Azizlou Ellahe, Sobhani Mohsen Amin, Ghabraei Sholeh, Khoshkhounejad Mehrfam, Ghorbanzadeh Abdollah, Tahan Shima Saber
Department of Endodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Department of Endodontics, Dental School, AJA University of Medical Sciences, Tehran, Iran.
Front Dent. 2020 Nov 12;17:29. doi: 10.18502/fid.v17i29.4750. eCollection 2020.
Extraoral sinus tracts of odontogenic origin often develop as the result of misdiagnosis of persistent dental infections due to trauma, caries, or periodontal disease. Due to these lesions' imitation from cutaneous lesions, misdiagnosis, and mismanagement, which we frequently encounter, this article aims to describe four cases with manifestations in different parts of the face and the neck. Patients were referred to an endodontist with a history of several surgical procedures and/or antibiotic therapy due to misdiagnosis. After comprehensive examinations, root canal treatment was performed. The resolution of signs and symptoms during the follow-up period confirmed the correct diagnosis. Dermatologists and other physicians should be aware of the possibility of the relationship of extraoral sinus tracts with dental infections. Precise examination and taking a comprehensive history can aid to prevent unnecessary and incorrect therapeutic and/or pharmaceutical interventions. Elimination of dental infection leads to complete recovery in such patients.
牙源性口外窦道通常是由于创伤、龋齿或牙周病导致的持续性牙齿感染误诊所致。由于这些病变易与皮肤病变混淆，且我们经常遇到误诊和管理不当的情况，本文旨在描述4例面部和颈部不同部位有临床表现的病例。患者因误诊有多次外科手术和/或抗生素治疗史，被转诊至牙髓病医生处。经过全面检查后，进行了根管治疗。随访期间体征和症状的缓解证实了正确的诊断。皮肤科医生和其他医生应意识到口外窦道与牙齿感染相关的可能性。精确的检查和全面的病史采集有助于预防不必要和错误的治疗及/或药物干预。消除牙齿感染可使此类患者完全康复。
