Cutaneous Fistula of Dental Origin, Case Report.

Lee, Jung Woo; Chae, Jong Hun; Kim, Jong Hwan; Hong, In Pyo

Original Article

Journal of Korean Cleft Palate-Craniofacial Association 2003;4(1):48-52.

Jung Woo Lee, Jong Hun Chae, Jong Hwan Kim, In Pyo Hong

Department of Plastic and Reconstructive Surgery, National Medical Center, Seoul, Korea. nmcps@unitel.co.kr

Abstract

Most common etiologic factor of supprative cutaneous fistula is the extension of chronic infection of dental origin. Skin opening is commonly located on chin and jaw, occasionally neck and chest. Because the skin opening may be remote from the infection origin, the physicians often incorrectly diagnose and also treat ineffectively. Rarely large necrotic defect is caused by ineffective treatment of cutaneous fistula. Recognition and treatment of the underlying dental infection is required to allow the resolution of the associated skin lesion. In the presence of a cutaneous fistula around the face and neck, it is always useful to perform routine dental examination and radiologic evaluation to exclude an odontogenic background. From March 2001 to April 2002, we were experienced 5 cases cutaneous fistula of dental orgin. We report the 3 patients, two are simple fistula and one is a complicated case which is developed necrotizing fascitis on chin and neck.

Keywords: Cutaneous fistula; Dental infection