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齒源性皮膚瘦管—病例報告

Cutaneous Odontogenic Sinus Tract: Case Report

摘要


皮膚瘻管之感染源若是齒源性的如齲齒、牙周病與牙齒外傷等,在診断上是個挑戰。時常因為無正確的診断而延遲,導致一些不有效或不正確的治療。我們報告一齒源性皮膚瘻管之病例,其感染源診断是來自下顎門齒因外傷造成之牙冠断裂,經過正確有效的根管治療以及口外切開引流,感染的病灶很快地在一個月內消腫痊癒。早期正確的診斷與處置這些病灶,可幫助病人避免一些不必要的抗生素處置與手術。

關鍵字

皮膚瘻管 感染源 牙齒外傷

並列摘要


Cutaneous sinus tracts arising from dental infection such as dental caries, periodontal disease, and dental trauma are a diagnostic challenge. A delay in correct diagnosis can result in ineffective and inappropriate treatment. We report a case presenting a cutaneous odontogenic sinus tract to the chin. Dental infection origin was found from crown fracture of #41 resulting in pulp necrosis. Through effective endodontic treatment and extraoral incision and drainage, the lesion healed completely in a month. Early correct diagnosis and treatment of these lesions can help prevent unnecessary and ineffective antibiotic therapy or surgical treatment.

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