Roche Elena, García-Melgares María L, Laguna Cecilia, Martín-González Blanca, Fortea José M
Hospital General Universitario, Valencia, España.
Actas Dermosifiliogr. 2006 Apr;97(3):203-5. doi: 10.1016/s0001-7310(06)73381-6.
Cutaneous fistulas and sinuses in the maxillofacial region secondary to osteomyelitis rarely appear in clinical practice. The most frequent cause of mandibular osteomyelitis is a dental infection, but it may also be hematogenic in origin. The diagnostic criteria for bacterial osteomyelitis are suppuration and osteolytic changes in the radiological study. The differential diagnosis of an ulcerative lesion in the mandibular area includes several pathologies, such as a fistula of dental origin, a reaction to a foreign body, a deep mycotic infection, a pyogenic granuloma or a congenital malformation.
继发于骨髓炎的颌面部皮肤瘘管和窦道在临床实践中很少出现。下颌骨骨髓炎最常见的病因是牙齿感染，但也可能源于血行感染。细菌性骨髓炎的诊断标准是影像学检查中有化脓和骨质溶解改变。下颌区域溃疡性病变的鉴别诊断包括多种病理情况，如牙源性瘘管、对异物的反应、深部真菌感染、化脓性肉芽肿或先天性畸形。
