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Pott's Puffy Tumor: It's not a Tumor but it Can be Lethal (2 Cases Report)
Scholars journal of medical case reports, 2022
The Pott's puffy tumor has become an infrequent entity since the advent of antibiotic therapy. It is defined as a subperiosteal abscess arising from frontal bone osteomyelitis. We report two cases of PPT due to intreated frontal sinusitis and confirmed by computed tomography scan. Early surgery associated with long-term intravenous antibiotics is required to obtain a good recovery and prevent life-threatening intracranial complications.
Extensive Frontoparietal Abscess: Complication of Frontal Sinusitis (Pott’s Puffy Tumor)
Case Reports in Otolaryngology, 2014
First described in 1768, the Pott's puffy tumor is a subperiosteal abscess associated with frontal bone osteomyelitis, resulting from trauma or frontal sinusitis. The classic clinical presentation consists of purulent rhinorrhea, fever, headache, and frontal swelling. The diagnosis is confirmed by CT scan and treatment requires intravenous antibiotics, analgesia, and surgical intervention. Early diagnosis and aggressive medical and surgical approach are essential for a good outcome. It rare and the early diagnosis is important; we describe the case of a 14-year-old adolescent with Pott's puffy tumor who was initially treated inadequately, evolving with extensive frontoparietal abscess. The patient underwent surgical treatment with endoscopic endonasal and external approaches combined. Intravenous antibiotics were prescribed for a prolonged time, with good outcome and remission of the complaints.
Pott’s Puffy Tumor - Overview of case series
Jornal Memorial da Medicina, 2021
Pott’s puffy tumor (PPT) is rare and usually seen as a complication of frontal sinusitis that has been neglected or partially treated, resulting in subperiosteal abscess of the frontal bone with underlying osteomyelitis, which can lead to life-threatening intracranial complications, such as epidural/subdural empyema, cerebral abscess and meningitis. Given this, the purpose of the present study was to gather the most diverse cases reported together to highlight the main treatment methods. Methods: It is a narrative review, starting from the search in the database PubMed, Lilacs and Scielo from 2010 to 2020, which resulted in 34 scientific articles. The search focused on obtaining data on new approaches and treatments established for Pott’s puffy tumor. Results: 34 articles were included which described 58 patients with a swollen Pott tumor, occurring predominantly in male adolescents, with streptococci (26,1%) as the main etiologic agent. Approximately 84% of all patients were male s...
Pott ’ s Puffy Tumor-A Case Report and Brief Review of Literature
2019
Pott’s puffy tumour is a subperiosteal abscess with associated osteomyelitis arising from the frontal sinus. Aetiology for the same has been reported as post traumatic, sequelae to acute and chronic frontal sinusitis and even insect bites. However, in the post antibiotic era, the incidence of this condition has declined significantly. This condition has a high risk of intracranial complications such as abscess formation and meningitis if not recognised early and appropriately treated. Even though it is more common in the paediatric age group, there are few cases reported in the adult population as well [1]. In this article we report a case of Pott’s puffy tumour in a 30year old man and review the relevant literature regarding the best management principles.
Pott’s Puffy Tumor: An Uncommon Clinical Entity
Case Reports in Pediatrics, 2012
Although first described in 1760, Pott’s puffy tumor is a lesser known clinical entity. Often seen as a complication of frontal sinusitis, Pott’s is a frontal bone osteomyelitis with an associated subperiosteal abscess. Patients present with a fluctuant swelling of the scalp. The diagnosis is often confirmed with computed tomography (CT). Prompt surgical and medical treatments are the rule as there is the potential for significant morbidity if not quickly diagnosed and treated. Herein, we describe the presentation, diagnosis, and treatment of an 8-year-old female presenting with Pott’s puffy tumor.
Pott's puffy tumour: still not an eradicated entity
Childs Nervous System, 2001
Pott's puffy tumour is an infrequent entity characterised by one or more subperiosteal abscesses associated with frontal bone osteomyelitis. Although cases in patients of all ages have been reported, teenagers are the most frequently affected. Early diagnosis and aggressive treatment are essential because of the high risk of severe neurological complications, such as epidural abscess, subdural empyema, and secondary septic thrombosis of the dural sinuses. This paper describes the case of a patient with a subperiosteal abscess resulting from sinusitis, with orbital and intracranial extension, and subsequent neurological complications. Despite modern methods of diagnosis and treatment, 13 new cases have been published in the last 5 years; in at least 3 (23%) of these cases there were serious neurological complications. Upper respiratory infections and sinusitis are leading causes of visits to the emergency department in the paediatric age group; however, no risk factors for poor outcome have so far been identified in any of these patients.
Journal of Neurosurgery
The Pott puffy tumor is a subperiosteal abscess of the frontal bone that appears as a localized swelling of the overlying region of the forehead associated with frontal osteomyelitis. The authors report the case of an 11-year-old boy who presented with a 6-week history of frontal headaches and a recent sudden-onset, progressively enlarging swelling of his midline forehead associated with immediate relief of headaches. A computed tomography (CT) study revealed 1) a subperiosteal abscess with intracranial extension through the perforated posterior table of the frontal sinus and 2) a large epidural abscess overlying a compressed and narrowed superior sagittal sinus. Emergency surgical relief of the epidural abscess, curettage of the osteomyelitic bone, and excision of the periosteal granulomatous puffy lump were performed. A 6-week course of intravenous antibiotic medication was completed, and the patient had an excellent recovery. The Pott puffy tumor remains a serious complication of...
Pott′s puffy tumour: A case report
Annals of African Medicine, 2008
A 10-year-old girl presented with an episode of seizure following osteomyelitis of the frontal bone and subperiosteal abscess due to frontal sinusitis. CT scan confirmed osteomeyelitis of the frontal bone and subperiosteal abscess. At surgery, the subperiosteal abscess and contiguous subdural abscess was drained and sequestrectomy of the affected frontal bone done. Broad spectrum antibiotics and anticonvulsant were given for 4 weeks. The patient recovered without residual problems and has remained well at 5 years of follow up. Pott's puffy tumor is now relatively uncommon and associated seizure is unusual. Early diagnosis and prompt treatment is necessary to avoid severe neurological complications and sequelae.
Pott’s Puffy Tumor with Intracranial Extension in a Minimally Symptomatic Adolescent
European Journal of Surgery Case Reports
Pott’s puffy tumor is a non-neoplastic, Otolaryngological emergency. It is regarded as a rare clinical condition in the post-antibiotic era and a high index of suspicion is required for its diagnosis. The aetiology is multifactorial and includes sinusitis, infections, trauma, surgery, malignancy, substance abuse as well as contiguous spread along neurovascular bundles. These result in osteomyelitis and subperiosteal abscess formation within the frontal bone. Intracranial involvement can also occur and lead to serious complications. This is the case report of a 12-year old female who developed intermittent forehead swelling, headaches and pyrexia over a 2-week period. Radiological imaging identified changes consistent with a Pott’s puffy tumor complicated by an intracranial abscess. A combined open and endoscopic endonasal approach was used to drain the purulent collections and the patient was placed on antibiotics for a total of six weeks. The management of Pott’s puffy tumor will t...
Pott's puffy tumor on an exceptional clinical case: review of the literature
International Journal of Otorhinolaryngology and Head and Neck Surgery
Pott's tumor or Pott's puffy tumor or osteomyelitis of the frontal bone is a rare clinical presentation. It usually occurs as a complication of trauma to the frontal region, frontal sinusitis or by blood-borne spread, the infection can also spread inwards leading to an intracranial abscess. This is a 04-month-old, 7 kg infant with left frontal swelling with ipsilateral orbital extension. This swelling had been evolving for approximately 1 month. The computed tomography showed a hypodensity of liquid in the left fronto-orbital subcutaneous topography with an intense annular parietal enhancement in the arterial and late stages. Treatment consisted of surgical drainage under general anesthesia. We made the incision via the left pterional approach and undermining up to the frontal bone. From the pus about 40 cc then we proceeded to the debridement of necrotic tissues and curettage of the frontal bone which was lysed in places. The germ found was Burkhoderia pseudomallei gram-neg...