Marasco P V, Taylor R G, Marks M W, Argenta L C
Department of Plastic and Reconstructive Surgery, Bowman-Gray School of Medicine, Winston-Salem, NC 27157.
Ann Plast Surg. 1992 Sep;29(3):205-10. doi: 10.1097/00000637-199209000-00003.
Chronic dental infection is the most common cause of draining sinus tracts of the face and neck. These lesions can be a diagnostic challenge to the clinician who is not familiar with dentocutaneous fistula. Diagnostic errors can result in multiple excisions, biopsies, and ineffective long-term antibiotic therapy. Patients may require excision of the fistula once the dental abscess has been successfully treated by root-canal therapy or extraction. Nine patients are reported.