Actinomycosis of the paranasal sinuses.
Actinomycosis of the paranasal sinuses.
复制标题
鼻旁窦放线菌病。
DOI：
10.1016/j.otoeng.2013.08.004
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
José Idelfonso Miranda Caravallo
中科院分区：
文献类型：
--
作者：
E. Legaza;Concha Cercera Oliver;José Idelfonso Miranda Caravallo
放线菌病是一种软组织特有的慢性化脓性肉芽肿性疾病。它由以色列放线菌（一种很难培养的革兰氏阳性厌氧菌）以及口腔（扁桃体隐窝、唾液和牙龈沟）和胃肠道的共生腐生菌产生；当颌面部外伤、龋齿、牙龈微伤和拔牙引起口咽粘膜糜烂时，它就成为病原体。 1, 2它呈现出多种临床解剖形式：骨型颈面部（50%），一般位于颌下或腮腺水平（在鼻窦中非常罕见）；以及其他，腹部骨盆（23%）和胸肺（17%）。 2 如今，这是一种不常见的病症。在过去 25 年中，其发病率大幅下降，这要归功于更好的牙齿卫生、水氟化以及最重要的是抗生素的普遍使用。最初通常不会被怀疑。事实上，文献中的大多数病例都是在手术后确诊的。
Actinomycosis is a chronic suppurating granulomatous disorder specific to soft tissue. It is produced by Actinomyces Israelii, gram positive anaerobic bacteria that are very difficult to culture, and a commensal saprophyte of the oral cavity (tonsillar crypts, saliva and gingival dental sulci) and the gastro-intestinal tract; it becomes a pathogen in the face of erosions of the oropharyngeal mucosa arising from maxillofacial trauma, dental caries, gingival micro-trauma and tooth extractions. 1, 2It presents various clinical---anatomical forms: bone-type cervicofacial (50%), generally located at the submandibular or parotid level (in the sinuses is very uncommon); and others, abdominal-pelvic (23%) and thoracopulmonary (17%). 2 It is an uncommon pathology these days. In the last 25 years, it has decreased considerably in incidence, which is attributed to better dental hygiene, to water fluoridation and, above all, to generalised use of antibiotics. It is not usually suspected initially. In fact, the majority of the cases in the literature were diagnosed after surgical