Cantatore Julie L, Klein Peter A, Lieblich Lawrence M
Cutis. 2002 Nov;70(5):264-7.
Cutaneous sinus tracts of dental origin are often initially misdiagnosed and inappropriately treated because of their uncommon occurrence and the absence of symptoms in approximately half the individuals affected. Patients are often referred with a recurrent or chronic cyst, a furuncle, or an ulcer on the face or neck. Correct diagnosis is based on a high index of suspicion and on radiologic evidence of a periapical root infection. Appropriate treatment results in predictable and rapid healing of these lesions. We present a case report of this common misdiagnosis and a review of the literature with regard to diagnosis and treatment.
牙源性皮肤窦道通常最初会被误诊并接受不恰当的治疗，因为其发生率不高，且在约一半的患者中没有症状。患者常因面部或颈部反复出现的囊肿、疖或溃疡前来就诊。正确的诊断基于高度的怀疑指数以及根尖周感染的影像学证据。恰当的治疗可使这些病变得到可预测且快速的愈合。我们给出了这一常见误诊的病例报告，并对关于诊断和治疗的文献进行了综述。
