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Cutaneous sinus tracts of dental origin
Author(s) -
Barrowman Roland A,
Rahimi Mehdi,
Evans Mark D,
Chandu Arun,
Parashos Peter
Publication year - 2007
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.2007.tb00886.x
Subject(s) - oral and maxillofacial surgery , medicine , oral surgery , officer , endodontics , dental surgery , oral medicine , general surgery , dentistry , history , archaeology
Patient 1A healthy 40-year-old man presented to his general practitioner complaining of a non-healing pustule, and a swelling on his chin with an associated purulent discharge. The patient was referred by his GP to a hospital for excision of the lesion under the care of a surgeon. The surgeon believed the lesion to be a sebaceous cyst and attempted to remove it. Following the procedure, the patient developed fever, malaise, and marked swelling of the mental region. He was admitted to hospital for 2 days for intravenous antibiotic therapy. A dental origin for the lesion was then considered, and the patient was referred to a dental specialist (an endodontist) for assessment.The patient had a history of a car accident which caused trauma to the teeth 15 years previously. He did not receive dental treatment at the time. Clinical examination revealed an erythematous lesion on the chin measuring 0.5 cm in diameter, from which pus drained freely (Figure 1A).Routine clinical dental tests were conducted, including tooth percussion and CO