SURGICAL TREATMENT OF AN EXTRAORAL FISTULA DEVELOPING DUE TO THE LEFT MAXILLARY FIRST MOLAR TOOTH OF WHICH ENDODONTIC TREATMENT WAS PERFORMED AND INFECTION COULD NOT BE ELIMINATED

Yıl 2022, Cilt: 32 Sayı: 1, 124 - 127, 15.02.2022

Büşra Koç Büşra Melda Kengel Esra Mavi

Öz

Abstract
Extraoral fistulas are confused with many different formations, especially skin lesions, tuberculosis, and osteomyelitis, and as a result, ineffective treatment can be applied to patients. Differential diagnosis should be made very carefully in these cases to prevent wrong diagnosis and treatment. This study's goal is to summarize the dental diagnosis and treatment options of extraoral fistulization developing due to odontogenic infection. A 22-year-old male patient with no systemic disease applied to Sivas Cumhuriyet University Faculty of Dentistry due to the extraoral fistula in the left maxillary region. According to the dental history of the patient, he had undergone a root canal treatment in tooth number 26 in another institution two years ago. The patient primarily applied to the dermatology clinic. The patient was not treated in the dermatology clinic and was referred to the plastic surgery department. But when it was observed that healing could not be achieved despite three operations, the patient was referred to the dentist. It should definitely be taken into consideration that skin lesions in the face and neck region may be caused by odontogenic infections. The clinical and radiographic examination should be performed carefully in the differential diagnosis, and the appropriate diagnosis should be made. Thus, when a tooth related to the lesion is detected, the use of unnecessary medications and wrong interventions may be avoided by performing the appropriate treatment.
Keywords: Extraoral, fistula, chronic, abscess, periradicular tissues.

Anahtar Kelimeler

Extraoral, fistula, chronic, abscess, periradicular tissues

Kaynakça

• 1. Zan R, Kanmaz F, Akpınar KE, Hubbezoğlu I. Treatment of an extraoral cutaneous sinus tract with endodontic intervention: a case report. Turk Endod J. 2016;1(1):39-42.
• 2. Akpınar KE, Er DK, Kuştarcı DA, Özan DÜ. Odontojenik Fistüllerin Prevalansı ve Tedavi Sonuçları. Cumhuriyet Üni Diş Hek Fak Derg, 2004;7(2):6-10.
• 3. İlhan K. Dental Kaynakli Enfeksiyona Bağli Cilt Fistülünün Cerrahi Tedavisi: Olgu Sunumu. Ankara Üni Diş Hek Fak Derg. 2018;45(3):165-169.
• 4. Işık V, Ersev H. Ekstraoral fistül: Bir olgu sunumu Extraoral fistula: A case report. Yeditepe Üni Klinik Derg. 2018;137-139.
• 5. Uysal A, Sezer B, Akay Mc, Ertürk S. Odontojen Fistüller. Ege Uni Tıp Derg. 2004;43(2):121-125.
• 6. Aydın M. Endodontik mikrobiyoloji. Ed Alaçam T Endodonti. 2000;13.
• 7. Aşçı SK. Quintessence Yayıncılık, Endodonti, 2014;185-205.
• 8. Topazian RG, Goldberg MH, Hupp JR. Oral and Maxillofacial Infections. 2002. 4th Edition, WB Saunders Company, Philadelphia.
• 9. Topazian R, Goldberg M. Odontogenic infections and deep fascial space infections of dental origin. Oral and Maxillofacial Infections. 2002;3:198-251.
• 10. Fragiskos F. Odontogenic infections. Oral surgery, Springer. 2007;205-241.
• 11. Arslan Dh, Topçuoğlu Dhs, Barutcugil Ç, Karataş De, Aladag H, Köseoğlu M ve Ark. Geniş Periapikal Lezyonlu Dişlerin Cerrahi Girişimsiz Kök Kanal Tedavileri. Curr Res Dent Sci. 2012;22(1):61-65.
• 12. Peker E, Karaca İR. Odontojenik enfeksiyon kaynaklı fasyal alan apseleri. Gazi Üni Diş Hek Fak Derg. 2012;29(2):129-137.
• 13. Bayındır Y. Dental infeksiyonlarda doğru antibiyotik kullanımı. İnönü Üni Tıp Fak Derg. 2003;10(4):213-216.
• 14. Henry M, Reader A, Beck M. Effect of penicillin on postoperative endodontic pain and swelling in symptomatic necrotic teeth. J Endod. 2001;27(2):117-123.
• 15. Pickenpaugh L, Reader A, Beck M, Meyers WJ, Peterson LJ. Effect of prophylactic amoxicillin on endodontic flare-up in asymptomatic, necrotic teeth. J Endod. 2001;27(1):53-56.
• 16. Gill Y, Scully C. Orofacial odontogenic infections: review of microbiology and current treatment. Oral Surg Oral Med, Oral Pathol.1990;70(2):155-158.
• 17. Daramola OO, Flanagan CE, Maisel RH, Odland RM. Diagnosis and treatment of deep neck space abscesses. Otolaryngology Head Neck Surg. 2009;141(1):123-130.
• 18. Sheehan DJ, Potter BJ, Davis LS. Cutaneous draining sinus tract of odontogenic origin: unusual presentation of a challenging diagnosis. South Med J. 2005;98(2):250-253.
• 19. 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):264-275.