Buch R S R, Fischer B, Kleis W K G, Reichert T E
Klinik und Poliklinik fur Mund-, Kiefer- und Gesichtschirurgie, Klinikum der Johannes-Gutenberg-Universitat, Mainz.
Chirurg. 2003 Aug;74(8):757-61. doi: 10.1007/s00104-003-0678-7.
Dentogenous inflammatory diseases can lead to typical dermatological facial symptoms with formation of cutaneous sinuses. Partsch's chronic granulomatous inflammation can result from conducted inflammation of a nonvital tooth via a chronic apical inflammation. In this rare disease, the granulomatous tissue perforates the bone, channels through the overlying skin, and drains via cutaneous or oral sinuses. A frequent localization of the cutaneous sinus is the skin inferior to the body of the mandible, and it is caused by an inflammation of the lower molars. Treatment consists of identifying the responsible teeth and eliminating the focus of infection. Chronically progressive periradicular granuloma and/or radicular cysts can be present with impressive dermatological symptoms. Therefore, X-ray examinations are necessary to exclude possible dentogenic causes in cases of badly healing processes of the face or neck.
牙源性炎症性疾病可导致典型的面部皮肤症状并形成皮肤窦道。帕尔奇慢性肉芽肿性炎症可由非活髓牙经慢性根尖周炎引发的炎症传导所致。在这种罕见疾病中，肉芽肿组织穿透骨质，穿过覆盖的皮肤，并通过皮肤或口腔窦道引流。皮肤窦道常见的定位在下颌体下方的皮肤，由下颌磨牙的炎症引起。治疗包括确定责任牙并消除感染灶。慢性进行性根尖周肉芽肿和/或根周囊肿可能伴有明显的皮肤症状。因此，在面部或颈部愈合不良的病例中，有必要进行X线检查以排除可能的牙源性病因。
