Characteristics and therapeutic strategies of Pott's puffy tumor.
10.13201/j.issn.2096-7993.2024.01.015
- Author:
Huiyi DENG
1
;
Zhipeng CHEN
2
;
Xifu WU
1
;
Qintai YANG
1
Author Information
1. Department of Otolaryngology-Head and Neck Surgery，Department of Allergy，the Third Affiliated Hospital of Sun Yat-Sen University，Guangzhou，510630，China.
2. Department of Ophthalmology and Otorhinolaryngology，the Second People's Hospital of Longgang District.
- Publication Type:Journal Article
- Keywords:
Pott's puffy tumor;
antibiotics;
combined intranasal and extranasal endoscopic approach;
muti-disciplinary treatment;
nasal endoscopy
- MeSH:
Humans;
Pott Puffy Tumor/complications*;
Retrospective Studies;
Tomography, X-Ray Computed;
Endoscopy/adverse effects*;
Postoperative Complications;
Anti-Bacterial Agents/therapeutic use*;
Frontal Sinusitis/complications*
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2024;38(1):83-90
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the characteristics and therapeutic strategies of Pott's puffy tumor（PPT）. Methods:The clinical data of two patients with PPT were retrospectively analyzed and combined with the literature, focusing on the comprehensive analysis of perioperative diagnosis and treatment strategies. Both patients underwent muti-disciplinary treatment, including timely administration of sufficient antibiotics capable of penetrating the blood-brain barrier. Early removal of PPT lesions was performed using a combined internal and external approach under nasal endoscopic guidance. Results:After standardized perioperative management, the symptoms of the two patients were completely relieved, with no recurrence after one=year follow=up. Postoperative complications such as frontal pain, numbness, local depression, or scar hyperplasiawere not present. Conclusion:PPT, being relatively rare and severe, requires careful attention. Key strategies for standardized perioperative management include multi-disciplinary consultation, timely and adequate antibiotic administration, and surgical intervention using a combined intranasal and extranasal endoscopic approach for lesion removal.
