CAJ | 학술논문

目的：探讨颌面部牙源性皮瘘的诊治方法。方法回顾性分析1例牙源性颈前部皮瘘患者误诊的临床资料。结果颈前部皮瘘由牙源性慢性感染所致，主要为相应部位的慢性根尖周炎引起，对病原牙拔除及瘘道切除，治疗后皮瘘痊愈，随访至今未见复发。结论颌面部皮瘘需临床医生高度警惕牙源性感染，及时鉴别诊断和明确病因予以相关治疗，从而避免误诊误治。
목적：탐토합면부아원성피루적진치방법。방법회고성분석1례아원성경전부피루환자오진적림상자료。결과경전부피루유아원성만성감염소치，주요위상응부위적만성근첨주염인기，대병원아발제급루도절제，치료후피루전유，수방지금미견복발。결론합면부피루수림상의생고도경척아원성감염，급시감별진단화명학병인여이상관치료，종이피면오진오치。
Objective To improve the dentist's understanding on odontogenic fistula of skin in the maxillofacial region. Method A case of misdiagnosed odontogenic fistula on a patient's anterior neck skin was retrospectively analysed. Results The anterior cervical cutaneous fistula was caused by chronic odontogenic infection, mainly for the corresponding parts' chronic periapical periodontitis. After the pathogenic tooth extraction and fistula curettage treatment, the cutaneous fistula was healed without recurrence during the follow up. Conclusion Clinicians should maintain sharp vigilance on odontogenic infection on the case of maxillofacial cutaneous fistula and determine the etiology to avoid misdiagnosis and mistreatment.