Skip to main content

Advertisement

Log in

Cutaneous Sinuses of Cervicofacial Region: A Clinical Study of 200 Cases

  • Clinical study
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Purpose

To evaluate the sinuses in the cervicofacial region and to identify the focus of infection. It is also to help the clinician in differentiating the sinuses’ of odontogenic and nonodontogenic focus of infection.

Materials and Methods

The study has been conducted in 200 patients, aged between 11 and 77 years for a period of 6 and a half years at Narayana Dental College and Hospital, Nellore. History of present illness, clinical, radiological and laboratory examinations were carried out on all the patients.

Results

Majority of the cervical sinuses are of odontogenic origin (80%) and non-odontogenic being (20%) of the cases.

Conclusion

The literature reveals that many cases have been misdiagnosed and inappropriately treated by many specialties of Medicine and Surgery wherein the odontogenic foci of infection is the main etiological factor for cervicofacial sinuses. A proper diagnosis is important and forms a key to the successful management of these sinuses in the head and neck region.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Graph 1 Source of infection
Graph 2 Distribution of cases based on region involved
Picture 1
Picture 2
Picture 3
Picture 4

Similar content being viewed by others

References

  1. Malic SA, Bailey BMW (1984) Cervicofacial sinuses. Br J Oral Maxillofac Surg 22:178–188

    Article  Google Scholar 

  2. Cherrick HM, Wood N (1997) Pits, fistulae and draining lesions. In: Wood N, Goaz PW (eds) Differential diagnosis of oral & maxillofacial lesions, 5th edn. Mosby, Missouri, pp 217–224

    Google Scholar 

  3. Barrowman RA, Rahimi M et al (2007) Cutaneous sinus tracts of dental origin. Med J Augst 186(5):264–265

    Google Scholar 

  4. Kaban LB (1980) Draining skin lesions of dental origin: the path of spread of chronic odontogenic infection. Plastic Reconstr Surg 66:711–717

    Article  CAS  Google Scholar 

  5. Calman HI, Grodjesk JE, Eisenberg M, Szerlip L (1980) The external fistula and its diagnostic importance. Dent radiogr Photogr 53(2):26–34

  6. Mukerji R, Jones DC (2002) Facial sinus of dental origin: a case report. Dent Update 29(4):170–171

    PubMed  Google Scholar 

  7. Tidwell E, Jenkins JD, Eliis CD et al (1997) Cutaneous sinus tract to the chin. Int Endod J 30:352–355

    Article  PubMed  CAS  Google Scholar 

  8. Butow KW, Vogel H, Grotepass FW (1977) Temporal sinus tracts originating from mandibular infections. Am J Oral Maxillofac Surg 5:56–59

    Google Scholar 

  9. Michael A, Steven LR, James BM (1986) Cervical necrosis and sinus tract formation secondary to a dento alveolar infection—Report of a case. J Oral Maxillofac Surg 44:894–896

    Article  Google Scholar 

  10. Sakamoto E, Stratigos GT (1973) Bilateral cutaneous sinus tracts of dental etiology. J Oral Surg 31:701–704

    PubMed  CAS  Google Scholar 

  11. Schwimmer AC, Egaini VE (1972) Subcondylar impaction of a 3rd molar resulting in preauricular sinus. J Oral Surg 30:41

    PubMed  CAS  Google Scholar 

  12. Cohenca N, Karni S, Rotstein I (2003) Extra oral sinus tract mis diagnosed as an endodontic lesion. J. Endod 29:841–843

    Article  PubMed  Google Scholar 

  13. Bronstein LS, Clark MS (1984) Sub lingual gland salivary fistula and sialocele. J Oral Surg 57:35–37

    Article  Google Scholar 

  14. Sowray JH (1967) Tuberculous facial sinuses. Br Dent J 9:123–291

    Google Scholar 

  15. Johnson BR, Remeikis NA, Van Cura JE (1999) Diagnosis and treatment of cutaneous facial sinus sinuses of dental origin. J Am Dent Assoc 130:832–836

    PubMed  CAS  Google Scholar 

  16. Cantatore JL, Klein PA, Lieblich LM (2002) Cutaneous dental sinus tract a common mis-diagnosis. A case report and review of literature. Cutis 70:264–265

    PubMed  Google Scholar 

  17. Mc Walter GM, Aleaxander JB, del Rio CE et al (1988) Cutaneous sinus tracts of dental etiology. Oral Surg Oral Med Oral Pathol 66:608–614

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nemaly Chaithanyaa.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kishore Kumar, R.V., Devireddy, S.K., Gali, R.S. et al. Cutaneous Sinuses of Cervicofacial Region: A Clinical Study of 200 Cases. J. Maxillofac. Oral Surg. 11, 411–415 (2012). https://doi.org/10.1007/s12663-012-0353-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12663-012-0353-y

Keywords

Navigation