Altuğ UYSAL, Bahar SEZER, M. Cemal AKAY, Selda ERTÜRK

Odontogenic sinus tracts

Odontojen fistüiler baş ve boyun bölgesinde kronik direne olan nodülokistik papül'ün en yaygın sebebidir. Böyle olmasına rağmen, bu lezyonların teşhisindeki problemler devam etmektedir. İlgili bir klinisyen haftalar, aylar hatta yıllardır süren kronik potansiyel bir odontojen enfeksiyonu araştırmalıdır. Bu lezyonun odontojen kökenli fistül yolu olarak tanımlanması doğru bir teşhisin oluşturulmasında anahtar rol oynar. Teşhisteki hatalar, gereksiz cerrahi tedaviler ve biyopsiler, uzun süreli antibiyotik tedavisi ve hatta radyasyon tedavisi ile sonuçlanır. Bu makalede, yanlış teşhis ile tedavi yapılan üç odontojen fistül vakası sunulmuş ve tartışılmıştır.

Anahtar Kelimeler:

Fistül, Paranazal sinüsler

Odontojen fistüller

Odontogenic sinus tracts are the most common cause of a chronically draining, fixed, nodulocystic papule of the face and neck. These lesions however continue to be a diagnostic challenge. The attending clinician must look carefully for a potential odontogenic infection; chronicity, lasting for weeks, months, and even years and the recognition of the lesion as a sinus tract are keys to making the correct diagnosis. Diagnostic errors can result in multiple surgical excisions and biopsies, long-term antibiotic therapy, and even radiation therapy. In this article, three cases of odontogenic sinus tract, which were misdiagnosed and mistreated are presented and discussed.

Keywords:

Fistula, Paranasal Sinuses,

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