599 results match your criteria Oral Cutaneous Fistulas


Prediction of risk factors for pharyngo-cutaneous fistula after total laryngectomy using artificial intelligence.

Oral Oncol 2021 May 25;119:105357. Epub 2021 May 25.

Department of Otorhinolaryngology, Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. Electronic address:

Objectives: Pharyngocutaneous fistula (PCF) is one of the major complications following total laryngectomy (TL). Previous studies about PCF risk factors showed inconsistent results, and artificial intelligence (AI) has not been used. We identified the clinical risk factors for PCF using multiple AI models. Read More

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Behcet's Syndrome resembling complex perianal Crohn's Disease.

SAGE Open Med Case Rep 2021 29;9:2050313X211009717. Epub 2021 Apr 29.

Department of Surgery, The Wollongong Hospital, Wollongong, NSW 2500, Australia.

Behcet's syndrome is a systemic inflammatory disorder that involves several organ systems and is exceptionally rare in the Western world. The diagnosis is frequently difficult as it resembles several other disease processes. A 23-year-old male with a previous presumptive diagnosis of Crohn's disease presented to our unit with genital ulceration. Read More

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Sialolithiasis: An Unusually Large Salivary Stone.

J Maxillofac Oral Surg 2021 Jun 28;20(2):227-229. Epub 2019 Mar 28.

Oral and Maxillofacial Surgery, Rajas Dental College and Hospital, Kavalkinaru, Tirunelveli, Tamil Nadu India.

Sialolithiasis is characterized by obstruction of a salivary gland or its duct due to the formation of calcareous concretions, leading to recurrent painful swelling of the involved gland. It is aggravated while eating. Submandibular gland is the most commonly affected gland. Read More

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A new designed self-expandable metal stent for the management of benign radiotherapy-induced hypopharyngeal or cervical esophageal strictures.

Surg Endosc 2021 Apr 26. Epub 2021 Apr 26.

Department of Gastroenterology, Sanremo General Hospital, Sanremo, IM, Italy.

Background And Aims: The management of patients with hypopharyngeal or cervical esophageal refractory benign strictures (RBS) after surgery and radiotherapy ± chemotherapy for laryngeal cancer is challenging. We aimed to assess the long-term efficacy and safety of a new designed fully covered SEMS in these patients.

Methods: We reviewed the results of a prospectively collected database of 40 consecutive patients with dysphagia due to RBS of the cervical esophagus or hypopharynx after surgery and radiotherapy with or without chemotherapy for laryngeal cancer, unfit for surgery, referred in two tertiary-care endoscopic centers from June 2005 to December 2018. Read More

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[Voluminous parotid cyst of the first branchial arch: a case report].

Pan Afr Med J 2020 10;37:334. Epub 2020 Dec 10.

Service d´Oto-Rhino-Laryngologie et de Chirurgie Cervico-Faciale, Faculté de Médecine et Pharmacie de Rabat, Université Mohamed V de Rabat, Hôpital Militaire d´Instruction Mohamed V de Rabat, Rabat, Maroc.

Parotid branchial cysts are rare and poorly known congenital malformations of the first branchial cleft. They are characterized by three types of manifestations which may be associated to it or isolated, including inflammatory swelling of the subauricular and inferior portion of the parotid with or without cervico-cutaneous fistula projecting into the cervico-mandibular area and a fistula in the floor of the external auditory canal with or without otorrhea, with or without pretimpanic bridle on otoscopy. They often go unnoticed, except for superinfections. Read More

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Surgical management of an odontogenic cutaneous fistula.

BMJ Case Rep 2021 Mar 16;14(3). Epub 2021 Mar 16.

Department of Craniofacial, Plastic and Reconstructive Surgery, Mater Misericordiae University Hospital, Dublin, Ireland

A patient presented to our unit with a long history of a discharging skin infection on his left cheek, which came and went. He had been seen by numerous healthcare practitioners including his general practitioner, general dental practitioner and dermatologist, with no resolution. He was eventually diagnosed with an odontogenic cutaneous fistula (OCF), for which he underwent surgical management. Read More

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An accurate diagnosis of odontogenic cutaneous sinus tract by different computed tomography unit setting.

J Korean Assoc Oral Maxillofac Surg 2021 Feb;47(1):51-56

Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.

Due to their rarity and the lack of associated dental symptoms, odontogenic cutaneous sinus tracts (OCSTs) are often misdiagnosed and confused with cutaneous lesions or non-odontogenic infections. It has been estimated that 50% of individuals affected by OCSTs are subjected to inappropriate treatments before the correct diagnosis is established. We describe the diagnosis and treatment of two cases of OCSTs. Read More

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February 2021

[Disseminated infection caused by the bacillus Calmette-Guérin vaccine and SARS-CoV-2 coinfection in a patient with IL-12 receptor β1 subunit deficiency].

Rev Alerg Mex 2020 Oct-Dec;67(4):401-407

Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital de Especialidades, Ciudad de México, México.

Background: Inborn errors of immunity manifest with a greater susceptibility to infections, autoimmunity, autoinflammatory diseases, allergies, or malignancies. One of these is the mendelian susceptibility to mycobacterial disease. The most frequent etiology is the complete autosomal recessive deficiency of the β1 subunit of the interleukin 12 receptor. Read More

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Use of platelet concentrate gel in second-intention wound healing: a case report.

J Med Case Rep 2021 Feb 18;15(1):85. Epub 2021 Feb 18.

Department of Surgical, Oncological and Oral Sciences, University of Palermo, Via Del Vespro, 129, 90127, Palermo, Italy.

Background: Wound healing is a complex and dynamic process. Healing of acute and chronic wounds can be impaired by patient factors (that is, comorbidities) and/or wound factors (that is, infection). Regenerative medicine products, such as autologous/homologous platelet-rich plasma gel, may speed up the healing process. Read More

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February 2021

Esthetic improvement of a cutaneous sinus tract of odontogenic origin.

Pan Afr Med J 2020 30;37:204. Epub 2020 Oct 30.

Department of Oral Surgery, Consultation Center of Dental Treatment, Faculty of Dentistry, University Mohamed V, Rabat, Morocco.

A cutaneous sinus tract of dental origin is relatively uncommon and may easily be misdiagnosed because of its unusual occurrence and absence of dental symptoms. Extraoral drainage depends on the location of the affected tooth as well as on specific factors such as the virulence of the microorganism, resistance of the patient's body, and the relationship between anatomy and muscle facial attachments. Read More

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February 2021

Odontogenic infection and antiresorptive agent-related osteonecrosis of the jaw with facial subcutaneous abscess formation: A retrospective clinical study of difficult-to-diagnose cases.

Auris Nasus Larynx 2021 Aug 9;48(4):758-763. Epub 2021 Jan 9.

Department of Otolaryngology-Head and Neck Surgery, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo 181-8611, Japan.

Objective: The objective of this study was to analyze difficult-to-diagnose cases of odontogenic infection and antiresorptive agent-related osteonecrosis of the jaw (ARONJ) with facial subcutaneous abscesses by otolaryngologists.

Methods: The study was conducted in the department of otolaryngology of a university hospital. Seven patients exhibiting odontogenic infection and ARONJ with facial subcutaneous abscesses diagnosed at the department of otolaryngology in our hospital from January 2008 to December 2018 were included in the study. Read More

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Usefulness of advanced-platelet rich fibrin (A-PRF) and injectable-platelet rich fibrin (i-PRF) in the management of a massive medication-related osteonecrosis of the jaw (MRONJ): A 5-years follow-up case report.

Indian J Dent Res 2020 Sep-Oct;31(5):813-818

School of Dentistry, Department of Health Sciences, "Magna Græcia" University of Catanzaro, Italy.

Medication-related osteonecrosis of the jaw (MRONJ) is a recurring complication resulting from the long-term therapy with bisphosphonates or antiresorptive drugs such as denosumab or antiangiogenic drugs. This paper describes a 5-years follow-up case of Stage 3 of MRONJ (AAOMS) in a 69-year-old patient treated with piezosurgery and topical application of platelet-rich fibrin (PRF). Medical treatment included antibiotic therapy and a topical treatment with PRF in solid and liquid form. Read More

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January 2021

Multiple cutaneous fistula after titanium dental implant: A case report.

Clin Implant Dent Relat Res 2021 Apr 4;23(2):270-274. Epub 2021 Jan 4.

Department of Pathology, School of Medical Sciences, University of Campinas, Campinas, São Paulo, Brazil.

Background: Dental implants allow functional and aesthetic reestablishment. Titanium (Ti) implants emerge as the preferred choice because Ti is considered an inert material, highly resistant to corrosion. However, virtually no material can be considered universally biocompatible and this includes titanium. Read More

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Fasciocutaneous Flaps for Refractory Intermediate Stage Osteoradionecrosis of the Mandible-Is It Time for a Shift in Management?

J Oral Maxillofac Surg 2021 05 2;79(5):1156-1167. Epub 2020 Dec 2.

Professor, Interim Chair, Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, AL.

Purpose: Historically, free tissue transfer has been reserved for advanced stage osteoradionecrosis (ORN) of the jaw with pathologic fracture or cutaneous fistula. The purpose of this study was to evaluate if in patients with recalcitrant intermediate stage ORN, would mandibular debridement in combination with vascularized soft tissue coverage result in durable symptom and disease resolution.

Patients And Methods: A retrospective cohort study of patients with mandibular ORN was performed comparing a mandibular preserving approach with a fasciocutaneous forearm flap for progressive treatment-resistant intermediate stage ORN to mandibulectomy and vascularized bone flap (VBF) reconstruction for advanced stage ORN. Read More

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Peritoneal-cutaneous fistula successfully treated at home: A case report and literature review.

Open Med (Wars) 2020 14;15(1):1150-1152. Epub 2020 Nov 14.

Ewdomed Ewa Szulecka Foundation and Home Hospice, Konstancin-Jeziorna, Poland.

We present the first case of peritoneal-cutaneous fistula (PCF) within ovarian carcinoma neoplastic infiltrates located inside a large abdominal hernia in a home hospice patient with massive ascites. It is an instructive case featuring a rapid diagnosis and efficient treatment of the PCF at home. As the patient refused hospitalization, she had successful paracentesis performed at home. Read More

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November 2020

Masseter muscle flap for reconstruction of intra-oral defects in patients with early cancer of posterior-inferior parts of the oral cavity.

Braz J Otorhinolaryngol 2020 Nov 16. Epub 2020 Nov 16.

Kidwai Memorial Institue of Oncology, Department of Oral Oncology, Bengaluru, Karnataka, India.

Introduction: Early carcinomas of the oral cavity in the posterior-inferior regions poses a challenge for reconstruction due to the lack of muscle support underneath and the limited space available to use some of the frequently-used flaps.

Objective: This study was done to evaluate the efficacy of the superiorly based masseter muscle flap in reconstruction of intra-oral post- ablation defects in patients with early oral carcinoma of the posterior-inferior part of the oral cavity.

Materials And Methods: A superiorly based masseter muscle flap were used to reconstruct the post-surgical intra- oral defect in 60 patients with early squamous cell carcinoma (T<4cm) of the posterior-inferior part of the oral cavity. Read More

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November 2020

Complication analysis of three different designs of temporary mandibulotomy in tongue cancer treatment.

Head Neck 2020 Dec 1. Epub 2020 Dec 1.

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.

Background: Mandibulotomy helps access posterior oral cavity tumors. If osteotomy designs affect postoperative and postradiotherapy complications, needs to be tested clinically.

Methods: Two hundred and eighteen patients who underwent midline mandibulotomy for primary tongue cancer wide excision and flap reconstruction at Chang Gung Memorial Hospital during 2014-2019. Read More

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December 2020

Twelve-year experience in mandibular reconstruction using osteo-muscular dorsal scapular pedicled flaps.

J Plast Reconstr Aesthet Surg 2021 02 20;74(2):259-267. Epub 2020 Sep 20.

Assistance Publique - Hôpitaux de Paris, Service de Chirurgie Maxillo-faciale et Stomatologie, Hôpital Beaujon, Université de Paris, Paris, France.

Primary mandibular reconstruction after tumor removal or osteoradionecrosis treatment is a standard procedure. The most common reconstruction techniques are fibula, scapula, and iliac crest free flaps. Nevertheless, all patients are not eligible for microsurgery. Read More

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February 2021

Meta-analysis on the rate of pharyngocutaneous fistula in early oral feeding in laryngectomy patients.

Am J Otolaryngol 2021 Jan - Feb;42(1):102748. Epub 2020 Oct 2.

Prince of Wales Hospital Otolaryngology Head and Neck Research Group, Sydney, NSW, Australia; Department of Otolaryngology, Prince of Wales Hospital, Sydney, NSW 2031, Australia.

Background: Laryngectomy remains a common operation in head and neck units. The operation holds significant risk of post-operative morbidity including swallowing dysfunction. The most significant post-operative concern is the formation of a pharyngocutaneous fistula [PCF], the reported incidence of which is between 3% and 65%. Read More

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Congenital Orocutaneous Fistula Associated With Ectopic Salivary Glands and Submandibular Gland Aplasia.

Laryngoscope 2021 03 10;131(3):E998-E1001. Epub 2020 Jul 10.

Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford University, Palo Alto, California, U.S.A.

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Odontogenic Cutaneous Fistula: A Case in Aged Patient With Delayed Diagnosis.

J Craniofac Surg 2020 Oct 8. Epub 2020 Oct 8.

*Surgical Science Department, Division of Maxillofacial Surgery, Città della Salute e delle Scienze Hospital, University of Turin †Surgical Science Department, Division of Maxillofacial Surgery, Città della Salute e delle Scienze Hospital, Turin, Italy.

Odontogenic cutaneous fistula is a pathologic communication between the cutaneous surface of the face and the oral cavity and it is a rare entity frequently misdiagnosed.Therefore, the lesion may persist for a long period before the correct diagnosis is made and odontogenic source is treated appropriately. Delay in diagnosis adds to the chronicity of the lesion and if not diagnosed in times fistula can even leave deforming scars. Read More

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October 2020

Positive Effects of Local Botulinum Toxin Injection and Colchicine for Complicated Chronic Recurrent Parotitis: A Case Report.

J Oral Maxillofac Surg 2021 02 12;79(2):383-388. Epub 2020 Aug 12.

Hospital Practitioners, Department of Otolaryngology, Head Neck Surgery, Rothschild Hospital Foundation, Paris, France.

Chronic recurrent parotitis (CRP) is a rare affliction of unknown cause characterized by recurrent episodes of unilateral or bilateral nonobstructive and nonsuppurative inflammation of the parotid glands. Management of CRP is not standardized, and attempts at treatment often fail. We report a case of a 29-year-old female patient with CRP for 13 years, with recurrent acute episodes, complicated with a collection and cutaneous fistula, refractory to repeated courses of corticosteroids and antibiotics. Read More

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February 2021

Sialo-cutaneous fistula with ectopic submandibular gland sialolith, revealing a hidden ipsilateral enlarged and elongated styloid process: a consideration based on CT findings.

Oral Radiol 2021 04 9;37(2):336-344. Epub 2020 Sep 9.

Department of Oral and Maxillofacial Radiology, The Nippon Dental University, Tokyo, Japan.

Sialolithiasis is a common salivary pathology, and an uncommon complication of sialadenitis and sialolithiasis is the formation of fistulous tracts to other compartments. Submandibular gland sialo-oral fistulae are not particularly remarkable, given the location of the gland and Wharton's duct, but submandibular sialolith-associated fistulae to other cervico-facial compartments (transcervical sialo-cutaneous and sialo-pharyngeal fistulae) are much less common. We report herein an unusual case of a 49-year-old obese man with sialo-cutaneous fistula containing a large, ectopic sialolith in subcutaneous tissue that was expected to undergo spontaneous elimination, but revealed hidden Eagle syndrome featuring an ipsilateral enlarged, elongated styloid process. Read More

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Fibula free flap in maxillomandibular reconstruction. Factors related to osteosynthesis plates' complications.

J Craniomaxillofac Surg 2020 Oct 19;48(10):994-1003. Epub 2020 Aug 19.

Oral and Maxillofacial Surgery Service, Reina Sofía University Hospital, Córdoba, Spain.

The aim of this paper is to identify risk factors associated with the development of osteosynthesis plates' related complications in fibula free flap reconstructions. This is a case series study of consecutive fibula free flaps. Clinical and radiological variables were recorded. Read More

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October 2020

[Analysis of the effect of linear stapler closure pharyngeal after total laryngectomy].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020 Apr;34(4):329-333

Department of Otorhinolaryngology Head and Neck Surgery,the First Affiliated Hospital of Guangxi Medical University,Nanning,530021,China.

To compare the effect of closure of pharyngeal cavity with linear stapler and manual suture in total laryngectomy. A retrospective study was conducted on 32 patients who underwent total laryngectomy with linear stapler to close the pharyngeal from December 2014 to March 2019. Among them, 25 patients used closed technique and 7 patients used open technique. Read More

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Hepatic hydatid cyst presenting as a cutaneous fistula.

Turk J Emerg Med 2020 Jul-Sep;20(3):146-148. Epub 2020 Feb 26.

Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.

Hepatic hydatid cysts are usually asymptomatic. Nevertheless, they may rupture, causing anaphylactic shock or fistulation. Cutaneous fistulae caused by ruptured hepatic hydatid cysts are extremely rare. Read More

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February 2020

Non-surgical management of an extraoral cutaneous sinus tract of odontogenic origin.

BMJ Case Rep 2020 Jul 20;13(7). Epub 2020 Jul 20.

Department of Prosthodontics, Melaka Manipal Medical College, Bukit Baru, Melaka, Malaysia.

Chronic apical periodontitis associated with dental pulp necrosis is the main cause of odontogenic extraoral cutaneous sinus openings. These tracts are often initially misdiagnosed unless the treating clinician considers a dental aetiology. This case report of a 19-year-old woman describes the diagnosis and treatment of an extraoral cutaneous sinus tract of odontogenic origin. Read More

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2-Octyl cyanoacrylate to prevent salivary fistula formation following oral cavity microvascular reconstruction: A prospective trial.

Am J Otolaryngol 2020 Sep - Oct;41(5):102552. Epub 2020 May 28.

Department of Otolaryngology Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, NY, New York, USA.

Background: Salivary fistulas remain a significant problem in patients undergoing major head and neck reconstructive surgery. Surgical sealants have become increasingly used in cutaneous and non-cutaneous wound closure, providing a barrier to fluids/gases and promoting healing. The purpose of this study was to determine the efficacy of a common surgical sealant, 2-Octyl Cyanoacrylate (2-OCA, Dermabond®), in the prevention of salivary fistulas following free flap reconstruction of the oral cavity. Read More

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November 2020

Transcutaneous Lateral Alveolar Ostectomy for Standing Surgical Extraction of Mandibular First Molar in an 8-Year-Old Miniature Horse.

J Vet Dent 2020 Mar 5;37(1):29-34. Epub 2020 Jun 5.

Salem Valley Veterinary Clinic, Salem, CT, USA.

An 8-year-old, 125 kg (275 lb) female miniature horse was evaluated for a persistently thickened left mandible and cutaneous fistula. Pulp horn defects were identified in pulp horns 1 and 3 of tooth 309 and occlusal pulp exposure was detected with a dental explorer. Radiography of the left mandibular dental quadrant revealed changes consistent with apical infection of tooth 309. Read More

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Supraclavicular Artery Island Flap: Critical Appraisal and Comparison to Alternate Reconstruction.

Laryngoscope 2020 Jun 3. Epub 2020 Jun 3.

USC Caruso Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles, California, U.S.A.

Objectives/hypothesis: The supraclavicular artery island (SAI) flap may be a good option for selected head and neck reconstruction due to its reliability, ease of harvest, and favorable color match. The objective of this study was to examine the rates of complications for the SAI flap in head and neck oncologic reconstruction, with examination of risk factors and comparisons to alternative flaps often considered the gold-standard soft-tissue flaps for head and neck reconstruction: the pectoralis myocutaneous (PMC), radial forearm free flap (RFFF), and anterolateral thigh (ALT) flaps.

Study Design: Retrospective cohort study. Read More

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