Hanaki Shojiro, Katayama Shuichi, Watanabe Yoshihisa
Division of Pediatric Surgery, Department of General Surgery, Kurashiki Central Hospital, Kurashiki, JPN.
Cureus. 2023 May 17;15(5):e39156. doi: 10.7759/cureus.39156. eCollection 2023 May.
Odontogenic cutaneous sinus tract (OCST) is defined as pulp necrosis caused by dental caries or trauma that forms a fistula on the body surface as a drainage channel for the infected pulp. OCST can be difficult to diagnose because subjective symptoms, such as pain in the affected tooth, may be minimal. In addition, lesions in the cervical region are extremely rare. In this report, we discuss the case of a 10-year-old girl who presented with inflammation, edema, and purulent exudation on the right neck. Her symptoms resembled those of lateral cervical cysts and fistulas. However, upon evaluation, she was diagnosed with OCST. Although OCST is an important differential diagnosis for head and neck lesions, it is often overlooked. OCST should be considered in the differential diagnosis of neck masses and fistulas.
牙源性皮肤窦道(OCST)定义为由龋齿或外伤引起的牙髓坏死,在体表形成瘘管作为感染牙髓的引流通道。OCST可能难以诊断,因为诸如患牙疼痛等主观症状可能很轻微。此外,颈部区域的病变极为罕见。在本报告中,我们讨论了一名10岁女孩的病例,她右侧颈部出现炎症、水肿和脓性渗出物。她的症状类似于颈侧囊肿和瘘管。然而,经评估,她被诊断为OCST。尽管OCST是头颈部病变的重要鉴别诊断,但它经常被忽视。在颈部肿块和瘘管的鉴别诊断中应考虑OCST。