Muzaffer DİNÇOL, Bülent YILMAZ, Handan ERSEV, Vildan MERT GÜNDÜZ, Burak ARSLANOĞLU, Turgut YALÇIN, Didem Ekiz, Raif ERİŞEN

Ağız Dışı Deri Fistüllerinin Cerrahi Olmayan Endodontik Tedavi ile İyileştirilmesi: Altı Olgu Bildirisi

Endodontik kaynaklı, ağız dışı fistül olguları, klinik yönden farklı birçok hastalıkla karıştırılabilir. Bu karmaşanın çözümü, doğru bir tedavi sunabilmenin tek şartı olan ayırıcı tanı ile çok yakından ilişkilidir; tanı basamağındaki hatalar, gereksiz birçok girişimin yapılmasına ya da lezyonun iyileştirilememesine neden olurlar. Dolayısıyla, boyun veya yüzde herhangi bir deri fistülü görüldüğünde, odontojenik kaynağın araştırılması çok önemli bir gerekliliktir. Bu kaynağın, sorgulanmaması ya da araştırılmaması, bu tip olguların tanısını daima zorlaştıracaktır. Doğru tanı konulduğunda ise, enfeksiyon kaynağının kolaylıkla ve başarılı bir şekilde yok edilmesi, kök kanalı tedavisi ya da ilgili dişin çekimiyle mümkündür.

Anahtar Kelimeler:

Fistül ağzı, endodontik tedavi, ağız dışı deri fistülü, cerahat

TREATMENT OF EXTRAORAL CUTANEOUS SINUS TRACTS WITH NON-SURGICAL ENDODONTIC INTERVENTION: REPORT OF SIX CASES

Clinically, extraoral sinus tracts of endodontic origin may be confused with a wide variety of diseases. Thus, the differential diagnosis of this clinical dilemma is of paramount importance in providing appropriate clinical care because misdiagnosis of this condition may result in healing failure or unnecessary treatments. For this reason, a dental cause must be considered for any cutaneous sinus tract involving the face or neck. Its diagnosis is not always easy unless the treating clinician considers the possibility of its dental origin. Once the correct diagnosis is made, definitive treatment, through either tooth extraction or root canal therapy to eliminate the source of infection, is simple and effective.

Keywords:

Sinus tract, endodontic treatment, extra-oral cutaneous fistula, pus,

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