Scott M J, Scott M J
J Am Acad Dermatol. 1980 Jun;2(6):521-4. doi: 10.1016/s0190-9622(80)80155-1.
A case report and discussion of cutaneous odontogenic sinus tracts, frequently encountered but often misdiagnosed and mistreated, are presented. Awareness that periapical dental abscesses are the most common etiologic factor of cutaneous sinus tracts involving the face and neck will facilitate their early diagnosis and prevent needless treatment or anxiety for the patient. These lesions are often misinterpreted as chronic, resistant to therapy, pyogenic nodules, or granulomas. A high degree of suspicion is required for making the correct diagnosis, and dental roentgenographic studies should routinely be obtained in all such lesions. Permanent healing cannot be achieved unless the original site of infection is located and eradicated.
本文呈现了一例皮肤牙源性窦道的病例报告及讨论，该病症虽常见但常被误诊和误治。认识到根尖周牙脓肿是累及面颈部皮肤窦道最常见的病因，将有助于早期诊断，并避免患者接受不必要的治疗或产生焦虑。这些病变常被误解为慢性、治疗抵抗性的化脓性结节或肉芽肿。做出正确诊断需要高度怀疑，对于所有此类病变均应常规进行牙科X线检查。除非找到并根除感染的原发部位，否则无法实现永久性愈合。
