TY - JOUR T1 - TREATMENT OF EXTRAORAL CUTANEOUS SINUS TRACTS WITH NON-SURGICAL ENDODONTIC INTERVENTION: REPORT OF SIX CASES TT - Ağız Dışı Deri Fistüllerinin Cerrahi Olmayan Endodontik Tedavi ile İyileştirilmesi: Altı Olgu Bildirisi AU - Dinçol, Muzaffer AU - Yılmaz, Bülent AU - Ersev, Handan AU - Mert Gündüz, Vildan AU - Arslanoğlu, Burak AU - Yalçın, Turgut AU - Ekiz, Didem AU - Erişen, Raif PY - 2015 DA - May DO - 10.17096/jiufd.73461 JF - Journal of Istanbul University Faculty of Dentistry JO - J Istanbul Univ Fac Dent PB - Istanbul University WT - DergiPark SN - 2149-4592 SP - 35 EP - 40 VL - 49 IS - 2 LA - en AB - Clinically, extraoral sinus tracts of endodontic origin may be confused with a wide variety of diseases. Thus, the differential diagnosis of this clinical dilemma is of paramount importance in providing appropriate clinical care because misdiagnosis of this condition may result in healing failure or unnecessary treatments. For this reason, a dental cause must be considered for any cutaneous sinus tract involving the face or neck. Its diagnosis is not always easy unless the treating clinician considers the possibility of its dental origin. Once the correct diagnosis is made, definitive treatment, through either tooth extraction or root canal therapy to eliminate the source of infection, is simple and effective. KW - Sinus tract KW - endodontic treatment KW - extra-oral cutaneous fistula KW - pus N2 - Endodontik kaynaklı, ağız dışı fistül olguları, klinik yönden farklı birçok hastalıkla karıştırılabilir. Bu karmaşanın çözümü, doğru bir tedavi sunabilmenin tek şartı olan ayırıcı tanı ile çok yakından ilişkilidir; tanı basamağındaki hatalar, gereksiz birçok girişimin yapılmasına ya da lezyonun iyileştirilememesine neden olurlar. Dolayısıyla, boyun veya yüzde herhangi bir deri fistülü görüldüğünde, odontojenik kaynağın araştırılması çok önemli bir gerekliliktir. Bu kaynağın, sorgulanmaması ya da araştırılmaması, bu tip olguların tanısını daima zorlaştıracaktır. Doğru tanı konulduğunda ise, enfeksiyon kaynağının kolaylıkla ve başarılı bir şekilde yok edilmesi, kök kanalı tedavisi ya da ilgili dişin çekimiyle mümkündür. CR - 1. Gupta M, Das D, Kapur R, Sibal N. A clinical predicament--diagnosis and differential diagnosis of cutaneous facial sinus tracts of dental origin: A series of case reports. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112(6):132-136. CR - 2. Qazi SS, Manzoor MA, Qureshi R, Arjumand B, Hussain SM, Afridi Z. Nonsurgical endodontic management of cutaneously draining odontogenic sinus. J Ayub Med Coll Abbottabad 2006;18(2):88-89. CR - 3. Rudagi KB, Rudagi BM. Cutaneous sinus tract of odontogenic origin. A misdiagnosed lesion: report of to cases. Acta Stomatol Croat 2012;46(4):317-322. CR - 4. Varol A, Gülses A. An unusual odontogenic cutaneous sinus tract to the cervical region: a case report. OHDMBSC 2009;8(3):43-45. CR - 5. Vyas K, Chaturvedi R. Cutaneous sinus tracts: an endodontic approach with case report. IJDRR, OCT 2011-MAR 2012;78-81. Available from: http://www.rungtacolleges.com/files/journal/16. pdf CR - 6. Assery M, Al Shamranit S. Cutaneous facial sinus tract of dental origin: a clinical case report. Saudi Dent J 2011;13(1):37-39. CR - 7. Laskin DM. Anatomic considerations in diagnosis and treatment of odontogenic infections. J Am Dent Assoc 1964;69(308-316. CR - 8. Nakamura Y, Hirayama K, Hossain M, Matsumoto K. A case of an odontogenic cutaneous sinus tract. Int Endod J 1999;32(4):328-331. CR - 9. Susic M, Krakar N, Borcic J, Macan D. Odontogenic sinus tract to the neck skin: A case report. J Dermatol 2004;31(11):920-922. CR - 10. Mittal N, Gupta P. Management of extra oral sinus cases: A clinical dilemma. J Endod 2004;30(7):541-547. CR - 11. Abuabara A SC, Zileak JC, Baratto-Filho F. Dental infection simulating skin lesion. An Bras Dermatol 2012;87(4):619-621. CR - 12. Brown RS, Jones R, Feimster T, Sam FE. Cutaneous sinus tracts (or emerging sinus tracts) of odontogenic origin: A report of 3 cases. Clin Cosmet Investig Dent 2010;2(63-67. CR - 13. Javid B, Barkhodar RA. Chronic extraoral fistulae of dental origin. Compendium 1989;10(1):108-114. CR - 14. Kayahan MB KF, Altundal H, Bayirli G. The management of an odontogenic sinus tract: a case report. OHDMBSC 2003;2(4):60-63. CR - 15. Samir N, Al-Mahrezi A, Al-Sudairy S. Odontogenic cutaneous fistula: Report of two cases. Sultan Qaboos Univ Med J 2011;11(1):115- 118. CR - 16. Cohenca N, Karni S, Rotstein I. Extraoral sinus tract misdiagnosed as an endodontic lesion. J Endod 2003;29(12):841-843. CR - 17. Johnson BR, Remeikis NA, Van Cura JE. Diagnosis and treatment of cutaneous facial sinus tracts of dental origin. J Am Dent Assoc 1999;130(6):832-836. CR - 18. Pasternak-Junior B, Teixeira CS, Silva-Sousa YT, Sousa-Neto MD. Diagnosis and treatment of odontogenic cutaneous sinus tracts of endodontic origin: Three case studies. Int Endod J 2009;42(3):271-276. CR - 19. Caliskan MK, Sen BH, Ozinel MA. Treatment of extraoral sinus tracts from traumatized teeth with apical periodontitis. Endod Dent Traumatol 1995;11(3):115-120. CR - 20. Uysal A SB, Akay MC, Ertürk S. Odontogenic sinus tracts. Ege Tıp Dergisi 2004;43(2):121-125. CR - 21. Cantatore JL, Klein PA, Lieblich LM. Cutaneous dental sinus tract, a common misdiagnosis: A case report and review of the literature. Cutis 2002;70(5):264-267. CR - 22. De Melo Barbosa CA TF, De Freitas Fonseca C, De Berredo Pinho M. Diagnosis of cutaneous sinus tract in association with traumatic injuries to the teeth. BJDT 2011;2(2):75-79. UR - https://doi.org/10.17096/jiufd.73461 L1 - https://dergipark.org.tr/en/download/article-file/94791 ER -