Gupta Monika, Das Debdutta, Kapur Ravi, Sibal Nikhil
Oral and Maxillofacial Surgery, MM College of Dental Sciences and Research, Mullana, Ambala (Haryana), India.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011 Dec;112(6):e132-6. doi: 10.1016/j.tripleo.2011.05.037. Epub 2011 Aug 27.
A cutaneous draining sinus tract of dental origin is often a diagnostic challenge, because of its uncommon occurrence and absence of dental symptoms. Proper diagnosis, treatment, and the elimination of the source of infection are a must; otherwise, it can result in ineffective and inappropriate outcome of treatment. This article presents 4 cases of facial lesions misdiagnosed as being of nonodontogenic origin. The correct diagnosis in each case was cutaneous sinus tract secondary to pulpal necrosis, suppurative apical periodontitis, and osteomyelitis. In all cases, facial sinus tracts of dental origin were excised and the source of infection eliminated. The purpose of this paper is to provide diagnostic guidelines and examination protocols for differential diagnosis of cutaneous facial sinus tracts of dental origin.
牙源性皮肤引流窦道常常是一个诊断难题，因其发生率不高且无牙齿症状。正确的诊断、治疗以及消除感染源是必需的；否则，可能导致治疗效果不佳且不恰当。本文介绍了4例被误诊为非牙源性的面部病变病例。每例的正确诊断均为继发于牙髓坏死、化脓性根尖周炎和骨髓炎的皮肤窦道。在所有病例中，均切除了牙源性面部窦道并消除了感染源。本文的目的是提供牙源性面部皮肤窦道鉴别诊断的诊断指南和检查方案。
