Reconstruction of Extraoral Fistula of Dental Origin
Odontogenic extraoral fistulas often lead to intense levels of patient discomfort and incidence of complications, which are relieved by treatment. However, the cosmetic outcome following treatment may not meet the expectations of the patient. A 51-year-old male presented with a chronically draining...
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doaj-b65630ef8cd547f092386489d0e944542020-11-25T03:19:31ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2019-08-01138LD01LD0210.7860/JCDR/2019/42102.13100Reconstruction of Extraoral Fistula of Dental OriginMetin Berk Kasapoglu0Gülşah Guven1Sabri Cemil Isler2Çetin Kasapoglu3Senior Resident, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Istanbul University, Istanbul, NA, Turkey.Independent Researcher, Istanbul, NA, Turkey.Associate Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Istanbul University, Istanbul, NA, Turkey.Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Istanbul University, Istanbul, NA, Turkey.Odontogenic extraoral fistulas often lead to intense levels of patient discomfort and incidence of complications, which are relieved by treatment. However, the cosmetic outcome following treatment may not meet the expectations of the patient. A 51-year-old male presented with a chronically draining lesion on his left cheek. Clinical examination revealed necrosis in the mandibular left first molar and a panoramic radiograph demonstrated periapical abscess surrounding the root apex. A diagnosis of extraoral fistula of odontogenic origin was made, and the affected tooth was extracted. The extraoral fistula disappeared but the defect on the cheek exhibited no improvement over the 2 month follow-up period. Surgical revision of the defect was therefore necessary. A Limberg flap was designed and then transposed to the defect region, followed by primary closure of the donor region. The 6-month follow-up visit revealed satisfactory results for both the patient and the surgeon. This manuscript is the first case report focusing on residual defect elimination of an extraoral fistula with the use of a transpositional flap in the cheek region.https://jcdr.net/articles/PDF/13100/42102_CE[Ra1]_F(KM)_PF1(AJ_SHU)_PN(SL).pdfcosmetic surgeryextraoral sinus tractlimberg flapperiapical abscess |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Metin Berk Kasapoglu Gülşah Guven Sabri Cemil Isler Çetin Kasapoglu |
spellingShingle |
Metin Berk Kasapoglu Gülşah Guven Sabri Cemil Isler Çetin Kasapoglu Reconstruction of Extraoral Fistula of Dental Origin Journal of Clinical and Diagnostic Research cosmetic surgery extraoral sinus tract limberg flap periapical abscess |
author_facet |
Metin Berk Kasapoglu Gülşah Guven Sabri Cemil Isler Çetin Kasapoglu |
author_sort |
Metin Berk Kasapoglu |
title |
Reconstruction of Extraoral Fistula of Dental Origin |
title_short |
Reconstruction of Extraoral Fistula of Dental Origin |
title_full |
Reconstruction of Extraoral Fistula of Dental Origin |
title_fullStr |
Reconstruction of Extraoral Fistula of Dental Origin |
title_full_unstemmed |
Reconstruction of Extraoral Fistula of Dental Origin |
title_sort |
reconstruction of extraoral fistula of dental origin |
publisher |
JCDR Research and Publications Private Limited |
series |
Journal of Clinical and Diagnostic Research |
issn |
2249-782X 0973-709X |
publishDate |
2019-08-01 |
description |
Odontogenic extraoral fistulas often lead to intense levels of patient discomfort and incidence of complications, which are relieved by treatment. However, the cosmetic outcome following treatment may not meet the expectations of the patient. A 51-year-old male presented with a chronically draining lesion on his left cheek. Clinical examination revealed necrosis in the mandibular left first molar and a panoramic radiograph demonstrated periapical abscess surrounding the root apex. A diagnosis of extraoral fistula of odontogenic origin was made, and the affected tooth was extracted. The extraoral fistula disappeared but the defect on the cheek exhibited no improvement over the 2 month follow-up period. Surgical revision of the defect was therefore necessary. A Limberg flap was designed and then transposed to the defect region, followed by primary closure of the donor region. The 6-month follow-up visit revealed satisfactory results for both the patient and the surgeon. This manuscript is the first case report focusing on residual defect elimination of an extraoral fistula with the use of a transpositional flap in the cheek region. |
topic |
cosmetic surgery extraoral sinus tract limberg flap periapical abscess |
url |
https://jcdr.net/articles/PDF/13100/42102_CE[Ra1]_F(KM)_PF1(AJ_SHU)_PN(SL).pdf |
work_keys_str_mv |
AT metinberkkasapoglu reconstructionofextraoralfistulaofdentalorigin AT gulsahguven reconstructionofextraoralfistulaofdentalorigin AT sabricemilisler reconstructionofextraoralfistulaofdentalorigin AT cetinkasapoglu reconstructionofextraoralfistulaofdentalorigin |
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