Skull Base Sphenoid Bone: A Potential Route of Brain Abscesses Induced by Odontogenic Infection
Skull Base Sphenoid Bone: A Potential Route of Brain Abscesses Induced by Odontogenic Infection
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颅底蝶骨：牙源性感染引起脑脓肿的潜在途径
DOI：
10.1097/scs.0000000000006861
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发表时间：
2021-01-01
影响因子：
0.9
通讯作者：
Wang, Huiming
中科院分区：
文献类型：
--
作者：
Lou, Yiting;Feng, Bin;Wang, Huiming
牙源性病灶很少与脑脓肿相关。缺乏有效的方法来匹配致病源与感染可能导致患者的医疗反应延迟。我们报告一位53岁的男性，脑部肿瘤可能是由牙源性病灶所引起。影像学检查清楚显示下颌左第二磨牙牙周炎及蝶大翼破坏。因此，通过咀嚼肌间隙延伸的可能途径进行了指示。对于潜在牙源性病变引起的颌面间隙早期感染，口腔外科医生应清除潜在牙源性病灶，并使用计算机断层成像确定口腔周围（如颅骨）是否存在骨质破坏，以防止进一步的骨缺损并发症，如脑脓肿。
Odontogenic foci are rarely linked with brain abscesses. The lack of an effective approach to match the causative origin with the infection can lead to late medical response of patients. Here we present a case of a 53-year-old man with brain abscesses that was probably caused by odontogenic foci. The imaging examinations clearly showed the periodontitis of mandibular left second molar and the destruction of greater sphenoid wing. Therefore, possible routes of extension through masticator space abscesses were indicated. For early infection of the maxillofacial space caused by potential odontogenic lesions, oral surgeons should eliminate the potentially odontogenic foci and use computerized tomography imaging to determine the existence of bone destruction around the oral cavity such as the skull to prevent further bone defect complications such as brain abscesses.