牙源性面部皮瘘系由慢性根尖周脓肿通向皮肤的病理性管道。临床表现为面部皮肤有瘘管溢脓,病程可长达数年或数十年。皮瘘虽起源于牙的感染,但可能无任何疼痛、肿胀等牙齿感染的症状,因此临床上容易被忽视而导致错误的诊断和治疗。本文结合24例牙源性面部皮瘘,探讨其临床特征、治疗方法及预防等问题。 Odontogenic facial fistula from chronic apical abscess leading to the pathological path of the skin. Clinical manifestations of fistula of the facial skin overflow pus, the course of up to several years or decades. Although the fistula originated from the infection of the tooth, it may not have any symptoms of tooth infection such as pain and swelling. Therefore, the fistula is easily overlooked and leads to wrong diagnosis and treatment. In this paper, 24 cases of odontogenic facial fistula to explore its clinical features, treatment and prevention and other issues.