Karp M P, Bernat J E, Cooney D R, Jewett T C
J Pediatr Surg. 1982 Oct;17(5):532-6. doi: 10.1016/s0022-3468(82)80103-6.
Three female patients ages 16, 16, and 12, and an 8-yr-old male presented with neck pathology/2 with abscesses, 1 with a submandibular mass and 1 with a spontaneously draining abscess. In 2 instances, routine oral cavity examinations including percussion of the teeth, failed to reveal significant pathology. A detailed examination by a dentist, intraoral roentgenograms, and in the first child a sinogram, identified the etiology of the lesions as periapical infections. Review of the literature reveals that these patients characteristically receive multiple surgical procedures and courses of antibiotics prior to the recognition of intra-oral disease. Extraction, or root canal, is the definitive therapy that leads to involution of the sinus tract. These four typical cases are reported to illustrate the presentation and pathogenesis of this disease entity, and the importance of an adequate dental examination prior to surgery for a draining sinus of the neck.
三名年龄分别为16岁、16岁和12岁的女性患者，以及一名8岁男性，因颈部病变/2例伴有脓肿、1例伴有下颌下肿块、1例伴有自发引流性脓肿前来就诊。在2例中，包括牙齿叩诊在内的常规口腔检查未能发现明显病变。经牙医详细检查、口腔内X线片检查，以及对第一个孩子进行的窦道造影检查，确定病变病因是根尖感染。文献回顾显示，这些患者在认识到口腔疾病之前通常会接受多次外科手术和抗生素疗程。拔牙或根管治疗是导致窦道消退的确定性治疗方法。报告这四个典型病例是为了说明这种疾病实体的表现和发病机制，以及在对颈部引流性窦道进行手术前进行充分口腔检查的重要性。
