Abstract
Key Clinical MessageIt is important for the dentists to make accurate diagnosis and appropriate treatment of odontogenic cutaneous fistula. Although large facial skin lesions may bring up malignancy on top of the differential list, careful evaluation including physical observation, imaging, and pathology can rule out malignancies.
Highlights
Computed tomography images revealed cutaneous ulcer at left submandibular area creating a fistula continuing from left third molar pericoronitis, with osteosclerosis (Fig. 2)
Radiological, and pathological findings led to the diagnosis of odontogenic cutaneous fistula
Odontogenic fistula is defined as pathologic communication between skin and oral cavity [1]
Summary
Received: 11 November 2016; Revised: 16 February 2017; Accepted: 21 February 2017 An 87-year-old man with a history of diabetes presented to our hospital due to dysphagia with skin perforation on his left chin. Observation revealed a 5-cm ulcerated lesion in left submandibular region (Fig. 1) with purulent discharge. Laboratory investigation revealed inflammatory changes: WBC, 10,800/lL; and C-reactive protein, 2.23 mg/dL.
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