Usefulness of ultrasonography for rapidly diagnosing cutaneous sinus tracts of dental origin
Usefulness of ultrasonography for rapidly diagnosing cutaneous sinus tracts of dental origin
复制标题
DOI：
10.1684/ejd.2014.2441
复制
发表时间：
2014-12-01
影响因子：
2.5
通讯作者：
Asada, Hideo
中科院分区：
文献类型：
--
作者：
Shobatake, Chinatsu;Miyagawa, Fumi;Asada, Hideo
背景：源自牙齿的皮窦道经常被误诊和错误治疗。口内X线检查对于诊断此类管道很有价值。由于这些病变通常不伴有牙齿症状，患者最初倾向于咨询皮肤科医生或全科医生，他们对口腔疾病或口内X光不熟悉。目的：我们试图确定超声检查在检测牙源性皮肤窦道方面的有用性。材料和方法：根据临床和组织学检查结果，3名患有皮肤病变怀疑为皮肤窦道的患者纳入本研究。使用 B 型和彩色多普勒超声检查对皮肤病变进行整体成像，并评估皮下病变与任何牙槽骨缺陷之间的关联。结果：在每种情况下，超声检查均显示出源自皮肤病变并穿过皮下组织延伸至牙槽骨的低回声带。还观察到骨质流失，彩色多普勒超声检查检测到束周围区域的血流量增加。结论：在本研究中，使用超声检查可以快速检测患者的窦道，从而能够进行适当的治疗。因此，超声检查是诊断牙源性皮肤窦道的便捷工具。
Background: Cutaneous sinus tracts of dental origin are frequently misdiagnosed and incorrectly treated. Intraoral roentgenograms are valuable for diagnosing such tracts. Since these lesions are usually not accompanied by dental symptoms, patients tend initially to consult dermatologists or general physicians, who are not familiar with oral diseases or intraoral X-rays. Objectives: We sought to determine the usefulness of ultrasonography for detecting cutaneous sinus tracts of dental origin. Materials and methods: Three patients who had skin lesions that were suspected of being cutaneous sinus tracts based on the findings of clinical and histological examinations were enrolled in this study. B mode and color Doppler ultrasonography were used to image the skin lesions in their entirety and to assess the associations between the subcutaneous lesions and any alveolar bone defects. Results: In each case, ultrasonography depicted a hypoechoic band that originated from the cutaneous lesion and extended through the subcutaneous tissue to the alveolar bone. Bone loss was also observed, and color Doppler ultrasonography detected increased blood flow in the peripheral regions of the tracts. Conclusions: In the present study, the patients' sinus tracts were rapidly detected using ultrasonography, which enabled appropriate treatment. Thus, ultrasonography is a convenient tool for diagnosing cutaneous sinus tracts of dental origin.