Surg Cosmet Dermatol. 2026;18(2):1-5
Odontogenic cutaneous fistulas represent a tract between the oral cavity and the skin. They are manifestations of pulpal necrosis and chronic apical periodontitis, caused by caries, infections, or trauma. Cutaneous manifestations include nodules and cysts and may present with perilesional retraction. They pose a diagnostic challenge, as most patients do not report toothache. We report a case with delayed diagnosis due to lack of clinical suspicion where the patient underwent multiple treatments, including surgery, because of clinical resemblance to cutaneous neoplasia. The lesion resolved completely after dental treatment.
Keywords: Oral Fistula; Fistula; Carcinoma, Basal Cell
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