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[牙源性皮肤瘘管:一项诊断挑战]

[Odontogenic cutaneous fistula: a diagnostic challenge].

作者信息

De Quintana-Sancho A, Piris-García X, Jauregui-Zabaleta M

机构信息

Hospital Universitario Araba..

出版信息

An Sist Sanit Navar. 2017 Dec 29;40(3):471-474. doi: 10.23938/ASSN.0040.

Abstract

UNLABELLED

Odontogenic cutaneous fistula (OCF) is the result of an abnormal canalization originating from chronic periapical infection. It represents a diagnostic challenge, as it is frequently misdiagnosed as dermatological lesion. There is a broad differential diagnosis, including pyogenic granuloma, cutaneous tuberculosis or congenital malformations, among others. We report the case of a 46-year-old man diagnosed with OCF who presented a rapid improvement after extraction of the affected dental pieces and fistulectomy. We consider knowledge of this pathology to be important in order to avoid unnecessary delays in diagnosis and proper treatment. Key words. Cutaneous fistula.

DIAGNOSIS

Orthopantomography.

摘要

未标注

牙源性皮肤瘘管(OCF)是慢性根尖周感染导致的异常管道化结果。它是一个诊断难题,因为它经常被误诊为皮肤病损。鉴别诊断范围广泛,包括化脓性肉芽肿、皮肤结核或先天性畸形等。我们报告一例46岁男性诊断为OCF的病例,该患者在拔除患牙并进行瘘管切除术后迅速好转。我们认为了解这种病理情况对于避免诊断和恰当治疗的不必要延误很重要。关键词:皮肤瘘管。

诊断

曲面体层摄影。

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