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患者,男,29岁。右下颏部反复肿痛,皮肤流脓达20个月。自1993年9月,因咬啤酒并盖咯伤牙齿,2d后,右下颌肿痛,当时求治于中医外科,先贴膏药后又切开排脓,当时好转。2个月后又复发,如此反复贴膏药。吃中药治疗近2年。1995年6月19日来我科治疗,诊断:右下颌骨髓炎;牙源性面颏瘘。患者过去史家族史无特殊:一般情况良好;全身各项检查未见异常。口腔科检查:口外右下颏部有1.5cm×2.0cm大小的肿块,触之为凸凹不平增生的肉芽样组织,质地较硬,有空洞感,肿块中央区有破溃的瘘管口,四周围可见疤痕塌陷,探之有淡红咖啡腥腹臭液体流出,深达骨面有
Patient, male, 29 years old. Right lower chin repeatedly swelling and pain, skin flow pus up to 20 months. Since September 1993, after biting beer and covering his teeth, after 2 days, his right lower jaw was swollen and painful. At that time, he sought treatment in Chinese medicine surgery. 2 months later relapse, so repeatedly plaster. Chinese medicine treatment for nearly 2 years. June 19, 1995 to our department treatment, diagnosis: right mandibular osteomyelitis; odontogenic facial fistula. Past history of patients with no special family history: the general situation is good; the body no abnormalities in the inspection. Stomatological examination: There is a 1.5 cm × 2.0 cm lump in the right lower right chin of the mouth, which touches a rough, hyperplastic granulation tissue. The texture is hard and has a hollow feeling. The central area of the lump has ulcerated fistula mouth, surrounded by Can be seen scars collapse, explore the light pink coffee out of belly liquid outflow, as deep as bone surface