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refractory periapical pe

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https://www.readbyqxmd.com/read/15759963/cutaneous-draining-sinus-tract-of-odontogenic-origin-unusual-presentation-of-a-challenging-diagnosis
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Daniel J Sheehan, Brad J Potter, Loretta S Davis
A 44-year-old woman presented with a chronically draining lesion on her cheek just lateral to the nasofacial sulcus. The lesion was refractory to treatment with oral antibiotics. Physical examination revealed poor dentition, and a panoramic radiograph demonstrated periapical abscesses in the maxillary right lateral incisor and canine. A diagnosis of cutaneous fistula of odontogenic origin was made, and the patient was treated with tooth extraction. The cutaneous fistula subsequently resolved. Intraoral examinations and radiographs are critical for making the diagnosis of cutaneous draining sinus tract of odontogenic origin...
February 2005: Southern Medical Journal
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