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Case Reports in Medicine
Volume 2018, Article ID 3710857, 3 pages
https://doi.org/10.1155/2018/3710857
Case Report

Odontogenic Cutaneous Fistula: A Cause of Persistent Cervical Discharge

Department of Clinical Surgical Sciences, University of the West Indies, Eric Williams Medical Sciences Complex, Champs Fleur, Trinidad and Tobago

Correspondence should be addressed to Nicholas Figaro; moc.liamg@oragifsalohcin

Received 2 February 2018; Accepted 22 May 2018; Published 11 June 2018

Academic Editor: Masahiro Kohzuki

Copyright © 2018 Nicholas Figaro and Solaiman Juman. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Odontogenic cutaneous fistulas often lead to intense levels of patient discomfort and suffering. Due to its rarity and the absence of dental symptoms, a considerable number of patients are usually misdiagnosed which results in inappropriate management. This case report presents a 16-year-old patient with a 2-year history of a nonhealing, persistently discharging lesion in the left submandibular region of the neck. The patient underwent exploration of the left submandibular region, and a fistulous tract directed superomedially to the ipsilateral lower molar teeth was excised. A subsequent panoramic orthopantomogram performed one week postoperatively demonstrated radiolucency is the distal root of tooth 37. A final diagnosis of odontogenic cutaneous fistula was made, and the patient was referred to the Maxillofacial Department for treatment of the offending tooth.