Nasal Sinus Tract of Odontogenic Origin: Report of a Case

Extraoral sinus tract often poses a diagnostic challenge to the clinician owing to its rare occurrence and absence of symptoms. The accurate diagnosis and comprehensive management are inevitable as the aetiology of such lesions is often masked and requires holistic approach. The present case report...

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Main Authors: Sagar Sareen, Anjani Kumar Pathak, Parth Purwar, Jaya Dixit, Divya Singhal, Isha Sajjanhar, Kopal Goel, Vaibhav Sheel Gupta
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2015/813478
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author Sagar Sareen
Anjani Kumar Pathak
Parth Purwar
Jaya Dixit
Divya Singhal
Isha Sajjanhar
Kopal Goel
Vaibhav Sheel Gupta
author_facet Sagar Sareen
Anjani Kumar Pathak
Parth Purwar
Jaya Dixit
Divya Singhal
Isha Sajjanhar
Kopal Goel
Vaibhav Sheel Gupta
author_sort Sagar Sareen
collection DOAJ
description Extraoral sinus tract often poses a diagnostic challenge to the clinician owing to its rare occurrence and absence of symptoms. The accurate diagnosis and comprehensive management are inevitable as the aetiology of such lesions is often masked and requires holistic approach. The present case report encompasses the management of an extraoral discharging sinus tract at the base of the right nostril in a chronic smoker. The lesion which was earlier diagnosed to be of nonodontogenic origin persisted even after erratic treatment modalities. Our investigations showed the aetiology of sinus tract to be odontogenic. Initially, a five-step program as recommended by the Agency for Health Care Research and Quality was used for smoking cessation followed by root canal therapy (RCT) and surgical management of the sinus tract. The patient has been under stringent follow-up and no reoccurrence has been noted.
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series Case Reports in Dentistry
spelling doaj-art-dc50ded3d9d04568b384e993dd7c56ab2025-02-03T01:06:17ZengWileyCase Reports in Dentistry2090-64472090-64552015-01-01201510.1155/2015/813478813478Nasal Sinus Tract of Odontogenic Origin: Report of a CaseSagar Sareen0Anjani Kumar Pathak1Parth Purwar2Jaya Dixit3Divya Singhal4Isha Sajjanhar5Kopal Goel6Vaibhav Sheel Gupta7Department of Periodontology, Faculty of Dental Sciences, King George’s Medical University, Lucknow, Uttar Pradesh 226003, IndiaDepartment of Periodontology, Faculty of Dental Sciences, King George’s Medical University, Lucknow, Uttar Pradesh 226003, IndiaDepartment of Periodontology, Faculty of Dental Sciences, King George’s Medical University, Lucknow, Uttar Pradesh 226003, IndiaDepartment of Periodontology, Faculty of Dental Sciences, King George’s Medical University, Lucknow, Uttar Pradesh 226003, IndiaDepartment of Periodontology, Faculty of Dental Sciences, King George’s Medical University, Lucknow, Uttar Pradesh 226003, IndiaDepartment of Conservative Dentistry & Endodontics, Faculty of Dental Sciences, King George’s Medical University, Lucknow, Uttar Pradesh 226003, IndiaDepartment of Prosthodontics including Crown and Bridge, Faculty of Dental Sciences, King George’s Medical University, Lucknow, Uttar Pradesh 226003, IndiaDepartment of Periodontology, Faculty of Dental Sciences, King George’s Medical University, Lucknow, Uttar Pradesh 226003, IndiaExtraoral sinus tract often poses a diagnostic challenge to the clinician owing to its rare occurrence and absence of symptoms. The accurate diagnosis and comprehensive management are inevitable as the aetiology of such lesions is often masked and requires holistic approach. The present case report encompasses the management of an extraoral discharging sinus tract at the base of the right nostril in a chronic smoker. The lesion which was earlier diagnosed to be of nonodontogenic origin persisted even after erratic treatment modalities. Our investigations showed the aetiology of sinus tract to be odontogenic. Initially, a five-step program as recommended by the Agency for Health Care Research and Quality was used for smoking cessation followed by root canal therapy (RCT) and surgical management of the sinus tract. The patient has been under stringent follow-up and no reoccurrence has been noted.http://dx.doi.org/10.1155/2015/813478
spellingShingle Sagar Sareen
Anjani Kumar Pathak
Parth Purwar
Jaya Dixit
Divya Singhal
Isha Sajjanhar
Kopal Goel
Vaibhav Sheel Gupta
Nasal Sinus Tract of Odontogenic Origin: Report of a Case
Case Reports in Dentistry
title Nasal Sinus Tract of Odontogenic Origin: Report of a Case
title_full Nasal Sinus Tract of Odontogenic Origin: Report of a Case
title_fullStr Nasal Sinus Tract of Odontogenic Origin: Report of a Case
title_full_unstemmed Nasal Sinus Tract of Odontogenic Origin: Report of a Case
title_short Nasal Sinus Tract of Odontogenic Origin: Report of a Case
title_sort nasal sinus tract of odontogenic origin report of a case
url http://dx.doi.org/10.1155/2015/813478
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