Odontogenic cutaneous fistula: a diagnostic challenge

Authors

  • A. De Quintana-Sancho Hospital Universitario Araba.
  • X. Piris-García Medicina Familiar y Comunitaria. Centro de Salud Cotolino I. Castro-Urdiales.
  • M. Jauregui-Zabaleta Hospital Universitario Araba.

DOI:

https://doi.org/10.23938/ASSN.0040

Keywords:

Cutaneous fistula. Diagnosis. Orthopantomography.

Abstract

Odontogenic cutaneous fistula (OCF) is the result of an abnormal canalization originating from chronic periapical infection. It represents a diagnostic challenge, as it is frequently misdiagnosed as dermatological lesion. There is a broad differential diagnosis, including pyogenic granuloma, cutaneous tuberculosis or congenital malformations, among others. We report the case of a 46-year-old man diagnosed with OCF who presented a rapid improvement after extraction of the affected dental pieces and fistulectomy. We consider knowledge of this pathology to be important in order to avoid unnecessary delays in diagnosis and proper treatment.

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Author Biographies

A. De Quintana-Sancho, Hospital Universitario Araba.

Adjunto Servicio Dermatología Hospital Universitario Araba. Vitoria. España.

X. Piris-García, Medicina Familiar y Comunitaria. Centro de Salud Cotolino I. Castro-Urdiales.

Adjunta Medicina Familiar y Comunitaria.

M. Jauregui-Zabaleta, Hospital Universitario Araba.

Adjunta Servicio Cirugía Maxilofacial

References

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Published

2017-12-29

How to Cite

1.
De Quintana-Sancho A, Piris-García X, Jauregui-Zabaleta M. Odontogenic cutaneous fistula: a diagnostic challenge. An Sist Sanit Navar [Internet]. 2017 Dec. 29 [cited 2025 Dec. 15];40(3):471-4. Available from: https://recyt.fecyt.es/index.php/ASSN/article/view/58754

Issue

Section

Clinical notes

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