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ISSN : 0376-4672
치성 피부 누공(odontogenic cutaneoussinus tract)은 두경부에서 치아 원인으로 인하여악골내에서 피부 밖으로 이어지는 누공을 따라 붓거나 배농이 생기는 질환이다. 흔한 질병은 아니지만,치의학, 피부과학을 포함한 의학적으로 명시되어 있는 질환이다. 피부 누공(cutaneous sinus tract)을 진단시 구강내 원인을 먼저 의심하지 않으면, 환자들은 보통 피부과나 이비인후과 등의 진료를 받는 경우가 많다. 그리고 해당 진료과에서도 치과적 원인을배제하고 진단을 하면 수술을 통한 절제, 생검, 항생제 복용, 냉동치료, 심지어는 방사선치료까지 시행하게 되는 경우도 있다. 일시적으로 sinus tract가 막히고 배농이 감소되기는 하지만, 곧 재발하게 되며,환자들은 이로 인한 고통을 받게 된다.
The cutaneous sinus tract is an uncommon disease. It is difficult to diagnose exactly of odontogenic cutaneous sinus tract for dentists or dermatologists except experienced clinicians or previously known clinicians. Many patients may be treated with repeated surgical excisions, biopsies, and antibiotic medications, but most of them could be frustrated with the recurrence of disease. There are several methods for diagnosis of odontogenic cutaneous sinus tract - such as GP cone tracing, conventional computed tomography(CT), periapical x-ray imaging, and cone beam computed tomography(CBCT). This case report describes the diagnosis and treatment of odontogenic cutaneous sinus tract that referred from medical doctors.
1. Cioffi GA, Terezhalmy GT, Parlette HL. Cutaneous sinus tract: an odontogenic etiology. J Am Acad Dermatol 1986;14:94-100
2. Mittal N, Gupta P. Management of extra oral sinus cases : a clinical dilemma. J Endodon 2004;30:541-547
3. Kaban LB. Draining skin lesions of dental orgin :the path of spread of chronic odontogenic infection. Plast Reconstr Surg 1980;66:711-717
4. Pasternak-Junior B, Teixeria CS, Silva-Sousa YTC &Sousa-Neto MD. Diagnosis and treatment of odontogenic cutaneous sinus tracts of endodontic origin : three cases studies. Int Endod J 2009;42:271-276
5. Chan CP, Chang SH, Huang CC, Wu SK, Huang SK. Cutaneous sinus tract caused by vertical root fracture. J Endodon. 1997;23:593-595
6. Goldstein BH, Sciubba JJ, Laskin DM. Actinomycosis of the maxilla : Review of literature and report of case. J Oral Surg 1972;30:362-366
7. Craig RM, Andrews JD, Wescott WB. Draining fistulas associated with an endodontically treated tooth. J Am Dent Assoc 1984;108:851-852
8. Elif Sogur, Hakan Sen, Guniz Baksi, Ali Mert. Prevalence of odontogenic sinus tracts in patients referred for endodontic therapy. Cumhuriyet Dent J 2013;16:282-288
9. Mortesen H, Winther JE, Birn H. Periapical granulomas and cysts. An investigation of 1600cases. Scand J Dent Res 1970;6:653-660
10. Gupta R, Hasselgren G. Prevalence of odontogenic sinus tract in patients referred for edodontic theraphy. J Endod 2003;29:798-800
11. Sadeghi S, Dibaei M. Prevalence of odontogenic sinus tracts in 728 endodontically treated teeth. Med Oral Pathol Oral Cir Bucal 2011;16:296-299
12. Slutzky-Goldberg I, Tsesis I, Slutzky H. Odontogenic sinus tracts : A cohort study. Quintessence Int 2009;40:13-18
13. Choi JU, Lee JK, Oh SE, Lee DW. Submandibular cutaneous sinus tract from mandibular osteomyelitis Korean J Otorhinolaryngol-Head Neck Surg 2009;52:549-551
14. Hodges TP, Cohen DA, Deck D. Odontogenic sinus tracts. Am Fam Physician 1989;40:113-116