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What causes a fistula? After an abscess has been drained, a passage may remain between the anal gland and the skin, resulting in a fistula. If the gland does not heal, there will be persistent drainage through this passage. If the outside opening of the fistula heals first, a recurrent abscess may develop.
â¢ Miscellaneous oro-cutaneous fistulas: this type of fistulas will connect the oral cavity with the face. It is very problematic because of the continual leakage of saliva from the oral cavity to the face. Malignancy, inflammation, and trauma (mostly piercings, stabs and gunshots wounds) are the most common causes. Treatment: This depends on the cause of the fistula and its location. Treatment options include: