title: Nasal Sinus Tract of Odontogenic Origin: Report of a Case.
abstract: Extraoral sinus tract often poses a diagnostic challenge to the clinician owing to its rare occurrence and absence of symptoms. The accurate diagnosis and comprehensive management are inevitable as the aetiology of such lesions is often masked and requires holistic approach. The present case report encompasses the management of an extraoral discharging sinus tract at the base of the right nostril in a chronic smoker. The lesion which was earlier diagnosed to be of nonodontogenic origin persisted even after erratic treatment modalities. Our investigations showed the aetiology of sinus tract to be odontogenic. Initially, a five-step program as recommended by the Agency for Health Care Research and Quality was used for smoking cessation followed by root canal therapy (RCT) and surgical management of the sinus tract. The patient has been under stringent follow-up and no reoccurrence has been noted.
authors.affiliation: Department of Periodontology, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh 226003, India.
authors.forename: Sagar
authors.initials: S
authors.lastname: Sareen
authors.affiliation: Department of Periodontology, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh 226003, India.
authors.forename: Anjani Kumar
authors.initials: AK
authors.lastname: Pathak
authors.affiliation: Department of Periodontology, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh 226003, India.
authors.forename: Parth
authors.initials: P
authors.lastname: Purwar
authors.affiliation: Department of Periodontology, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh 226003, India.
authors.forename: Jaya
authors.initials: J
authors.lastname: Dixit
authors.affiliation: Department of Periodontology, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh 226003, India.
authors.forename: Divya
authors.initials: D
authors.lastname: Singhal
authors.affiliation: Department of Conservative Dentistry & Endodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh 226003, India.
authors.forename: Isha
authors.initials: I
authors.lastname: Sajjanhar
authors.affiliation: Department of Prosthodontics including Crown and Bridge, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh 226003, India.
authors.forename: Kopal
authors.initials: K
authors.lastname: Goel
authors.affiliation: Department of Periodontology, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh 226003, India.
authors.forename: Vaibhav Sheel
authors.initials: VS
authors.lastname: Gupta