Pott Puffy Tumor After Maxillary Tooth Extraction

Elyassi, Ali R.; Prenzel, Ronald; Closmann, James J

doi:10.1016/j.joms.2011.11.018

Cited by 8 publications

(6 citation statements)

References 15 publications

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“…Another limitation was that osseous complications from ODS were excluded from quantitative analysis. This was due to the scarcity of ODS‐related osseous complication studies, as only 4 cases have been documented 48–51 . Interestingly, a recent retrospective series of 17 frontal osteomyelitis cases showed that about 50% had dental pathology and sinusitis ipsilateral to both the dental and frontal disease on CT.…”

Section: Discussionmentioning

confidence: 99%

“…This was due to the scarcity of ODS-related osseous complication studies, as only 4 cases have been documented. [48][49][50][51] Interestingly, a recent retrospective series of 17 frontal osteomyelitis cases showed that about 50% had dental pathology and sinusitis ipsilateral to both the dental and frontal disease on CT. While dental pathology was not confirmed by dental evaluation, it is plausible that a significant proportion of those cases were from ODS.…”

Section: Limitationsmentioning

confidence: 99%

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Extrasinus Complications From Odontogenic Sinusitis: A Systematic Review

Craig¹,

Cheema²,

Dunn

et al. 2021

Otolaryngol.--head neck surg.

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Objective Odontogenic sinusitis (ODS) can cause infectious orbital, intracranial, and osseous complications. Diagnosis and management of complicated ODS have not been discussed in recent sinusitis guidelines. The purpose of this systematic review was to describe epidemiological and clinical features, as well as management strategies of complicated ODS. Data Sources PubMed, EMBASE, and Cochrane Library. Review Methods A systematic review was performed to describe various features of complicated ODS. All complicated ODS studies were included in qualitative analysis, but studies were only included in quantitative analysis if they reported specific patient-level data. Results Of 1126 studies identified, 75 studies with 110 complicated ODS cases were included in qualitative analysis, and 47 studies with 62 orbital and intracranial complications were included in quantitative analyses. About 70% of complicated ODS cases were orbital complications. Only 23% of complicated ODS studies were published in otolaryngology journals. Regarding ODS-related orbital and intracranial complications, about 80% occurred in adults, and 75% were male. Complicated ODS occurred most commonly from apical periodontitis of maxillary molars. There were no relationships between sinusitis extent and orbital or intracranial complications. High rates of anaerobic and α-hemolytic streptococcal bacteria were identified in complicated ODS. Management generally included systemic antibiotics covering aerobic and anaerobic bacteria, and surgical interventions were generally performed to address both the complications (orbital and/or intracranial) and possible infectious sources (dentition and sinuses). Conclusion ODS should be considered in all patients with infectious extrasinus complications. Multidisciplinary management between otolaryngologists, dental specialists, ophthalmologists, and neurosurgeons should be considered to optimize outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

Extrasinus Complications From Odontogenic Sinusitis: A Systematic Review

Craig¹,

Cheema²,

Dunn

et al. 2021

Otolaryngol.--head neck surg.

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“…Cultures from the wounds contained gram-positive and negative species, Prevotella melaninogenica , and Peptostreptococcus species. 2 The third case had a history of a tooth extraction 2 months before, and CT scans revealed mild unilateral maxillary sinusitis, complete opacification of left frontal sinus, and some ethmoid disease. 4 The subperiosteal and epidural abscesses were evacuated through a bicoronal approach.…”

Section: Discussionmentioning

confidence: 96%

“…Odontogenic sinusitis-associated frontal SPOA are rare and only 3 cases have been reported previously. 2,3,4 Here, we present our case, and try to review the previously reported cases of frontal SPOA caused by odontogenic maxillary sinusitis.…”

Section: Introductionmentioning

confidence: 99%

“…The fontal SPOA usually develops after sinusitis or in some cases, trauma, which is less likely. 1,2 Odontogenic sinusitis results from dental pathologies and usually involves the maxillary sinus. Recently, we experienced a case of frontal SPOA complicated by severe carious teeth-related maxillary sinusitis in a patient with a history of craniotomy due to head trauma.…”

Section: Introductionmentioning

confidence: 99%

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Odontogenic Sinusitis-Associated Pott’s Puffy Tumor: A Case Report and Literature Review

Min

Kim

2020

Ear Nose Throat J

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Pott’s puffy tumor (PPT) is a nonneoplastic complication of acute frontal sinusitis characterized by subperiosteal abscess (SPOA) formation and osteomyelitis. Although various clinical conditions are associated with frontal SPOA, cases associated with odontogenic sinusitis are rare. We report a recurrent case of frontal SPOA who had a previous history of craniotomy due to head trauma. The patient was presented with headache, facial swelling and diagnosed as frontal, ethmoid, and maxillary sinusitis with frontal SPOA, which is PPT. The patient was surgically managed by endoscopic sinus surgery and external drainage of the abscess. Although the symptoms had been relieved soon after the surgery, they were recurred after 1 week. By paranasal sinus computed tomography scans, it was suspected that severe carious teeth, which were missed before surgery, induced maxillary sinusitis which spread into the frontal sinus and subperiosteal areas inducing recurrence of disease. Our experience suggests that frontal SPOA may originate from odontogenic maxillary sinusitis caused by severe dental caries, which should be actively managed, especially in patients with the risk of spread of inflammation, such as those who have discontinuity in frontal bone.

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Special Clinical Situations

Akhaddar

2016

Cranial Osteomyelitis

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Pott Puffy Tumor After Maxillary Tooth Extraction

Cited by 8 publications

References 15 publications

Extrasinus Complications From Odontogenic Sinusitis: A Systematic Review

Extrasinus Complications From Odontogenic Sinusitis: A Systematic Review

Odontogenic Sinusitis-Associated Pott’s Puffy Tumor: A Case Report and Literature Review

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