P054 : Paranasal cutaneous sinus tract of dental origin from the upper tooth

최초 등록일
2019.12.17
최종 저작일
2019.12
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판매자한국학술정보(주)
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서지정보

발행기관 : 대한피부과학회 수록지정보 : 프로그램북(구 초록집) / 71권 / 1호
저자명 : ( Kyung Muk Jeong ) , ( Anna Kim ) , ( Yoo Sang Baek ) , ( Hae Jun Song ) , ( Jiehyun Jeon )

영어 초록

A cutaneous sinus tract of dental origin is the most common type of cutaneous fistula that occurs on the face. It is a syndrome rather than a disease entity and is composed of a periapical abscess, sinus tract and granulomatous skin change at the opening of the tract. But the disease is often misidentified as a simple “skin-only” problem because of unawareness of this disease entity and the general absence of dental symptoms. Early correct diagnosis and appropriate dental treatment can prevent unnecessary and ineffective antibiotic therapy or surgical procedure. A 66-year-old woman presented the clinic with an erythematous rubbery nodule on the left side of the paranasal area adjacent to alar without any symptom. Histopathologic examination was done to rule out possible tumorous condition and revealed granulomatous inflammation with abscess formation. Computed tomography (CT) was performed to evaluate the relationships of the abscess to internal structures. CT showed a periapical abscess of tooth #23. We diagnosed it as a cutaneous sinus tract of dental origin and referred the patient to her dentist for treatment. Midface cutaneous sinus tract of dental origin is rare, and it is easy to miss the diagnosis at the first visit. When encountered with a paranasal nodule, dermatologists should consider the cutaneous sinus tract of dental origin as a differential diagnosis.

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P054 : Paranasal cutaneous sinus tract of dental origin from the upper tooth