Pott's puffy tumor: rare complication of sinusitis

Costa, L.; Leal, Laurentino Mendes; Vales, Fernando; Santos, Margarida

doi:10.1016/j.bjorl.2016.08.005

Cited by 13 publications

(14 citation statements)

References 9 publications

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“…Most of the articles were either case series or case reports. The characteristics of the included studies are summarized in Table …”

Section: Resultsmentioning

confidence: 99%

“…The spread of the infection may occur either directly through the sinus walls or through venous dissemination (by means of retrograde thrombophlebitis). Direct extension is possible in three directions: through posterior wall causing intracranial pathology, through the anterior wall resulting in subperiosteal abscess, and/or through the inferior wall with orbital complications . The second mode of transmission is associated with the diploic veins that drain the mucosa of frontal sinuses.…”

Section: Discussionmentioning

confidence: 99%

“…PPT can be a very dangerous complication, as it can lead to life‐threatening intracranial complications such as meningitis and epidural, subdural, and brain abscess . The spread of the infection can occur either directly by erosion of the walls of the frontal sinus or by migration of septic thrombi through the diploic veins to the dura …”

Section: Introductionmentioning

confidence: 99%

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Pott's puffy tumor in children: A review of the literature

2018

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Objectives: Pott's puffy tumor (PTT) is a frontal subperiosteal abscess associated with underlying frontal osteomyelitis. The purpose of the present study was to assess the rate of intracranial involvement in pediatric and adolescent patients with PPT and to discuss the diagnostic workup and the therapeutic features of this pathology.Methods: We searched Web of Science, PubMed and MEDLINE from 1998 to 2018. The search focused on papers concerning the diagnostic procedure and therapeutic management of PTT. Statistical techniques were not used.Results: We included 53 articles that described 92 pediatric and adolescent patients with PPT. The overall rate of intracranial complications was found to be 72%. Most authors used computed tomography for the diagnosis of PTT and its complications, either alone or in combination with magnetic resonance imaging. In 50% of cases, an endoscopic endonasal approach is used for the management of the underlying acute or chronic sinusitis.Conclusions: On the basis of the available literature, it seems that the incidence rate of intracranial involvement in patients with PPT is quite high. Early diagnosis using the appropriate imaging raise the possibility of good recovery. Concerning the therapy of PTT, endoscopic sinus surgery could be considered as a valuable technique. The vast majority of patients treated appropriately recover without long-term neurologic complications and sequelae.

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“…Most of the articles were either case series or case reports. The characteristics of the included studies are summarized in Table …”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Pott's puffy tumor in children: A review of the literature

2018

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“…The most frequent bacterial agents involved are Staphylococcus aureus, Streptococcus spp, and anaerobes [18][19][20]. In this case, reddish pus was collected from the lesion, and its cultural evaluation confirmed Klebsiella oxytoca infection.…”

Section: Discussionmentioning

confidence: 93%

Lethal complication in Pott's Puffy tumor: A case report

Hyodoh

Matoba

Murakami

et al. 2018

Journal of Forensic Radiology and Imaging

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A man in his fifties was found dead in his bed. Using postmortem CT, the frontal sinus wall was seen to have been destroyed and a subcutaneous / intra-cranial mass-like lesion was detected. Postmortem blood biochemical examination demonstrated high values of urea nitrogen, c-reactive protein, procalcitonin, and precepsin, which were thought to be due to sepsis. Needle aspiration showed reddish viscous fluid, and the presence of Klebsiella oxytoca was confirmed by culture inspection. Based on these results, Pott's puffy tumor with intracranial empyema, and dehydration with sepsis in the agonal period was assessed as the cause of death. Using autopsy evaluation, it was possible to come to a concrete conclusion, but a minimally invasive autopsy might be an alternative approach to investigate the cause of death.

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“…An older patient population would be less likely to form FSO or associated complications without predisposing factors such as immunocompromise, trauma, or prior surgery. 24 , 25…”

Section: Discussionmentioning

confidence: 99%

Treatment of Frontal Sinus Osteomyelitis in the Age of Endoscopy

Thompson

Tilak

Miller

et al. 2020

Am J Rhinol�Allergy

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Objective Frontal sinus osteomyelitis is a severe complication which can result from chronic rhinosinusitis, trauma, or as a complication of reconstruction or obliteration of the frontal sinus. The objective of the current study is to evaluate the contemporary management of frontal sinus osteomyelitis in light of recent advancements in endoscopic surgical techniques. Methods Review of a prospectively collected database of patients with frontal sinus pathology was performed from 2008–2020. Data from individuals with frontal sinus osteomyelitis was collected including demographics, etiology, surgical technique, adjunctive medical treatments, complications, and clinical follow up. Results Sixteen patients (average age 48.3, range 8–84) were included in the study. An open approach was utilized in 6 patients (2 osteoplastic flaps, 3 Reidel procedures, 1 cranialization). Seven patients underwent completely endoscopic approaches (3 Draf IIB, 4 Draf III), while 3 individuals had combined procedures (Lynch with Draf III, osteoplastic flap + Draf III, fistula excision + Draf IIb). All patients received 6 weeks of antibiotics. Average clinical follow up was 24.4 months with no patients requiring revision procedures. Conclusion Endoscopic, endoscopic-assisted, and open approaches were utilized successfully in the current series of patients with osteomyelitis of the anterior table of the frontal sinus. While the progression of endoscopic techniques allows an additional surgical treatment option, it is important to select patients appropriately as open procedures continue to have an important role in the treatment algorithm.

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Pott's puffy tumor: rare complication of sinusitis

Cited by 13 publications

References 9 publications

Pott's puffy tumor in children: A review of the literature

Pott's puffy tumor in children: A review of the literature

Lethal complication in Pott's Puffy tumor: A case report

Treatment of Frontal Sinus Osteomyelitis in the Age of Endoscopy

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