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KMID : 0363220090470030330
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Korean Journal of Dermatology
2009 Volume.47 No. 3 p.330 ~ p.333
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A Cutaneous Odontogenic Sinus
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Ji Jae-Hong
Park Hwa-Young
Choi Eung-Ho
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Abstract
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Cutaneous odontogenic sinuses are the most common cause of chronic draining sinus tracts on the face and neck.
These lesions present as erythematous nodules with surrounding dimples, which intermittently drain purulent fluid.
Although most patients do not have dental symptoms, careful questioning of a patient’s past symptoms may help the
clinician identify a dental etiology. A history of toothache in the affected area that resolves without dental
intervention is useful information. Clinical and radiographic examination may reveal carious teeth with radiolucent
areas. Elimination of the source of infection by endodontic treatment or tooth removal results in resolution of the
sinus tract, typically within 2 weeks. Early precise diagnosis and appropriate dental treatment can circumvent
unnecessary and ineffective antibiotic therapy or surgical treatment. We report a case of a cutaneous odontogenic
sinus in the right cheek area.
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KEYWORD
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Cutaneous odontogenic sinus, Dental sinus tract, Periapical abscess
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