Swales Karen Louise, Rudralingam Meenakshi, Gandhi Shan
Department of Child Dental Health, University of Manchester Dental Hospital, Manchester, UK.
Oral Medicine Department, University of Manchester Dental Hospital, Manchester, UK.
Int J Paediatr Dent. 2016 Sep;26(5):391-400. doi: 10.1111/ipd.12205. Epub 2015 Oct 22.
An extraoral sinus of odontogenic origin within the face and neck region is normally the consequence of long-standing chronic infection due to caries, trauma or periodontal infection. There is little reported literature on the prevalence of extraoral cutaneous sinus lesions in the paediatric dental patient as presentation is often delayed resulting in misdiagnosis and consequential mismanagement.
The cases discussed concentrate on the aetiology, history, presentation and diagnosis of extraoral sinus lesions that presented in children referred to the Child Dental Health Department at the University Dental Hospital of Manchester over a six-month period.
The importance of correct diagnosis and treatment management of an extra oral cutaneous sinus in the paediatric patient only occurred when the child attended a specialist led paediatric dental clinic for consultation.
面部和颈部区域源自牙源性的口外窦通常是龋齿、创伤或牙周感染导致的长期慢性感染的结果。关于儿科牙科患者口外皮肤窦病变的患病率,报道的文献很少,因为症状通常出现较晚,导致误诊和后续的不当治疗。
所讨论的病例集中于在六个月期间转诊至曼彻斯特大学牙科医院儿童牙科保健科的儿童中出现的口外窦病变的病因、病史、症状和诊断。
只有当儿童前往由专科医生主导的儿科牙科诊所进行咨询时,才凸显出对儿科患者口外皮肤窦进行正确诊断和治疗管理的重要性。