Pott's puffy tumor, frontal sinusitis, frontal bone osteomyelitis, and epidural abscess secondary to a wrestling injury

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.

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Pott's puffy tumor: the forgotten entity

Journal of Neurosurgery ◽

10.3171/jns.1996.84.1.0110 ◽

1996 ◽

Vol 84 (1) ◽

pp. 110-112 ◽

Cited By ~ 44

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.

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Pott’s Puffy Tumor

Ear Nose & Throat Journal ◽

10.1177/01455613211039031 ◽

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.

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Pott’s Puffy Tumor: An Uncommon Clinical Entity

Case Reports in Pediatrics ◽

10.1155/2012/386104 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4 ◽

Cited By ~ 6

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

Case Reports in Otolaryngology ◽

10.1155/2014/632464 ◽

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.

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

Journal of University Medical & Dental College ◽

10.37723/jumdc.v12i3.614 ◽

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.

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