Honey as a wound dressing treatment for odontogenic cutaneous fistula resulted from mandibular abscess

Madu sebagai perawatan pembalut luka untuk fistula kutaneus odontogenik akibat abses mandibula

Abstract

Odontogenic cutaneus fistula (OCF) arises as a sequel of bacterial invasion of the tooth. Evidence from animal studies and se-veral trials suggests that honey has a potential role in the field of tissue engineering and regeneration. This article describes the management of OCF due to left mandibular abscess using honey as a wound dressing treatment. A 29-year-old woman was re-ferred to Hasanuddin University Dental and Oral Hospital for evaluation of a painful left facial swelling with spontaneous purulent drainage and limited mouth opening. The patient had a history of recurrent toothache since 10 days before. The patient was ad-mitted to the hospital and a tooth extraction was performed under local anaesthesia. The infected facial fistula was treated using honey as a wound dressing. After 12 weeks, tissue granulation and epithelisation were observed and the wound size was signi-ficantly reduced. It was concluded that the OCF management caused by mandibular abscess included observation and closed care, antibiotic therapy, surgical intervention, and honey as wound dressing.