F, Fuentes-Vera L. Cutaneous sinus tracts of odontogenic origin: two case reports. J Am Board Fam Med 2015;28:838–840
Sodnom-Ish B, Eo MY, Kim SM. An accurate diagnosis of odontogenic cutaneous sinus tract by different computed tomography unit setting. J Korean Assoc Oral Maxillofac Surg 2021;47:51–56
Al-Obaida MI, Al-Madi EM. Cutaneous draining sinus tract of odontogenic origin. A case of chronic misdiagnosis. Saudi Med J 2019;40:292–297
Tian J, Liang G, Qi W, et al. Odontogenic cutaneous sinus tract associated with a mandibular second molar having a rare distolingual root: a case report. Head Face Med 2015;11:13
Hanaki S, Katayama S, Watanabe Y. Odontogenic cutaneous sinus tract in a 10-year-old girl: a case report of a rare entity. Cureus 2023;15:e39156
Zemmouri Y, Chbicheb S. Esthetic improvement of a cutaneous sinus tract of odontogenic origin. Pan Afr Med J 2020;37:204
Varghese LL, Bhattacharya A, Sharma P, et al. Non-surgical management of an extraoral cutaneous sinus tract of odontogenic origin. BMJ Case Rep 2020;13:e234699
Bai J, Ji AP, Huang MW. Submental cutaneous sinus tract of mandibular second molar origin. Int Endod J 2014;47:1185–1191
Mishra R, Khan TS. Cutaneous sinus tract in association with traumatic injury to the teeth. Int J Clin Pediatr Dent 2013;6:205–207
Sato T, Suenaga H, Igarashi M, et al. Rare case of external dental fistula of the submental region misdiagnosed as inverted follicular keratosis and thyroglossal duct cyst. Int J Surg Case Rep 2015;16:39–43
Sisodia N, Manjunath M. Chronic cutaneous draining sinus of dental origin. Ann Med Health Sci Res 2014;4:962–964
Chhabra A, Chhabra N. Dental infection mimicking dermatological lesion: three case reports of cutaneous fistulae and sinus tracts on face. Indian Dermatol Online J 2018;9:441–444
Ranga U, Aiyappan SK, Veeraiyan S. A case of intermittently discharging skin lesion: orodentocutaneous fistula demonstrated on CT fistulography. J Clin Diagn Res 2014;8:ZD09–ZD11
Chen E, Abbott PV. Dental pulp testing: a review. Int J Dent 2009;2009:365785