Case Report: Management of Young Girl with an Odontogenic Cutaneous Fistula

Background: A persistent tooth infection may cause an odontogenic cutaneous fistula. Odontogenic cutaneous fistulas, which are frequently misdiagnosed and treated inadequately, may cause the formation of a fistula tract to facial skin. Surgical revision with fistulectomy becomes the suggested treatment when fistulous tracts fail to terminate. 

Case Presentation: A female 14-year-old patient complained of feeling embarrassed because about a wound on their left cheek that has existed since elementary school and is persistent and not healed. This case has been diagnosed as fistula of the orocutaneous regio submandibularis ec. chronic periodontitis apicalis with 36 gangren radiks embedded. A fistulectomy procedure with continuous subcutaneous suture method was chosen. The treatment results showed better wound closure and facial scar repair at the H+13 post-treatment control. 

Conclusion: Treatment planning for odontogenic cutaneous fistula correction might require a fistulectomy surgery. An examination and observation of the infection surrounding the face sinus tract is required for determining the diagnosis.