Haber Richard
Department of Pediatrics, McGill University, Montreal, Quebec, Canada.
Pediatrics. 2008 Jan;121(1):e203-7. doi: 10.1542/peds.2006-1940.
A 4-year-old girl presented to a medical clinic with a painless right facial swelling. The treating physician ordered a radiograph of the sinuses and received a report of "maxillary sinusitis." After appropriate antibiotic treatment, the facial swelling increased, and the mother took the child to her community pediatrician. After a period of observation and additional imaging, the diagnosis of dentigerous cyst was made. After appropriate surgical intervention, the cyst was removed, and over the ensuing 6 weeks the facial swelling gradually diminished. Dentigerous cysts, although uncommon, need to be considered in the differential diagnosis of children with painless facial swelling.
一名4岁女童因右侧面部无痛性肿胀前往一家诊所就诊。主治医生开具了鼻窦X光片检查，报告结果为“上颌窦炎”。经过适当的抗生素治疗后，面部肿胀加剧，于是母亲带孩子去看社区儿科医生。经过一段时间的观察和进一步的影像学检查，确诊为含牙囊肿。经过适当的手术干预，囊肿被切除，在接下来的6周内，面部肿胀逐渐消退。含牙囊肿虽然不常见，但在诊断无痛性面部肿胀的儿童时需要考虑到。
