The Pott's puffy tumor: a dangerous sign for intracranial complications

Ketenci I., ÜNLÜ Y., Tucer B., Vural A.

EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, cilt.268, sa.12, ss.1755-1763, 2011 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 268 Sayı: 12
  • Basım Tarihi: 2011
  • Doi Numarası: 10.1007/s00405-011-1660-5
  • Dergi Adı: EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.1755-1763
  • Anahtar Kelimeler: Sinusitis, Frontal sinusitis, Epidural abscess, Osteomyelitis, ACUTE FRONTAL SINUSITIS, COMPUTED-TOMOGRAPHY, SUBDURAL EMPYEMA, CHILDREN, RHINOSINUSITIS, MANAGEMENT, SECONDARY, ABSCESS, ENTITY, NASAL
  • Erciyes Üniversitesi Adresli: Evet

Özet

The Pott's puffy tumor is a subperiosteal abscess of the frontal bone associated with osteomyelitis. The purpose of this article is to alert the physician to the severe complications of this entity. The records of six patients were reviewed retrospectively. There were four adults and two adolescents. Nasal endoscopy showed edematous, polypoid mucosa in middle meatus in three and nasal polyps in the rest. At initial admission, two had orbital subperiosteal abscess, but normal cranial CT findings. During hospitalization, three experienced frontal lobe abscess and one frontal cerebritis. Endoscopic sinus surgery was performed in all with external drainage of Pott's puffy tumor in addition to antibiotherapy. Three patients underwent craniotomy/craniectomy for removal of frontal lobe abscesses. One patient with frontal lobe abscess died. Pott's puffy tumor may result in potentially dangerous intracranial complications. Early diagnosis and treatment are essential to reduce morbidity and mortality.