POTT’S PUFFY TUMOR: A CASE REPORT

2020 ◽  
Vol 18 (Suppl.1) ◽  
pp. 93-96
Author(s):  
V. Stoyanov ◽  
D. Petkov ◽  
P. Bozdukova
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Rare Complication ◽  
Frontal Bone ◽  
Frontal Sinusitis ◽  
Subperiosteal Abscess ◽  
Prompt Treatment ◽  
Pott’S Puffy Tumor ◽  
Intracranial Complications ◽  
Life Threatening

Pott’s puffy tumor (PPT) is a rare complication of sinusitis characterized by osteomyelitis of the frontal bone with subperiosteal abscess presenting as frontal swelling. It was first described by Sir Percival Pott in 1768 in relation to frontal head trauma. Later, it was established that this entity is more common in relation to frontal sinusitis (1). In this article we report a case of PPT in a 17-year-old boy. CT scan confirmed subperiosteal abscess. At surgery, the subperiosteal abscess was drained and sequestrectomy of the affected frontal bone was done. Broad-spectrum antibiotics were given for 4 weeks. The patient recovered without residual problems and has remained well. PPT is now relatively uncommon and early diagnosis and prompt treatment is necessary to avoid further intracranial complications, which can be life-threatening.

scholarly journals Extensive Frontoparietal Abscess: Complication of Frontal Sinusitis (Pott’s Puffy Tumor)

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Raquel Andrade Lauria ◽  
Fernando Laffitte Fernandes ◽  
Thiago Pires Brito ◽  
Pablo Soares Gomes Pereira ◽  
Carlos Takahiro Chone
Keyword(s):  
Early Diagnosis ◽  
Clinical Presentation ◽  
Surgical Intervention ◽  
Frontal Bone ◽  
Frontal Sinusitis ◽  
Endoscopic Endonasal ◽  
Subperiosteal Abscess ◽  
Good Outcome ◽  
Intravenous Antibiotics ◽  
Pott’S Puffy Tumor

First described in 1768, the Pott’s puffy tumor is a subperiosteal abscess associated with frontal bone osteomyelitis, resulting from trauma or frontal sinusitis. The classic clinical presentation consists of purulent rhinorrhea, fever, headache, and frontal swelling. The diagnosis is confirmed by CT scan and treatment requires intravenous antibiotics, analgesia, and surgical intervention. Early diagnosis and aggressive medical and surgical approach are essential for a good outcome. It rare and the early diagnosis is important; we describe the case of a 14-year-old adolescent with Pott’s puffy tumor who was initially treated inadequately, evolving with extensive frontoparietal abscess. The patient underwent surgical treatment with endoscopic endonasal and external approaches combined. Intravenous antibiotics were prescribed for a prolonged time, with good outcome and remission of the complaints.

scholarly journals A RARE COMPLICATION POTT’S PUFFY TUMOR TREATED WITH FRONTOETHMOIDECTOMY: A CASE REPORT

2021 ◽  
Vol 12 (3) ◽  
Author(s):  
Muhammad Hamza Rana ◽  
Muhammad Saleem
Keyword(s):  
Rare Complication ◽  
Signs And Symptoms ◽  
Surgical Excision ◽  
Frontal Bone ◽  
Frontal Sinusitis ◽  
X Ray ◽  
Subperiosteal Abscess ◽  
X Ray Imaging ◽  
Pott’S Puffy Tumor ◽  
Gold Standards

Untreated or undiagnosed frontal sinusitis develops as a subperiosteal abscess in the frontal bone named Pott’s puffy tumor (PPT). Pott’s puffy tumor is a rare complication that needs surgical excision. In this communication, we report a 50-year-old woman presenting with typical signs and symptoms of PPT. CT-Scan and X-ray imaging are the gold standards to measure the extent of tumor and involvement of structures, if any.  

Orbital Cellulitis And Subperiosteal Abscess Of Frontal Bone Complicating Unilateral Pansinusitis: A Case Report

2017 ◽  
Vol 2 (1) ◽  
pp. 49-54
Author(s):  
MA Akinola ◽  
AO Betiku ◽  
AP Adefalujo ◽  
AOA Yusuf ◽  
AO Sorungbe ◽  
...  
Keyword(s):  
Case Report ◽  
Frontal Bone ◽  
Orbital Cellulitis ◽  
Surgical Drainage ◽  
Rapid Improvement ◽  
Intravenous Antibiotic ◽  
Subperiosteal Abscess ◽  
Acute Rhinosinusitis ◽  
Life Threatening ◽  
Children And Young Adults

Objective: The aim of this report is to demonstrate that acute rhino-sinusitis may result in orbital cellulitis and even life threatening complications especially intracranial abscesses in children and young adults. Rare complications such as subperiosteal abscess seen in this patient may also occur Morbidity and mortality can be prevented through early diagnosis and treatment by relevant specialists. Method: We present a case report and literature review on unilateral pansinusitis complicated with orbital cellulitis and subperiosteal abscess of the frontal bone. Results: Following a diagnosis of orbital cellulitis and subperiosteal abscess of the frontal bone from a unilateral pansinusitis, an initial intravenous antibiotic was given for 72 hours, followed by a surgical drainage with subsequent rapid improvement. Conclusion: Acute rhinosinusitis may be complicated by orbital cellulitis and abscess formation. Prompt referral to a tertiary health facility as well as ooperation between the Ophthalmologists and Otorhinolaryngologists is very important to prevent life threatening complications. Key words: Orbital cellulitis, Pansinusitis, Subperiosteal abscess

scholarly journals Jejunogastric Intussusception: An Unusual Cause of Hematemesis

2005 ◽  
Vol 19 (12) ◽  
pp. 735-736 ◽  
Author(s):  
Inian Samarasam ◽  
Sudhakar Chandran ◽  
Uday Shankar ◽  
Biju George ◽  
Ashok Chacko ◽  
...  
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
English Literature ◽  
Rare Complication ◽  
Jejunogastric Intussusception ◽  
Life Threatening ◽  
Life Threatening Complication

Jejunogastric intussusception is an uncommon but potentially life-threatening complication of a previous gastrojejunal anastamosis. Although jejunogastric intussusception was first described in 1914, fewer than 200 cases have been reported in the English literature thus far. Awareness of this rare complication would help in early diagnosis and appropriate management. Described here is a case report of a patient who presented with hematemesis due to an acute jejunogastric intussusception associated with gangrene of the intussuscepted jejunum.

Pott's puffy tumor: the forgotten entity

1996 ◽  
Vol 84 (1) ◽  
pp. 110-112 ◽  
Author(s):  
Ramesh P. Babu ◽  
Roxanne Todor ◽  
Samuel S. Kasoff
Keyword(s):  
Healthy Adult ◽  
Frontal Bone ◽  
Frontal Sinusitis ◽  
Content Type ◽  
Subperiosteal Abscess ◽  
Pott’S Puffy Tumor ◽  
Fine Print

✓ Pott's puffy tumor is a subperiosteal abscess of the frontal bone associated with underlying frontal osteomyelitis. The introduction of antibiotic medications has diminished the incidence of complications of frontal sinusitis. As a result, Pott's puffy tumor has become a rarity. In this communication a case of Pott's puffy tumor secondary to antecedent frontal sinusitis in an otherwise healthy adult man is described.

scholarly journals Pott’s Puffy Tumor

2021 ◽  
pp. 014556132110390
Author(s):  
Robert J. Tibesar ◽  
Ariel M. Azhdam ◽  
Michela Borrelli
Keyword(s):  
Antibiotic Therapy ◽  
Complete Resolution ◽  
Frontal Bone ◽  
Sinus Surgery ◽  
Frontal Sinusitis ◽  
Intravenous Antibiotic ◽  
Subperiosteal Abscess ◽  
Intravenous Antibiotic Therapy ◽  
Pott’S Puffy Tumor ◽  
Current Report

Pott’s puffy tumor is a potential complication of acute frontal sinusitis, characterized by subperiosteal abscess and osteomyelitis of the frontal bone. It can be managed with a combination of open and endoscopic sinus surgery and intravenous antibiotic therapy. In the current report, a 15-year-old male presented with a classic case of Pott’s puffy tumor which was managed with bilateral ethmoidectomies, frontal sinusotomies, and frontal sinus trephination, resulting in discharge on intravenous antibiotic therapy and subsequent complete resolution of symptoms.

scholarly journals Pott’s Puffy Tumor - Overview of case series

2021 ◽  
Vol 3 (1) ◽  
pp. 10-17
Author(s):  
Luiz Severo Bem Junior ◽  
Márcia Noelle Cavalcante Medeiros ◽  
Luan de Sá Pinto Nóbrega Gadelha ◽  
Wagner José Raia Neri ◽  
Marie Anne Gomes Cavalcanti
Keyword(s):  
Case Series ◽  
Etiologic Agent ◽  
Sinus Surgery ◽  
External Drainage ◽  
Subperiosteal Abscess ◽  
Male Adolescents ◽  
Pott’S Puffy Tumor ◽  
Intracranial Complications ◽  
Life Threatening ◽  
Male Subjects

Pott’s puffy tumor (PPT) is rare and usually seen as a complication of frontal sinusitis that has been neglected or partially treated, resulting in subperiosteal abscess of the frontal bone with underlying osteomyelitis, which can lead to life-threatening intracranial complications, such as epidural/subdural empyema, cerebral abscess and meningitis. Given this, the purpose of the present study was to gather the most diverse cases reported together to highlight the main treatment methods. Methods: It is a narrative review, starting from the search in the database PubMed, Lilacs and Scielo from 2010 to 2020, which resulted in 34 scientific articles. The search focused on obtaining data on new approaches and treatments established for Pott’s puffy tumor. Results: 34 articles were included which described 58 patients with a swollen Pott tumor, occurring predominantly in male adolescents, with streptococci (26,1%) as the main etiologic agent. Approximately 84% of all patients were male subjects. The most prevalent intracranial complication was an epidural or extradural abscess (84,2%). Regarding PTT therapy, all patients received antibiotic therapy (ATB), and the main empirical antimicrobial scheme used was cephalosporin third generation, with vancomycin and metronidazole. In most cases, surgery was performed using several techniques, mainly an external surgical approach, external drainage (ED) of the subperiosteal abscess associated with endoscopic sinus surgery (ESS). In general, the prognosis is favorable, even if neurological symptoms are present at admission. Conclusion: Based on available literature, PPT is a profoundly serious complication, which can be easily avoided if treated with the ATB, ED and ESS triad immediately, and, if necessary, craniotomy.

scholarly journals COVID-19 Associated Rhino-Orbital Mucormycosis Complicated by Gangrenous and Bone Necrosis—A Case Report from Honduras

Vaccines ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 826
Author(s):  
Elsa Yolanda Palou ◽  
María Auxiliadora Ramos ◽  
Emec Cherenfant ◽  
Adoni Duarte ◽  
Itzel Carolina Fuentes-Barahona ◽  
...  
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Early Diagnosis ◽  
Fungal Infection ◽  
Invasive Fungal Infection ◽  
Immunocompromised Patients ◽  
Bone Necrosis ◽  
Inappropriate Use ◽  
Prompt Treatment ◽  
Life Threatening

Background: Mucormycosis is a life-threatening invasive fungal infection most commonly observed in immunocompromised patients. Throughout the COVID-19 pandemic, a growing number of Mucorales associated infections, now termed COVID-19 associated mucormycosis (CAM), have been reported. Despite an increase in fatality reports, no cases of rhino-orbital CAM complicated with gangrenous bone necrosis have been described in the literature to date. Case: A 56-year-old male with a recent COVID-19 diagnosis developed rhino-orbital mucormycosis after 22 days of treatment with dexamethasone. Cultures and histopathological assessment of tissue biopsy confirmed the diagnosis. The patient survived after treatment with amphotericin B. Conclusions: Mucormycosis is an invasive fungal infection affecting mostly immunocompromised patients. Along with the COVID-19 pandemic, the inappropriate use of steroids, in addition to concurrent risk factors, such as diabetes, has led to an increase in the occurrence of these devastating mycoses, leading to the development of severe presentations and complications, as observed in many cases. Early diagnosis and prompt treatment are crucial in order to avoid dissemination and fatal outcomes.

Pott's puffy tumour and intracranial complications of frontal sinusitis in pregnancy

2012 ◽  
Vol 127 (S1) ◽  
pp. S35-S38 ◽  
Author(s):  
C Domville-Lewis ◽  
P L Friedland ◽  
P L Santa Maria
Keyword(s):  
Multidisciplinary Care ◽  
Frontal Sinusitis ◽  
Subperiosteal Abscess ◽  
Periorbital Oedema ◽  
Intravenous Antibiotics ◽  
Intracranial Complications ◽  
Life Threatening ◽  
History Of ◽  
Sinus Drainage ◽  
In Pregnancy

AbstractIntroduction:A Pott's puffy tumour is a subperiosteal abscess and osteomyelitis of the frontal bone secondary to frontal sinusitis. Intracranial complications are seen in approximately 40 per cent of cases and are potentially life-threatening; such complications have not previously been reported in pregnancy.Case report:A 21-year-old woman at 35 weeks' gestation presented with a history of frontal headaches and swelling, periorbital oedema, pain and chemosis. Imaging confirmed Pott's puffy tumour with right-sided epidural empyema and periorbital cellulitis. A multidisciplinary team was involved in the patient's management. Intravenous antibiotics were commenced and initial percutaneous drainage through the frontal sinus skin was performed, followed by endoscopic sinus drainage. A caesarean section was performed 3 days later. Complete resolution of the sinus and intracranial collections was noted on imaging performed six weeks later.Conclusion:This case highlights the challenges of managing rare intracranial complications of sinusitis in pregnancy, and the importance of multidisciplinary care.

scholarly journals Pott’s Puffy Tumor: An Uncommon Clinical Entity

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Phillip T. Suwan ◽  
Suvarna Mogal ◽  
Subhash Chaudhary
Keyword(s):  
Computed Tomography ◽  
Frontal Bone ◽  
Clinical Entity ◽  
Diagnosis And Treatment ◽  
Frontal Sinusitis ◽  
Significant Morbidity ◽  
Medical Treatments ◽  
Subperiosteal Abscess ◽  
Pott’S Puffy Tumor

Although first described in 1760, Pott’s puffy tumor is a lesser known clinical entity. Often seen as a complication of frontal sinusitis, Pott’s is a frontal bone osteomyelitis with an associated subperiosteal abscess. Patients present with a fluctuant swelling of the scalp. The diagnosis is often confirmed with computed tomography (CT). Prompt surgical and medical treatments are the rule as there is the potential for significant morbidity if not quickly diagnosed and treated. Herein, we describe the presentation, diagnosis, and treatment of an 8-year-old female presenting with Pott’s puffy tumor.

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