The Pott’s puffy tumor: an unusual complication of frontal sinusitis, Methods for its detection

Sabatiello, M.; Vanhooteghem, Olivier; Mostinckx, S.; Brassinne, Michel De La

doi:10.1111/j.1525-1470.2010.01182.x

Cited by 16 publications

(12 citation statements)

References 5 publications

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“…We confirmed in both cases that the most common pathogen microorganisms isolated are Staphylococcus species [6]. Differential diagnosis of PPT includes soft-tissue infections as well as benign and malignant tumors [7,8]. Final diagnosis can be established by clinical and radiological findings.…”

Section: Discussionsupporting

confidence: 57%

Pott Puffy Tumor in Adults: The Τiming of Surgical Ιntervention

Sideris

Delides

Proikas

et al. 2020

Cureus

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Pott's puffy tumor (PPT) represents a rare complication of frontal sinusitis, and it is considered as a subperiosteal abscess of the frontal bone based on osteomyelitis. We report two adult PPT patients and discuss the treatment plan as well as the correct timing of surgical intervention. Clinical examination revealed sinusitis with puss, and imaging findings showed bony erosion of the dorsal wall of the frontal sinus in both patients. In case 1, a "wait and see" approach was followed with remission of the patient's symptoms, and a Draf IIb type was performed 21 days after discharge. In case 2, worsening of symptoms led to surgical drainage through a Lynch incision followed by 20 days of intravenous antibiotic treatment. Then a Draf type IIa was performed. Both patients received antibiotic therapy over the course of six weeks and had full recovery. We highlight the importance of the correct timing of surgical intervention as it is depended on the clinical and radiological findings. The timing to performing radical drainage surgery including external or endoscopic frontal sinus surgery is not determined in the literature. Worsening of common symptoms and neurological signs in adult PPT patients means by default an immediate surgical intervention. Reduction of symptoms and antibiotic treatment response means that surgery should be delayed and performed in a surgical field free of inflammation.

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Section: Discussionsupporting

confidence: 57%

Pott Puffy Tumor in Adults: The Τiming of Surgical Ιntervention

Sideris

Delides

Proikas

et al. 2020

Cureus

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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%

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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“…Differential diagnosis for any swelling in the forehead includes, but is not limited to, soft-tissue infection, such as carbuncle and infected sebaceous cyst; benign tumors, such as dermoid cysts, lipomas, intraosseous lipomas, lipoblastomas, frontal sinus mucoceles, and superficial temporal artery pseudoaneurysms, and, finally, malignant tumors, such as metastases or aggressive frontal meningiomas [ 8 - 9 ].…”

Section: Discussionmentioning

confidence: 99%

Neurosurgical Management of Pott’s Puffy Tumor in an Obese Adolescent with Asthma: Case Report with a Brief Review of the Literature

Podolsky-Gondim

Santos

Carneiro

et al. 2018

Cureus

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Pott’s puffy tumor is a rare and severe complication of frontal sinusitis, characterized by the progressive swelling of the frontal soft tissues secondary to a subperiosteal abscess. Radiological imaging with ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI) are important diagnostic tools in establishing diagnosis and treatment planning. Early surgery along with intravenous antibiotics are required in order to achieve a good recovery. The authors report a case of Pott’s puffy tumor in an obese 14-year-old male, with a previous history of asthma and a chronic use of steroids, treated with neurosurgical debridement followed by a combined course of intravenous (IV) and oral antibiotics, who had a favorable outcome upon long-term follow-up. In addition, a brief review of the current medical literature was performed for a discussion on the diagnostic and therapeutic features of this pathology.

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The Pott’s puffy tumor: an unusual complication of frontal sinusitis, Methods for its detection

Cited by 16 publications

References 5 publications

Pott Puffy Tumor in Adults: The Τiming of Surgical Ιntervention

Pott Puffy Tumor in Adults: The Τiming of Surgical Ιntervention

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

Neurosurgical Management of Pott’s Puffy Tumor in an Obese Adolescent with Asthma: Case Report with a Brief Review of the Literature

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