Pott puffy tumour in a five-year-old girl

Heale, Liane; Zahanova, Stacy; Bismilla, Zia

doi:10.1503/cmaj.140202

Cited by 19 publications

(35 citation statements)

References 8 publications

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“…Surgical intervention can be performed externally, endoscopically, or in combination . Its goals are to drain abscess material, remove osteomyelitic bone, and remove the granulation tissue from the dura to prevent tearing and spreading of infection to the subarachnoid and subdural spaces . Traditionally, surgical drainage has been conducted using an external approach.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the infections are polymicrobial. The most frequent bacterial agents implied are Streptococcus species (such as Streptococcus milleri , Streptococcus viridans , Streptococcus pyogenes , and Streptococcus pneumoniae), Staphylococcus aureus , and anaerobic microorganisms (such as Bacteriodes and Fusobacterium) . These organisms may be more common in this setting, compared to other otorhinologic infections, because of the relatively lower oxygen concentration in the frontal sinus caused by compromised ostial patency .…”

Section: Discussionmentioning

confidence: 99%

“…It appears clinically as a localized frontal swelling, and most frequently develops after misdiagnosed or inappropriately treated cases of frontal sinusitis . However, it may also occur as a result of head trauma, surgery in the frontal region, cocaine abuse, methamphetamine use, insect bite, mastoiditis, fibrous dysplasia, or dental infections …”

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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

2018

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“…The organisms found in acute and chronic bacterial sinusitis are often implicated in PPT such as Staphylococcus aureus, Streptococcus species, nontypeable Haemophilus influenzae, moraxella catarrhalis, anaerobes and it is often polymicrobial [1,5]. Contrast-enhanced CT scan is the diagnostic modality for PPT.…”

Section: Discussionmentioning

confidence: 99%

Not Your Typical Preseptal Cellulitis: A Case Report Of Pott’s Puffy Tumor

2017

JCRC

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Pott’s puffy tumor (PPT) is defined as a subperiosteal abscess and osteomyelitis of the frontal bone that occurs as a rare complication of trauma or acute sinusitis. Most common presenting symptoms include headache, fever, rhinitis, local tenderness and nasal obstruction. While initially thought to be a rare entity, PPT appears to be occurring with increasing frequency with most complications managed surgically. We present a 14 year-old girl who presented with an initial diagnosis of preseptal cellulitis that failed both oral and intravenous antibiotics. Repeat imaging revealed a frontal bone subperiosteal abscess and osteomyelitis, without intracranial extension and was successfully managed medically without surgical intervention.

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“…The prevalence of PPT has decreased in the postantibiotic era, however, it may cause potentially devastating complications including preseptal and orbital cellulitis. In addition, there may be intracranial extension with epidural empyema, which may invade the superior sagittal sinus causing venous thrombosis, subdural empyema, meningitis, and frontal lobe abscesses 80,82,83 . Young children and adolescents with PPT are at high risk to develop these complications.…”

Section: Osseous Complicationsmentioning

confidence: 99%

Imaging of Paranasal Sinus Infections in Children: A Review

Orman

Kralik

Desai

et al. 2020

Journal of Neuroimaging

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Paranasal sinuses (PNS) infections are common in children. They may cause common and well-known complications, but also, unusual and potentially devastating complications. Diagnosing PNS infections and complications in children requires knowledge of the unique anatomy of the nasal cavity and the PNS. In fetal life, nasal mucosa evaginations into the lateral nasal walls initiate the development of the PNS. The PNS continue to develop after birth and complete their maturation and pneumatization at different ages during childhood which makes the pattern of PNS infections determined by patient age. Complications are caused by direct spread of the infection to the orbit, face, intracranial or osseous structures or hematogenous spread of the infection to the intracranial structures. Emergent imaging studies are often necessary in the evaluation of the complications in pediatric patients when the symptoms persist for 10 days and/or if there is evidence of intracranial or orbital complications. In addition, immunocompromised children are especially vulnerable to developing unusual complications. Computed tomography (CT) is excellent for determining whether there is intraorbital extension of PNS disease. However, when the infection approaches the orbital apex, a magnetic resonance imaging (MRI) study with contrast is necessary to assess spread into the cavernous sinus and the intracranial compartment. The goal of this manuscript is to review and characterize imaging findings of PNS infections using CT and MRI allowing determination of the extent of PNS infections and their common and unusual complications in children. In addition, a summary of the development of the normal PNS is provided.

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Pott puffy tumour in a five-year-old girl

Cited by 19 publications

References 8 publications

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

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

Not Your Typical Preseptal Cellulitis: A Case Report Of Pott’s Puffy Tumor

Imaging of Paranasal Sinus Infections in Children: A Review

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