鼻翼旁牙源性皮肤瘘管的临床分析  

Clinical analysis of paranasal odontogenic cutaneous fistula

作　　者：申学良 康晶[2] 梁鹏 武雅婷 李永春 张莹[4] 张宁[5] 刘铭 冯宁宇 文武林 马瑞霞 SHEN Xueliang;KANG Jing;LIANG Peng;WU Yating;LI Yongchun;ZHANG Ying;ZHANG Ning;LIU Ming;FENG Ningyu;WEN Wulin;MA Ruixia(Otorhinolaryngology Head and Neck Surgery,the First People’s Hospital of Yinchuan,Yinchuan 750001,China;Otorhinolaryngology Head and Neck Surgery,General Hospital of Ningxia Medical University,Yinchuan 750004,China;Ultrasonic Department,General Hospital of Ningxia Medical University,Yinchuan 750004,China;General Dentistry,General Hospital of Ningxia Medical University,Yinchuan 750004,China;Ningxia Medical University,Yinchuan 750004,China)

机构地区：[1]宁夏银川市第一人民医院耳鼻咽喉头颈外科,宁夏银川750001 [2]宁夏医科大学总医院耳鼻咽喉头颈外科,宁夏银川750004 [3]宁夏医科大学总医院超声科,宁夏银川750004 [4]宁夏医科大学总医院口腔综合科,宁夏银川750004 [5]宁夏医科大学,宁夏银川750004

出　　处：《宁夏医学杂志》2021年第12期1115-1117,共3页Ningxia Medical Journal

摘　　要：目的探讨鼻翼旁牙源性皮肤瘘管的临床特征、诊断方法和治疗策略。方法回顾分析诊治的6例确诊的鼻翼旁牙源性皮肤瘘管患者的临床症状、体征、治疗方案及随访等资料,总结归纳诊治经验。结果6例均行患牙治疗,3例拔除患牙,3例行根管治疗。6例患者中4例进行同期行瘘管切除治疗,2例进行治疗患牙后瘘管自行愈合。术后随访,均治愈,无复发,无并发症。结论鼻翼旁牙源性皮肤瘘管临床少见,容易误诊,好发于老年患者,患者牙部症状及体征隐匿,诊断需要详细追问病史及多学科合作。患牙治疗为首要任务,反复感染者可同期行瘘管切除。Objective To investigate the clinical features,diagnosis and treatment of paranasal odontogenic cutaneous fistula.Methods The clinical symptoms,signs,treatment plan and follow-up data of 6 patients with paranasal odontogenic skin fistula were retrospectively analyzed,and the diagnosis and treatment experience was summarized.Results all the 6 cases were treated with teeth.3 cases were extracted and 3 cases were treated with root canal therapy.In 6 patients,4 cases were treated with simultaneous fistulectomy,and 2 cases healed spontaneously after treatment.All patients were cured without recurrence and postoperative complications.Conclusion Paranasal odontogenic cutaneous fistula is rare and easy to be misdiagnosed.It often occurs in elderly patients.The symptoms and signs of the patients′teeth are hidden.The diagnosis requires detailed medical history and multidisciplinary cooperation.The primary task is the treatment of teeth,and the fistula can be removed simultaneously in the patients with recurrent infection.

关 键 词：瘘管 牙源性 诊断 

分 类 号：R782[医药卫生—口腔医学]