Figaro Nicholas, Juman Solaiman
Department of Clinical Surgical Sciences, University of the West Indies, Eric Williams Medical Sciences Complex, Champs Fleur, Trinidad and Tobago.
Case Rep Med. 2018 Jun 11;2018:3710857. doi: 10.1155/2018/3710857. eCollection 2018.
Odontogenic cutaneous fistulas often lead to intense levels of patient discomfort and suffering. Due to its rarity and the absence of dental symptoms, a considerable number of patients are usually misdiagnosed which results in inappropriate management. This case report presents a 16-year-old patient with a 2-year history of a nonhealing, persistently discharging lesion in the left submandibular region of the neck. The patient underwent exploration of the left submandibular region, and a fistulous tract directed superomedially to the ipsilateral lower molar teeth was excised. A subsequent panoramic orthopantomogram performed one week postoperatively demonstrated radiolucency is the distal root of tooth 37. A final diagnosis of odontogenic cutaneous fistula was made, and the patient was referred to the Maxillofacial Department for treatment of the offending tooth.
牙源性皮肤瘘管常常导致患者出现强烈的不适和痛苦。由于其罕见性以及缺乏牙科症状，相当多的患者通常会被误诊，从而导致治疗不当。本病例报告介绍了一名16岁患者，其颈部左侧下颌下区域有一个持续不愈合、不断流脓的病变，病史长达2年。患者接受了左侧下颌下区域探查，切除了一条向上内侧通向同侧下颌磨牙的瘘管。术后一周进行的全景曲面断层片显示37号牙远中根有透射区。最终诊断为牙源性皮肤瘘管，患者被转诊至颌面科治疗患牙。
