KMID : 0390220110220010121
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Journal of Clinical Otolaryngology, Head and Neck Surgery 2011 Volume.22 No. 1 p.121 ~ p.125
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A Case of Orocutaneous Fistula Misdiagnosed as an Inflammatory Cervical Mass
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Chae Soo-Ryang
Nam In-Chul Jun Beom-Cho Cho Kwang-Jae
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Abstract
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Odontogenic cutaneous fistula is rarely reported in otolaryngologic literature. As the lesion mimics other common cutaneous skin lesion, accurate diagnosis is challenging problem. We report a case of a 39-year-old man who presented with relapsing nodular mass in submental region. Physical, radiological, and cytological examination suggested recurrent cervical lymphadenitis and excisional biopsy was performed. The fistula tract penetrating deep to the oral floor was found on surgical field and lower right second molar tooth was identified as the origin site of fistula by fistulography. A tooth extraction and root canal treatment was performed and the patient remained disease free.
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KEYWORD
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Inflammatory cervical mass, Orocutaneous fistula, Periodontitis
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