一例牙源性鼻旁皮肤瘘及其文献复习  

A case of odontogenic paranasal cutaneous fistula and literature review

作　　者：张敏[1] 李慧珍 曾珍 谢艳[1] Zhang Min;Li Huizhen;Zeng Zhen;Xie Yan(Department of Otorhinolaryngology,Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu,610072,China)

机构地区：[1]成都中医药大学附属医院,四川成都610072

出　　处：《中国医学文摘（耳鼻咽喉科学）》2024年第1期200-202,F0003,共4页Chinese Medical Digest(Otorhinolaryngology)

基　　金：四川省科技厅项目(项目编号:2018SZ0400);四川省中管局科技研究专项(项目编号:2021MS382);成都中医药大学“杏林学者”学科人才科研提升计划(青年学者)(项目编号:QNXZ2019038)资助项目。

摘　　要：牙源性皮瘘主要由慢性根尖周炎发展而来,因病灶牙周围组织化脓后经面部皮肤排出而形成的通道。鼻旁牙源性皮瘘患者常因鼻旁皮损到耳鼻咽喉头颈外科就诊。由于缺乏典型的牙科疾病表现,大多数首诊医生意识不到面部皮肤的瘘道与牙齿疾病有关而易被误诊。为了避免误诊误治,现将本科1例鼻旁牙源性皮瘘临床资料介绍如下。Odontogenic paranasal cutaneous fistula mainly develops from chronic periapical inflammation,which is formed by the drainage of the facial skin after the purulent tissue around the lesion.Patients with odontogenic paranasal cutaneous fistula often first diagnosed in the Department of Otolaryngology Head and Neck Surgery because of the skin lesion close to nose.Owing to the lack of a typical manifestations of dental disease,most of the first attending physician unaware of facial skin fistula associated with dental disease and easily misdiagnosed。To avoid the misdiagnosis and mistreatment,here is the introduce of a typical clinical case of Odontogenic paranasal cutaneous fistula.

关 键 词：牙源性鼻旁皮肤瘘 慢性根尖周炎 

分 类 号：R78[医药卫生—口腔医学]