中国麻风皮肤病杂志 ›› 2021, Vol. 37 ›› Issue (5): 312-313.doi: 10.12144/zgmfskin202105312

• 病例报告 • 上一篇    下一篇

牙源性皮瘘一例

刘斌   

  1. 浙江省宁波市北仑区中医院皮肤科，宁波，315800
  • 出版日期:2021-05-15 发布日期:2021-04-29
  • 通讯作者: 刘斌，E-mail: a86727436@qq.com

Odontogenic cutaneous fistula: a case report

LIU Bin   

  1. Department of Dermatology, Beilun Chinese Medicine Hospital, Ningbo 315800, China 

  • Online:2021-05-15 Published:2021-04-29
  • Contact: LIU Bin, E-mail: a86727436@qq.com

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摘要： 患者，男，21岁。左侧鼻唇沟肉芽肿10个月，术后再发1周。皮肤科情况：左侧鼻唇沟见一约0.3 cm×0.4 cm红色肉芽肿，表面破溃湿润，质地柔软。牙齿X线片：左上侧切牙根尖周低密度影。彩超：皮下见条带状低回声区，往深处延伸，达牙根部该低回声带边界尚清，并可见骨损害。诊断：牙源性皮瘘。

关键词: 皮肤瘘管, 牙源性, 慢性根尖周炎, 超声

Abstract: A 21-year-old male presented with granuloma in the left nasolabial groove for 10 months, reappeared for 1 week after surgery. Physical examination showed a 0.3 cm×0.4 cm soft red granuloma in the left nasolabial groove with ulceration on the surface.Tooth X-ray: low density shadow around the apex of the left upper lateral incisor root. Color Doppler ultrasound: a strip of hypoechoic area extended to the root boundary of the tooth and bone damage was visibled. The diagnosis of odontogenic cutaneous fistula was made.

Key words: cutaneous fistulas, odontogenic, chronic periapical periodontitis, ultrasonic