No abstract available.
Epidural Abscess* ; Pott Puffy Tumor*

PURPOSE: To report a case of Pott's puffy tumor from a recurrent upper eyelid abscess. CASE SUMMARY: A 73-year-old male visited our clinic with recurrent upper eyelid abscess over the previous 3 months. The patient did not have any evidence of external injuries, systemic inflammations, or any other specific findings. The best corrected visual acuity was 0.9 in the right and 0.5 in the left eye with normal IOP. Enhanced CT revealed a focal low density mass (11.3 x 12.6 x 10 mm) with peripheral enhancement. An excisional biopsy was performed. Histopathologic examination revealed chronic inflammation and granulation tissue formation and the patient was diagnosed with Pott's puffy tumor. The patient experienced no discomfort after the excision biopsy. At the 14-month follow-up, there were no signs of recurrence. CONCLUSIONS: Although rare, Pott' puffy tumor should be considered in the differential diagnosis of upper eyelid mass.
Abscess ; Biopsy ; Diagnosis, Differential ; Eye ; Eyelids ; Follow-Up Studies ; Granulation Tissue ; Humans ; Inflammation ; Male ; Pott Puffy Tumor ; Visual Acuity

Pott's puffy tumor is a rare clinical entity, which has been described as a subperiosteal abscess in the frontal bone secondary to frontal osteomyelitis. Pott's puffy tumor can be associated with venous thrombosis, epidural abscess, subdural empyema, and brain abscess. In the present paper, we describe our experience of treating a 59-year old man who complained of a headache and a swelling of forehead. Because of bilateral lesion and obstruction of frontal recess, an external approach of the frontal sinus was carried out. To our knowledge, this is the first report of Pott's puffy tumor involving the bilateral frontal sinus.
Abscess ; Brain Abscess ; Empyema, Subdural ; Epidural Abscess ; Forehead ; Frontal Bone ; Frontal Sinus ; Headache ; Osteomyelitis ; Pott Puffy Tumor ; Venous Thrombosis

Pott's puffy tumor is an infrequent entity characterized by a subperiosteal abscess associated with frontal bone osteomyelitis. It has become rare due to the development of antibiotics and is usually seen as a complication of frontal sinusitis. Although Pott's puffy tumor is more commonly described in children, it should also be included in the differential diagnosis of swelling on the forehead in adults. Once the diagnosis is suspected, appropriate imaging should be performed to evaluate the possible complications. The treatment of Pott's puffy tumor combines medical and surgical approaches in order to prevent further complications. The goal of surgery is to drain the sinus and to excise the infected bone if necessary. The endoscopic endonasal approach is a safe and effective alternative to the external approach. This report describes the case of a 25-year-old man with Pott's puffy tumor resulting from frontal sinusitis.
Abscess ; Adult ; Anti-Bacterial Agents ; Child ; Diagnosis, Differential ; Endoscopy ; Forehead ; Frontal Bone ; Frontal Sinus ; Frontal Sinusitis ; Humans ; Osteomyelitis ; Pott Puffy Tumor

Pott's puffy tumor is a subperiosteal abscess of the frontal bone associated with the underlying frontal osteomyelitis. It has become a rare disease entity due to the development of antibiotics. Despite its rarity, it must be managed carefully because it is often associated with significant intracranial complications. We described a 12-year-old girl with Pott's puffy tumor accompanied with epidural abscess and subdural empyema, which was considered to be caused by the contralateral frontal sinusitis. To our knowledge, a Pott's puffy tumor caused by contralateral frontal sinusitis has not been reported in the literature. We discuss the clinical presentation and successful treatment of this unique case with brief review of the literature.
Abscess ; Anti-Bacterial Agents ; Child ; Empyema, Subdural ; Epidural Abscess ; Female ; Frontal Bone ; Frontal Sinus* ; Frontal Sinusitis* ; Humans ; Osteomyelitis ; Pott Puffy Tumor* ; Rare Diseases

Frontal osteomyelitis, frequently characterized by the classical sign of Pott's puffy tumor, is a serious life-threatening complication of frontal sinus infection. Anterior extension of the frontal sinus infection leads to osteomyelitis of the frontal bone and subperiosteal abscess. Surgical options are necessitated by the location and extent of infection, and include trephination, frontal sinus obliteration, and craniotomy. Recent advances in endoscopic sinus surgery have provided surgeons another access to the frontal recess. Examination of the frontal recess and removal of obstructive ethmoidal cells or diseased mucosa becomes feasible with nasal endoscopes. We report a recent encounter with a case of frontal osteomyelitis managed by endoscopic sinus surgery in a 22-year-old healthy male. We think that endoscopic sinus surgery is a good approach which can be carried out for the treatment of frontal sinus diseases and its complication.
Abscess ; Craniotomy ; Endoscopes ; Endoscopy ; Frontal Bone ; Frontal Sinus ; Frontal Sinusitis ; Humans ; Male ; Mucous Membrane ; Osteomyelitis* ; Pott Puffy Tumor ; Trephining ; Young Adult

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.
Humans ; Pott Puffy Tumor/complications* ; Retrospective Studies ; Tomography, X-Ray Computed ; Endoscopy/adverse effects* ; Postoperative Complications ; Anti-Bacterial Agents/therapeutic use* ; Frontal Sinusitis/complications*