Periapical Cyst Forming Cutaneous Sinus Tract: Unusual Presentation-Case Report

Area of Science:

• Dentistry
• Oral Pathology
• Dermatology

Background:

• Cutaneous sinus tracts are uncommon and often misdiagnosed.
• Periapical cysts can present as rare causes of cutaneous sinus tracts.
• Accurate diagnosis of the etiology is crucial for effective treatment.

Purpose of the Study:

• To report a rare case of a cutaneous sinus tract of odontogenic origin.
• To highlight the diagnostic challenges and successful management of such cases.

Main Methods:

• Clinical presentation and diagnostic workup of a patient with a nasolabial sinus tract.
• Surgical intervention and extraction of the involved tooth.
• Post-treatment follow-up to assess healing.

Main Results:

• The cutaneous sinus tract was identified as being of odontogenic origin, stemming from a periapical cyst.
• Following surgical extraction of the affected tooth, the sinus tract healed completely.
• The case underscores the importance of considering dental origins for facial sinus tracts.

Conclusions:

• Cutaneous sinus tracts, though rare, can arise from dental periapical pathology.
• Early and accurate diagnosis of odontogenic etiology is essential for successful treatment.
• Surgical management and tooth extraction provide an effective therapeutic approach for these conditions.