牙源性皮瘘病例报告及文献回顾  

Case report and literature review of dental original cutaneous sinus tract

作　　者：郭晓睿 常文悦 陆群 杨倩娟 白庆霞 刘朝娟 

机构地区：[1]第四军医大学口腔医院牙体牙髓病科.军事口腔医学国家重点实验室,西安710032

出　　处：《实用口腔医学杂志》2016年第1期48-52,共5页Journal of Practical Stomatology

摘　　要：目的:通过病例分析,总结牙源性皮瘘的年龄分布及患牙位,为临床诊断、治疗及疗效评价提供依据。方法:展示6例牙源性皮肤瘘管的术前和术后面部和口内照片、X线牙片,回顾以往报道的皮瘘病例60例,分析牙源性皮瘘的面部好发部位、及其对应的患牙位。结果:牙源性皮瘘主要好发在颊部、颏部、鼻旁和下颌下部4个部位,对应的患牙位分别是下颌第三磨牙、下颌切牙、上颌尖牙及下颌第一、第二磨牙,以下颌牙齿为主(71.2%);相对于鼻旁和下颌下部皮肤瘘管好发于中老患者,颊部、颏部皮肤瘘管好发于年轻患者。对慢性牙周炎病灶牙进行根管治疗,拔除无需治疗的病灶牙,牙源性皮瘘均可痊愈。结论:对病灶牙的正确治疗是治疗牙源性皮瘘的主要方法。Objective： To study the clinical characteristics of odontogenic cutaneous fistula. Methods： 6 cases of odontogenic cutane- ous fistula were represented and the reports of 60 cases of the lesion were reviewed. Results： The fistula was mainly located in cheek, chin, para-nasal part, sub-mandibular area and the lower border of the mandible, and respectively corresponding to mandibular third molar, mandibular incisor, maxillary canine, mandibular first and second molar, the corresponding teeth were mainly in mandible （71.2%）. In middle and old aged patients the lesion usually in para-nasal or mandible area, In younger patients the lesion mostly loca- ted in cheek or sub- mandibular area. After root canal therapy for the teeth with apical periodontitis or extraction of none- curable teeth, the odontogenie cutaneous sinus tract disappeared. Conclusion： Proper treatment of focal teeth can cure the odontogenic cutaneous fistulas.

关 键 词：面部皮肤瘘管 牙源性 鉴别诊断 

分 类 号：R781.3[医药卫生—口腔医学]