齒源性瘻管之臨床研究－初報

Sinus Tracts of Dental Origin – A Clinical Study Part I

黃自釗(Tzyh-Jau Huang) ； 阮榮泰(Rong-Tai Roan) ； 林秀聰(Hsiu-Tsong Lin)

《The Kaohsiung Journal of Medical Sciences》 6卷12期 (1990/12) Pp. 653-660

https://doi.org/10.6452/KJMS.199012.0653

摘要

口腔黏膜及顏面之慢性、化膿性瘻管，常因齒性病源造成。為了評估國內牙科病人齒源性瘻管的發生率及齒源性瘻管在性別、年齡、開口部位和病源齒分佈之差異性，本研究以高雄醫學院附設醫院牙齒保存科的齒內治療病人共678顆根尖有病灶的牙齒為對象，結果發現：總計86顆牙齒產生齒源性瘻管，佔12.7 %；其中男性有47顆，佔男性總牙齒數之16.3 % ( 47 / 288 )；女性有39顆，佔女性總牙齒數之10.0 % ( 39 / 390）。在這些廖管中，70個是開口於牙齒的顏面側，2 個是開口於牙齒的顎側，4個是開口於牙齒的舌側，2個同時閉口於牙齒的顏面側及舌側，1個開口於牙齒的遠心側，7個開口於口腔外之顏面上。齒源性瘻管較常見於下顎牙齒，就年齡而言以21一30歲之年齡群最常見，佔39.5 % ( 34 / 86 )；牙齒根尖病灶大於５ｍｍ 者，較易出現齒源性瘻管。

並列摘要

Chronic draining sinus tracts on the oral mucosa or the skin of the face frequently have dental pathosis. The purpose of this study was to investigate the incidence and the distribution of age, sex, opening, and tooth position of sinus tract cases with dental origin. A total of 678 teeth requiring endodontic treatment and having periapical pathosis at the Department of Conservative Dentistry, Kaohsiung Medical College Hospital, were studied. There were 86 (12.7%) teeth associated with sinus tracts, among these 47(16.3%, 47/288) were from males and 39 (10.0%, 39/
390) were from females. Of the openings of the sinus tracts, 70 were on the facial, 2 were on the palatal, 1 was on the distal, 4 were on the lingual, 2 were on both facial and lingual surfaces of teeth, and 7 were extraorally. The sinus tracts occurred more frequently in the mandibular than maxillary teeth. The maximum number of 34 cases (39.5%, 34/86) were from the 21¡X30 years of age group. In ad dition, we also found that the teeth with periapical lesions of larger than 5 mm in diameter are more frequently associated with sinus tracts than those teeth with lesions of smaller than 5 mm in diameter.

並列關鍵字

sinus tract ； dental fistola