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García Harana, I. Fernández Canedo, M. de Troya Martín" "autores" => array:3 [ 0 => array:4 [ "nombre" => "C." "apellidos" => "García Harana" "email" => array:1 [ 0 => "cristina.garciaharana@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Fernández Canedo" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "de Troya Martín" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología, Hospital Costa del Sol, Marbella, Málaga, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Ecografía cutánea en el diagnóstico de fístula cutánea odontogénica" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 412 "Ancho" => 1255 "Tamanyo" => 53295 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 50-year-old woman with a metal maxillary prosthesis was admitted due to a skin-colored nodular lesion measuring 5<span class="elsevierStyleHsp" style=""></span>mm in diameter, located on the right cheek (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The lesion appeared 2 months earlier. We performed orthopantomography, which showed no abnormalities of interest. A skin biopsy revealed a mixed inflammatory infiltrate with no signs of malignancy. Skin ultrasonography (Esaote MyLab® 25Gold, 18<span class="elsevierStyleHsp" style=""></span>MHz) revealed a homogeneous, funnel-shaped, hypoechoic dermohypodermic lesion, with well-defined margins and touching the maxilla (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>b). Color Doppler imaging mode showed vascularization inside the lesion (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>c). The diagnosis of odontogenic cutaneous fistula was confirmed with magnetic resonance imaging.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Odontogenic cutaneous fistula frequently presents in the form of nodular lesions, often with purulent exudate, and are mostly located on the cheek or chin. Intraoral examination and orthopantomography are essential for diagnosing this condition. Nevertheless, ultrasonography can be useful for cases in which the diagnostic suspicion is high and radiography yields a false negative. In addition to its safety and accessibility, ultrasonography enables an instant diagnosis of a disease in which the core is found below the epidermis.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2018-08-07" "fechaAceptado" => "2018-08-21" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: García Harana C, Fernández Canedo I, de Troya Martín M. Ecografía cutánea en el diagnóstico de fístula cutánea odontogénica. Rev Clin Esp. 2019;219:516.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 412 "Ancho" => 1255 "Tamanyo" => 53295 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000021900000009/v3_201912041809/S2254887418301863/v3_201912041809/en/main.assets" "Apartado" => array:4 [ "identificador" => "71811" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Medicine in images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000021900000009/v3_201912041809/S2254887418301863/v3_201912041809/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418301863?idApp=WRCEE" ]
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Medicine in Images
Skin ultrasound in the diagnosis of odontogenic cutaneous fistula
Ecografía cutánea en el diagnóstico de fístula cutánea odontogénica
C. García Harana
, I. Fernández Canedo, M. de Troya Martín
Corresponding author
Servicio de Dermatología, Hospital Costa del Sol, Marbella, Málaga, Spain