627 results match your criteria Oral Cutaneous Fistulas


Reconstruction of complex oro-mandibular defects by four different modifications of free fibula osteomyocutaneous flap: A prudent alternative to multiple flaps.

J Plast Reconstr Aesthet Surg 2022 Apr 29. Epub 2022 Apr 29.

Department of Surgical Oncology, Balco Medical Centre, Naya Raipur, Chhattisgarh (493661), India.

Introduction: Resection of advanced oral squamous cell carcinoma results in complex oro-mandibular defects involving external skin, oral mucosa, and bone. Reconstruction of such defects by a single free fibula flap (FFF) is limited by the lack of soft tissue bulk and adequate skin paddle for both intra- and extra-oral coverage. In this study, the reconstruction of large defects was achieved by four modifications of free fibula osteomyocutaneous flap as an alternative to multiple flaps. Read More

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A Combined Transoral and Contralateral Submandibular Approach in the Surgical Management of Osteoradionecrosis of the Mandible With Free Flap Reconstruction.

J Oral Maxillofac Surg 2022 May 16. Epub 2022 May 16.

Associate Professor, Department of Otolaryngology Head and Neck Surgery, Baylor College of Medicine, Houston, TX.

We describe a method for performing mandibular resection and vascularized tissue transfer via an intraoral and contralateral submandibular approach to minimize the risk of wound complications in a radiated field. Surgery on radiated tissue associated with osteoradionecrosis of the mandible can present with oral cutaneous fistulas, dense fibrotic skin, and altered tissue planes to make dissection through this tissue tedious and can place the marginal mandibular nerve at increased risk of injury. The use of custom plates allows surgeons to minimize incisions and depend less on anatomic/visual cues during surgery to obtain an accurate result. Read More

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Four atypical cases of misdiagnosed facial cutaneous sinuses of dental origin.

Minerva Dent Oral Sci 2022 Apr;71(2):89-95

Section of Dentistry, Department of Neurosciences, University of Padua, Padua, Italy.

Background: Odontogenic cutaneous sinus tracts are frequently misdiagnosed as cutaneous non-dental related pathologies, due to their lack of a typical morphology, their extraoral location, and the frequent absence of concomitant dental symptoms. An erroneous diagnosis may lead to long-lasting, invasive, and not resolutive surgical and medical treatments.

Methods: Four patients referred to our department lamenting the presence of a recurrent facial cutaneous sinus tract. Read More

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The Value of Three-Dimensional Modeling on Repositioning and Soft Tissue Filling in Microsurgical Reconstruction of Secondary Mandibular Defects: A Retrospective Study.

Cureus 2022 Feb 17;14(2):e22336. Epub 2022 Feb 17.

Oral and Maxillofacial Surgery, General Hospital "George Papanikolaou", Thessaloniki, GRC.

Purpose Secondary mandibular defect reconstruction is a challenging operation. It is performed rather rarely, as in most of the cases a primary reconstruction is preferable. Restoration of function and symmetry, in secondary reconstruction of mandibular defects, requires accurate repositioning of segments and appropriate soft tissue filling. Read More

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February 2022

Circumferential pharyngeal reconstruction after total laryngopharyngectomy: A systematic review and network meta-analysis.

Oral Oncol 2022 04 14;127:105809. Epub 2022 Mar 14.

Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20090 Pieve Emanuele - Milan, Italy; Otorhinolaryngology Unit, IRCCS Humanitas Research Hospital, Via Manzoni 56, 20089 Rozzano - Milan, Italy.

Objective: To compare the functional outcomes of different reconstructive techniques for circumferential pharyngeal reconstruction.

Methods: A comprehensive electronic search was performed on PubMed/MEDLINE, Cochrane Library, and Google Scholar databases. Retrospective and prospective studies were included. Read More

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Outcome Evaluation of Mandibular Pull-Through Approach for Glossectomies.

Indian J Surg Oncol 2021 Dec 19;12(4):722-728. Epub 2021 Aug 19.

Department of Surgical Oncology, Sri Aurobindo Institute of Medical Sciences, Indore, MP India.

Patients with advanced carcinoma tongue in the Indian subcontinent have an additional component of submucosal fibrosis (SMF) due to chewing of betel. We intend to evaluate  mandibular pull-through approach for total or near-total glossectomy and assessed its functional and survival outcome. Prospective study of 77 patients with carcinoma tongue, who underwent total or near-total glossectomy at our institute, were assessed retrospectively. Read More

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December 2021

The contralateral based Cervico-pectoral rotation flap for large neck defects.

Oral Maxillofac Surg 2021 Nov 21. Epub 2021 Nov 21.

Department of Surgical Oncology, Manipal Comprehensive Cancer Care Centre, Kasturba Medical College, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, 576401, India.

Purpose: We here describe our technique of contralateral based cervico-pectoral (CCP) flap for the reconstruction of large neck defect following resection of primary tumour or recurrence particularly due to the lymph node mass.

Methods: The study included the patients who underwent major head and neck surgical ablative procedures followed by CCP flap reconstruction between July 2020 and November 2020. Patients were kept on rigorous regular follow-up to evaluate for flap related complications like flap necrosis, flap dehiscence and oro-cutaneous fistula. Read More

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November 2021

Treatment of pouchitis, Crohn's disease, cuffitis, and other inflammatory disorders of the pouch: consensus guidelines from the International Ileal Pouch Consortium.

Lancet Gastroenterol Hepatol 2022 01 10;7(1):69-95. Epub 2021 Nov 10.

IBD Clinical Center, University Hospital Center Dr Dragiša Mišović, Belgrade, Serbia.

Pouchitis, Crohn's disease of the pouch, cuffitis, polyps, and extraintestinal manifestations of inflammatory bowel disease are common inflammatory disorders of the ileal pouch. Acute pouchitis is treated with oral antibiotics and chronic pouchitis often requires anti-inflammatory therapy, including the use of biologics. Aetiological factors for secondary pouchitis should be evaluated and managed accordingly. Read More

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January 2022

A Rare Case of Osteomyelitis Presenting as Cyst-Like Lesion in the Coronoid Process: A Diagnostic Challenge.

Cureus 2021 Oct 8;13(10):e18616. Epub 2021 Oct 8.

Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Chennai, IND.

Cyst-like lesion in the coronoid process of the mandible is a challenging diagnosis to make, as it may present with a range of non-specific symptoms. A middle-aged woman reported a one-year history of non-bloody, pus discharge from the right angle of the mandible. There was a history of prior surgery comprising teeth removal two years ago for a painful swelling on the right side of her face, following which her symptoms regressed but in the due course, she developed a chronic sinus with draining abscess. Read More

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October 2021

Orocutaneous Fistula After Oral Cavity Resection and Reconstruction: Systematic Review and Meta-Analysis.

Ann Otol Rhinol Laryngol 2021 Sep 23:34894211047463. Epub 2021 Sep 23.

Department of Otolaryngology-Head & Neck Surgery, University of Missouri, Columbia, MO, USA.

Objective: Orocutaneous fistula (OCF) after reconstruction for oral cavity resection can lead to prolonged hospitalization and adjuvant treatment delay. Few studies have examined factors leading to OCF after oral cavity resection. Primary objective: evaluate overall incidence and factors associated with OCF after oral cavity reconstruction. Read More

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September 2021

Gastro-cutaneous fistula treated with trionic (cell alginate activate packing).

J Surg Case Rep 2021 Aug 9;2021(8):rjab346. Epub 2021 Aug 9.

Faculty of Medicine, University of Prishtina "Hasan Prishtina", Prishtina, Kosovo.

Gastrocutaneous fistulae are traditionally treated with to parenteral nutrition or surgical management. We are presenting a case of a 56-year-old man who underwent a surgical closure of a gastrocutaneous fistula with a trionic (cell alginate activate packing). The fistula recurred on postoperative day 14, after the Bilroth II operation. Read More

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Regional pedicled flaps in prevention and repair of pharyngocutaneous fistulas.

Am J Otolaryngol 2021 Sep-Oct;42(5):103119. Epub 2021 Jun 18.

Department of Otolaryngology Head and Neck Surgery, Beijing TongRen Hospital, Capital Medical University, No.1 Dong Jiao MinXiang Street, Dongcheng District, Beijing City 100730, China.

Background: Pharyngocutaneous fistula (PCF) is a common complication after laryngopharyngeal surgery. It presents incredible difficulties to both doctors and patients and can lead to prolonged hospitalization.

Objective: To analyze the pros and cons of the pedicled skin flap in the prevention and repair of PCF and put forward the authors' views and experience about the selection and application of flaps for the treatment of PCF. Read More

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December 2021

Ectopic third mandibular molar: evaluation of surgical practices and meta-analysis.

Clin Oral Investig 2021 Aug 17;25(8):4781-4799. Epub 2021 Jun 17.

Oral and Maxillofacial Department, Estaing Hospital, CHU Clermont Ferrand, 1 Place Lucie Aubrac, 63003, Clermont Ferrand Cedex 1, France.

Objectives: To identify the preferred surgical approach (intra- or extra-oral) to remove an ectopic third mandibular molar (ETMM) according on its location and presence of an associated cyst or cutaneous fistula, and to determine the indications for a graft or osteosynthesis.

Materials And Methods: A surgical practice questionnaire was distributed to oral and maxillo-facial surgeons attending a National Congress of the French Society of Stomatology, Maxillo-facial and Oral Surgery. A systematic review of the literature and meta-analysis was carried on Pubmed, Cochrane, Embase and ScienceDirect databases using the MeSH terms: "Ectopic teeth", "Third molar", "Mandibular". Read More

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A comparative study on using superior thyroid artery perforator flaps versus traditional sternocleidomastoid myocutaneous flaps for reconstructions after oral cancer ablation: "New tricks for old dogs"?

Oral Oncol 2021 10 11;121:105374. Epub 2021 Jun 11.

Department of Oral Maxillofacial-Head Neck Oncology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China. Electronic address:

Objectives: To introduce new superior thyroid artery perforator flaps (STAPF), and to compare the clinical outcomes with sternocleidomastoid myocutaneous flaps (SCMMF) for their intraoral applications.

Materials And Methods: Between January 2013 and December 2020, forty-three oral cancer patients who received post-oncologic reconstructions with one of these two regional flaps were retrospectively collected. Their techniques and outcomes were compared. Read More

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October 2021

Major head and neck surgeries in the elderly population, a match-control study.

Eur J Surg Oncol 2021 08 8;47(8):1947-1952. Epub 2021 Jun 8.

Department of Otolaryngology, Head and Neck Surgery, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Background And Objectives: To investigate complication rates in elderly cancer patients undergoing major head and neck surgeries.

Methods: A retrospective, matched-control, analysis. For each elderly (≥70 years) patient, a younger, (<70 years) patients were matched based on sex, tumor location, disease stage, and operation time. Read More

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

Oral Oncol 2021 08 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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"Large skin fistula".

J Stomatol Oral Maxillofac Surg 2022 06 27;123(3):309-310. Epub 2021 Apr 27.

Department of Otorhinolaryngology, Bartın State Hospital, Bartın, Turkey.

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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 2022 04 26;36(4):2290-2299. 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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Letter re: Meta-analysis on the rate of pharyngocutaneous fistula in early oral feeding in laryngectomy patients.

Am J Otolaryngol 2021 Sep-Oct;42(5):103005. Epub 2021 Mar 24.

Liverpool Head and Neck Centre, Liverpool, UK.

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September 2021

[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

Early versus late oral feeding following total (pharyngo)laryngectomy: Systematic review and meta-analysis.

Head Neck 2021 04 4;43(4):1359-1368. Epub 2021 Feb 4.

Department of Otorhinolaryngology - Head and Neck Surgery, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.

Timing of oral feeding following total laryngectomy is a contentious issue with highly varied practices. Multiple database search was performed to identify studies comparing outcomes of early (≤5 days) versus late (>5 days) oral feeding. Bias assessment was carried out using Cochrane bias tool. Read More

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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