High-Resolution Ultrasound of Odontogenic Cutaneous Sinus Tract

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dc.contributor.authorCorvino, Antonio
dc.contributor.authorCatalano, Orlando
dc.contributor.authorWortsman, Ximena
dc.contributor.authorRoldan, Fernando Alfageme
dc.contributor.authorCavallieri, Fernanda
dc.contributor.authorGonzalez, Claudia
dc.contributor.authorTafuri, Domenico
dc.contributor.authorCorvino, Fabio
dc.contributor.authorCocco, Giulio
dc.contributor.authorCaruso, Martina
dc.date.accessioned2025-01-20T16:19:34Z
dc.date.available2025-01-20T16:19:34Z
dc.date.issued2024
dc.description.abstractObjectivesTo investigate the role of high-resolution ultrasound (HR-US) in the initial and differential diagnosis of the Odontogenic Cutaneous Sinus Tract (OCST) in a multicentric setting.MethodsSkin HR-US examinations of OCSTs performed between January 2019 and June 2023 at different Institutions were retrospectively reviewed. Epidemiological and clinical data (age, gender, location of the skin lesion, causative tooth, and the clinical suspicion) as well as HR-US imaging findings (morphology and length of the sinus tract, Doppler signal, and cortical bone interruption of maxilla or mandible) were collected. US examinations were performed by expert radiologists using a high-performance US scanner, employing a high-frequency linear probe (15 MHz or higher frequencies). In only one patient the HR-US exam was integrated with strain elastography (SE).ResultsSixteen patients were enrolled with a median age of 37.6 years (range 16-70 years). The most frequent clinical suspicion was epidermal cyst, while OCST was suspected in only two cases. In all cases, HR-US depicted the sinus tract as a nodular, triangular or "champignon-shaped" lesion in the subcutaneous layer, which continued with a slightly tortuous band structure, up to the focally interrupted cortical bone plate. Furthermore, color Doppler evaluation showed color signals around and/or within the lesion, expression of inflammation. On SE, the sinus tract showed a hard pattern, due to fibrous and granulomatous tissue.ConclusionsHR-US, thanks to its high spatial resolution, allows the evaluation of OCST, and play a crucial diagnostic role, mainly when the clinical suspicious is different.
dc.fuente.origenWOS
dc.identifier.doi10.1002/jum.16471
dc.identifier.eissn1550-9613
dc.identifier.issn0278-4297
dc.identifier.urihttps://doi.org/10.1002/jum.16471
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/90696
dc.identifier.wosidWOS:001214145500001
dc.issue.numero8
dc.language.isoen
dc.pagina.final1499
dc.pagina.inicio1489
dc.revistaJournal of ultrasound in medicine
dc.rightsacceso restringido
dc.subjectextra-oral sinus tract
dc.subjecthigh-resolution ultrasound
dc.subjectmaxilla-facial lesion
dc.subjectskin
dc.subjectsoft tissues
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleHigh-Resolution Ultrasound of Odontogenic Cutaneous Sinus Tract
dc.typeartículo
dc.volumen43
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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