Rare case of an odontogenic cutaneous sinus tract presenting as a

Am J Emerg Med · May 2017

Case Reports

Rare case of an odontogenic cutaneous sinus tract presenting as a growing cheek mass in the emergency department.

An odontogenic cutaneous sinus tract (OCST) is a rare extraoral sinus tract related to a chronic draining dental infection, typically apical periodontitis. OCST usually presents as an erythematous and non-tender nodule and often requires endodontic treatment for resolution of the sinus tract. If there is disruption of the mandibular cortex, it may be difficult to differentiate an OCST from a non-odontogenic malignant mass in patients without dental symptoms. This report describes a rare case of OCST presenting as a left cheek mass in a 21-year-old man which was initially diagnosed in the emergency department.

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- Sun Hwa Lee and Seong Jong Yun.
- Department of Emergency Medicine, Sanggye Paik Hospital, Inje University College of Medicine, 1342 Dongil-ro, Nowon-gu, Seoul 139-707, Republic of Korea.
- Am J Emerg Med. 2017 May 1; 35 (5): 808.e5-808.e7.
AbstractAn odontogenic cutaneous sinus tract (OCST) is a rare extraoral sinus tract related to a chronic draining dental infection, typically apical periodontitis. OCST usually presents as an erythematous and non-tender nodule and often requires endodontic treatment for resolution of the sinus tract. If there is disruption of the mandibular cortex, it may be difficult to differentiate an OCST from a non-odontogenic malignant mass in patients without dental symptoms. This report describes a rare case of OCST presenting as a left cheek mass in a 21-year-old man which was initially diagnosed in the emergency department.Copyright © 2016 Elsevier Inc. All rights reserved.

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Rare case of an odontogenic cutaneous sinus tract presenting as a growing cheek mass in the emergency department.

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