Garbarino R, Valente S, Barbieri M
Cattedra di Chirurgia Speciale Odontostomatologica, Università degli Studi, Genova.
Minerva Stomatol. 1995 Jun;44(6):319-23.
A 70-year-old male patient presenting with a cutaneous node of the genal region that was first diagnosed as basal cell carcinoma is described. Owing to the following observation, the authors were prompted to a diagnosis of cutaneous odontogenic sinusitis: a) examination of the lesion which emitted pus upon gentle squeezing; b) presence in the vestibular fornix of a large fibrous cord; c) the serious conditions of the mouth and the radiologic results of homolateral sinusitis. The importance of the sinusitis picture, and the necessity to completely remove all bacteria foci prior to surgery on the abdominal aorta the patient was scheduled to undergo, prompted the authors to avulse the cutaneous lesion with tooth extraction, after a "Caldwell-Luc" operation of the homolateral paranasal sinus. Full restitutio ad integrum was achieved.
本文描述了一位70岁男性患者，其颊部出现一个皮肤结节，最初被诊断为基底细胞癌。基于以下观察结果，作者做出了皮肤牙源性鼻窦炎的诊断：a) 对病变进行检查，轻轻挤压时会有脓液流出；b) 前庭穹窿处存在一条粗大的纤维索；c) 口腔的严重状况以及同侧鼻窦炎的放射学检查结果。鼻窦炎表现的重要性，以及在患者计划进行腹主动脉手术前彻底清除所有细菌病灶的必要性，促使作者在同侧鼻窦进行“柯陆氏”手术后，通过拔牙撕脱皮肤病变。最终实现了完全康复。
