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[Odontogenic sinusitis with cutaneous fistulization. A case report]

R Garbarino1, S Valente, M Barbieri

  • 1Cattedra di Chirurgia Speciale Odontostomatologica, Università degli Studi, Genova.

Minerva Stomatologica
|June 1, 1995
PubMed
Summary

Cutaneous odontogenic sinusitis, initially misdiagnosed as basal cell carcinoma, was identified through lesion examination and oral conditions. Prompt treatment involving sinus surgery and tooth extraction resolved the infection.

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Area of Science:

  • Otolaryngology
  • Oral and Maxillofacial Surgery
  • Dermatology

Background:

  • A 70-year-old male presented with a genal cutaneous nodule initially diagnosed as basal cell carcinoma.
  • The patient had significant oral health issues and was scheduled for abdominal aortic surgery.

Observation:

  • The lesion exuded pus upon palpation.
  • A fibrous cord was noted in the vestibular fornix.
  • Radiological findings indicated homolateral sinusitis.

Findings:

  • The clinical presentation and diagnostic findings led to a diagnosis of cutaneous odontogenic sinusitis.
  • Surgical intervention included a Caldwell-Luc operation on the affected paranasal sinus.
  • The cutaneous lesion was avulsed concurrently with tooth extraction.

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Implications:

  • Complete eradication of bacterial foci was crucial before the patient's abdominal aortic surgery.
  • The integrated approach successfully treated the sinusitis and resolved the cutaneous manifestation.
  • This case highlights the importance of considering odontogenic sources for facial lesions and the necessity of pre-surgical infection control.