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.  

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.

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: 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.

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 Case of Chronic Invasive Rhinocerebral Mucormycosis with Pott’s Puffy Tumor

2020 ◽  
Vol 63 (8) ◽  
pp. 375-380
Author(s):  
Chan Lee ◽  
Sung-Eun Choi ◽  
Hyung-Ju Cho ◽  
Jong-Gyun Ha
Keyword(s):  
Metabolic Disorders ◽  
Fungal Infections ◽  
Rare Complication ◽  
Frontal Bone ◽  
Steroid Use ◽  
Subperiosteal Abscess ◽  
Rhinocerebral Mucormycosis ◽  
Uncontrolled Diabetes ◽  
Pott’S Puffy Tumor ◽  
Chronic Invasive

Mucormycosis is one of the most fatal and rapidly progressive fungal infections in humans; among its many forms. rhinocerebral mucormycosis is the most common. It is known to occur as opportunistic infection in patients with uncontrolled diabetes, metabolic disorders, organ transplantation, or autoimmune disease with prolonged steroid use. Pott’s puffy tumor is the subperiosteal abscess of the frontal bone caused by trauma complication or frontal sinusitis. It is considered as a very rare complication since the dawn of antibiotic treatments. We report a case of chronic rhinocerebral mucormycosis involving Pott’s puffy tumor in a patient receiving immunosuppressive therapy after lung transplantation.

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

2017 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Rare Complication ◽  
Frontal Bone ◽  
Intracranial Extension ◽  
Subperiosteal Abscess ◽  
Preseptal Cellulitis ◽  
Presenting Symptoms ◽  
Intravenous Antibiotics ◽  
Pott’S Puffy Tumor ◽  
Local Tenderness ◽  
Repeat Imaging

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.

Removal of retained intracavernous needle tip using intraoperative fluoroscopy

2020 ◽  
pp. 205141582096172
Author(s):  
Gabija Lazaraviciute ◽  
Alastair C McKay ◽  
Matteo Massanova ◽  
David S Hendry ◽  
Abdullah Zreik
Keyword(s):  
Ultrasound Guidance ◽  
Case Reports ◽  
Rare Complication ◽  
Operative Management ◽  
Treatment Method ◽  
Level Of Evidence ◽  
X Ray ◽  
X Ray Imaging ◽  
Intraoperative Fluoroscopy ◽  
Non Operative Management

Intracavernous injections of vasoactive drugs, such as alprostadil, are widely used as an effective treatment method for erectile dysfunction. Intracavernous breakage of the needle is a very rare complication of self-injections, with only a few case reports available in the current literature. Treatment methods described vary in the literature, ranging from immediate surgical exploration under ultrasound guidance to non-operative management with delayed needle removal once it is easily palpable. We report a case of an 82-year-old man with a retained intracavernous 1 cm 30 gauge needle tip after injection of alprostadil (Caverject; marketing authorisation number PL 00057/0942) and the innovative use of intraoperative X-ray imaging (fluoroscopy) for removal of this. Level of evidence: level 5 (case report/technique)

scholarly journals The Use of Point-of-care Ultrasound in the Diagnosis of Pott’s Puffy Tumor: A Case Report

2021 ◽  
Vol 5 (4) ◽  
pp. 422-424
Author(s):  
Josie Acuña ◽  
Daniel Shockey ◽  
Srikar Adhikari
Keyword(s):  
Case Report ◽  
Point Of Care ◽  
Alternative Pathway ◽  
Fluid Collection ◽  
Frontal Bone ◽  
Point Of Care Ultrasound ◽  
Early Screening ◽  
Subperiosteal Abscess ◽  
Pott’S Puffy Tumor ◽  
Poor Outcomes

Introduction: Pott’s puffy tumor (PPT) is a rare clinical disease characterized by forehead swelling from a subperiosteal abscess coupled with frontal bone osteomyelitis. It is often associated with severe complications and poor outcomes if left undiagnosed; thus, rapid recognition is crucial. Point-of-care ultrasound (POCUS) may provide an alternative pathway to diagnosis. It can be performed rapidly at the bedside and assist in early screening of patients, identifying those with high suspicion for PPT and prioritizing imaging and consultation. Case Report: A 59-yghb ar-old-male presented to the emergency department for evaluation of a “lump” on his forehead. He recently had a bifrontal craniotomy to de-bulk a polyp burden in an effort to manage his recurrent sinusitis. To further characterize the mass, a POCUS examination was performed by the treating emergency physician. The examination found a subcutaneous, hypoechoic fluid collection extending superficially along the frontal bone. A discontinuity in the surface of the frontal bone was visualized through which the collection appeared to extend. Given the heightened concern for PPT based on the POCUS examination findings, otolaryngology service was consulted and the patient was admitted for further imaging and treatment. Conclusion: Pott’s puffy tumor is a rare diagnosis that has the potential for life-threatening complications. Timely diagnosis is imperative. Point-of-care ultrasound can easily be used to help identify patients with suspicion for PPT in the acute care setting and influence patient management with regard to obtaining further imaging and plans for early consultation.

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