El tumor inflamatorio de Pott: una complicación infrecuente de la sinusitis. Reporte de caso / Pott's puffy tumor: A rare complication of sinusitis. A case report

Una complicación infrecuente de la sinusitis frontal es el tumor inflamatorio de Pott. Se manifiesta como una tumefacción en la frente por la presencia de un absceso subperióstico secundario a una osteomielitis del hueso frontal. El diagnóstico oportuno permite un tratamiento intensivo médico y quirúrgico precoz, esencial para evitar complicaciones intracraneales graves. Se presenta el caso de un varón de 12 años con un tumor inflamatorio de Pott como complicación de una pansinusitis. Representó un desafío diagnóstico; sin embargo, la instauración del tratamiento oportuno permitió una evolución clínica favorable.

A rare complication of frontal sinusitis includes Pott's puffy tumor. It manifests as a swelling of the forehead due to the presence of a subperiosteal abscess secondary to osteomyelitis of the frontal bone. A timely diagnosis allows for an early, intensive medical and surgical treatment, which is critical to prevent serious intracranial complications. Here we describe the case of a 12-year-old boy with Pott's puffy tumor as a complication of pansinusitis. This case was a diagnostic challenge; however, a timely treatment allowed for a favorable clinical course.

Characteristics and therapeutic strategies of Pott's puffy tumor / 临床耳鼻咽喉头颈外科杂志

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.

Tumor de Pott y absceso cerebral secundario a sinusitis aguda de foco dentario en paciente pediátrico / Pott's tumor and cerebral abscess secondary to acute sinusitis of dental focus in a pediatric patient

El tumor de Pott es una entidad rara, definida como un absceso subperióstico asociado a osteomielitis del hueso frontal. Suele presentarse como complicación de sinusitis aguda o crónica del seno frontal, y se describe con mayor incidencia en población pediátrica, siendo una complicación grave por su alta morbimortalidad. Se presenta a un paciente pediátrico con tumor de Pott y absceso cerebral posterior a una sinusitis aguda de foco odontogénico, en la que los pilares de tratamiento son drenaje quirúrgico precoz y antibioticoterapia prolongada. Se describe la clínica, manejo médico-quirúrgico y seguimiento posterior, ya que, en ausencia de antecedentes, se debe buscar dirigida- mente enfermedad periodontal y realizar un estudio de inmunodeficiencia primaria.

Pott's tumor is a rare entity, defined as a subperiosteal abscess associated with osteomyelitis of the frontal bone. It usually presents as a complication of acute or chronic sinusitis of the frontal sinus and it is described with a higher incidence in the pediatric population, being a serious complication due to its high morbidity and mortality. We present a pediatric patient with Pott's tumor and brain abscess after acute sinusitis of odontogenic focus, in which the pillars of treatment are an early surgical drainage and prolonged antibiotic therapy. The clinic, medical-surgical management and subsequent follow-up are described, since in the absence of antecedents, periodontal disease should be sought directly and a study of primary immunodeficiency performed.

Empiema subdural recidivante secundário à sinusite bacteriana frontal em um adolescente imunocompetente: relato de caso / Relapsing subdural empyema secondary to frontal bacterial sinusitis in an immunocompetent adolescent: case report

A sinusite é uma causa rara de infecção intracraniana, sendo responsável por 2,4% dos casos em pacientes jovens, e tem como a complicação intracraniana mais frequente o empiema subdural (ESD). Descrevemos um caso raro de um adolescente imunocompetente de 16 anos que evoluiu com confusão mental, rebaixamento do nível de consciência, anisocoria, hemiparesia à direita, afasia e febre. Tomografa computadorizada confirmou ESD, e paciente foi submetido à avaliação laboratorial e abordagem clínico-cirúrgica para tratamento do quadro.

Sinusitis is a rare cause of intracranial infection, accounting for 2.4% of cases in young patients. The most frequent intracranial complication is subdural empyema (SDE). We describe a rare case of a 16-year-old immunocompetent adolescent who developed mental confusion, lowered consciousness, anisocoria, right hemiparesis, aphasia, and fever. Computed tomography confirmed SDE, and the patient underwent laboratory evaluation and clinical-surgical approach for treatment of the condition.

Frontal Sinusitis Presenting as Cluster-Like Headache

No abstract available.

Celulitis orbitaria secundaria a sinusitis. Presentación de un caso / Orbital cellulitis secondary to sinusitis. Case presentation

La celulitis orbitaria es la causa más frecuente de inflamación aguda de la órbita y constituye una urgencia oftalmológica relativamente frecuente y potencialmente grave en la población pediátrica. La inflamación puede extenderse a la región postseptal, y afectar el contenido de la órbita. La relación anatómica de la órbita con estructuras vecinas como los senos paranasales, es clave para entender la etiopatogenia de la enfermedad; aparece, en la mayoría de las ocasiones, como complicación de una sinusitis. Se presenta una paciente de cinco años de edad, con diagnóstico de celulitis orbitaria secundaria a una sinusitis. La descripción de las características clínicas de la enfermedad y su manejo en este caso, puede aportar información útil para el mejor abordaje de la entidad. Se concluye que los elementos fundamentales son el diagnóstico temprano y la atención multidisciplinaria.

Orbital cellulitis is the most frequent cause of acute swelling of the orbit and is a relatively frequent ophthalmological emergency and potentially serious in the pediatric population. The inflammation may extend to post septal region, and affect the orbit content. The anatomical relation of the orbit with their neighboring structures as paranasal sinuses is the key to understand the etiopathogenesis of the disease; a case of a five-year-old patient is presented, with a diagnosis of orbital cellulitis secondary to sinusitis. The description of the clinical characteristics of the disease and its management in this case, may offer useful information for a better approach of this entity. It is concluded that the main elements are early diagnosis and multidisciplinary evaluation.

A Case of Periorbital Necrotizing Fasciitis Occurred in Patient with Fungal Sinusitis / 대한이비인후과학회지

Orbital complications due to sinusitis usually occur in children and spread from the ethmoid or frontal sinusitis. Periorbital necrotizing fasciitis, which is an aggressive infection characterized by extensive necrosis and gas formation in the fascia and subcutaneous tissue, is uncommon as an orbital complication due to sinusitis. Because most of orbital complications of the fungal sinusitis occur from invasive fungal infection in immunocompromised patients, orbital complications due to non-invasive maxillary fungal ball in healthy patients are extremely rare, especially if the complication is periorbital necrotizing fasciitis. We report a case of periorbital necrotizing fasciitis that occurred in a healthy 44-year-old male patient with non-invasive fungal sinusitis, which was treated with a combination of intravenous antibiotics and endoscopic sinus surgery and ophthalmologic surgical treatment.

Approach to Frontal Sinus Outflow Tract Injury

Frontal sinus outflow tract (FSOT) injury may occur in cases of frontal sinus fractures and nasoethmoid orbital fractures. Since the FSOT is lined with mucosa that is responsible for the path from the frontal sinus to the nasal cavity, an untreated injury may lead to complications such as mucocele formation or chronic frontal sinusitis. Therefore, evaluation of FSOT is of clinical significance, with FSOT being diagnosed mostly by computed tomography or intraoperative dye. Several options are available to surgeons when treating FSOT injury, and they need to be familiar with these options to take the proper treatment measures in order to follow the treatment principle for FSOT, which is a safe sinus, and to reduce complications. This paper aimed to examine the surrounding anatomy, diagnosis, and treatment of FSOT.

Role of balloon sinuplasty in the treatment of frontal sinusitis

A fifty-one-year-old male was diagnosed with recurrent frontal sinusitis; the patient completed the full course of optimal medical therapy: nasal steroids, antibiotics and nasal douches. The patient's symptoms did not improve including frontal headaches, nasal congestion and facial tenderness over the frontal sinus. CT scan of the sinuses was performed, and it confirmed the diagnosis of isolated right frontal sinusitis. The patient underwent "balloon sinus dilatation under local anesthesia" in the ENT outpatient clinic, and he was followed-up for 18 months to monitor any complication or symptom. This was the first case that had balloon sinuplasty procedure in Bahrain under local anesthesia in a clinic setting

Les sinusites chroniques de la face dans le service d'ORL du CHU Yalgado Ouedraogo de Ouagadougou; a propos de 365 cas

But: Analyser les aspects epidemiologiques; diagnostiques et therapeutiques des sinusites chroniques de la face. Methode: Il s'est agit d'une etude retrospective de 05 ans; portant sur 365 cas de sinusites chroniques. Resultats: L'incidence annuelle etait de 73 cas/an et l'age moyen de 33 ans. Les principaux motifs de consultation etaient les cephalees (80;80); l'obstruction nasale (34;79) et la rhinorrhee (19;72). Les sinus maxillaires (96;44) et ethmoidaux (60;39) etaient les plus touches et les facteurs etiologiques etaient domines par les allergies naso-sinusiennes (73;15); les infections aero-digestives (19;18) et les blocages ostiaux mecaniques (7;67). Le traitement; medical (79;45) et medico-chirurgical (20;55) a permis d'obtenir une evolution favorable (90;96). Les complications ont ete observees dans 5;75 avec un taux de letalite de 1;92

Resección del tabique intersinusal frontal para el manejo de sinusitis frontal crónica unilateral / Frontal Intersinus Septum Takedown (FISST) as management of chronic unilateral frontal sinusitis

La sinusitis frontal crónica es un problema complejo, de difícil manejo quirúrgico debido a la anatomía del seno frontal y el alto índice de recidiva posquirúrgica. La resección del tabique intersinusal ha sido descrita escasamente en la literatura, pero es una técnica sencilla que aprovecha el drenaje del seno contralateral sano, evitando intervenir directamente el ostium comprometido, en especial en casos de estenosis u obliteración que probablemente se reproducirán después de permeabilizarlos mediante otras técnicas. En este artículo describimos un caso clínico, la técnica quirúrgica utilizada y sus resultados en una paciente con múltiples cirugías de senos paranasales previas, tanto por vía endoscópica como abiertas, con buen resultado posoperatorio. Además realizamos una revisión de la literatura pertinente.

Chronic frontal sinusitis is a complex issue and its surgical management is difficult due to the anatomy of the frontal sinus and the high rate of recurrence after surgery. Resection of the intersinus septum has been scarcely described in the literature, but is a simple technique that takes advantage of the drainage of the healthy contralateral sinus, avoiding the direct intervention of the compromised ostium, especially in cases of stenosis or obliteration that would probably reproduce after permeabilization by other techniques. In this article we present a case report, the surgical technique that was chosen and the results in a patient with multiple previous sinus surgeries, both open and endoscopic, with a good postoperative outcome. Also, we provide a review of the relevant literature.

Empiema subdural secundario a sinusitis: reporte de caso / Subdural empyema secondary to sinusitis: case report

El empiema subdural es una complicación intracraneana secundaria a sinusitis bacteriana poco frecuente que ocurre generalmenteen varones entre la segunda y tercera década de la vida. Se presenta el caso de un paciente masculino, de 16 años, sinantecedentes, asintomático. Ingresa por cefalea frontoparietal izquierda intensa, compromiso cualitativo de conciencia, calofríos,fiebre y vómitos, sin focalidad neurológica ni signos meníngeos. Resonancia magnética de cerebro muestra colección líquida subduralinterhemisférica en región frontoparietal izquierda que desplaza línea media y sinusitis aguda frontoetmoidomaxilar ipsilateral.Se realiza craniectomía frontoparietal, drenaje quirúrgico y tratamiento antibiótico triasociado intravenoso. Paciente evolucionacon desaparición de síntomas y sin secuelas neurológicas. La clínica del empiema subdural es inespecífica, encontrándose másfrecuentemente cefalea, vómitos, fiebre y compromiso de conciencia. Las imágenes son esenciales para confirmar el diagnósticoy determinar la necesidad de cirugía. Es una patología, cuyo manejo debe ser médico y quirúrgico, comprendiendo drenaje dela colección y terapia antimicrobiana intravenosa. La duración del tratamiento se ha descrito de 3 a 6 semanas. Es necesario unabordaje multidisciplinario precoz para un buen resultado neurológico y funcional, ya que la morbimortalidad se describe hastaun 40%.

The subdural empyema secondary to sinusitis is a rare intracranial complication, which occurs mostly in males in the secondto third decade. We present a case of a 16 years old male patient, without medical history. He is hospitalized for a frontparietalprogressive headache, associated with decreased of consciousness, chills, fever and vomiting, without neurological deficit andmeningeal signs. The magnetic resonance imaging reveals a subdural interhemispheric liquid collection in the left frontparietal regionwith deviation of midline brain structures and left acute frontethmoidmaxilary sinusitis. Craniotomy and surgical drainage withintravenous antibiotic treatment was made. The symptoms dissapear after this and no neurological sequelae was found. The clinicalmanifestation of subdural empyema are inespecific. The more frecuent symptoms are headache, vomit, fever and decreasedof consciousness. The imaging study is essential to diagnose and evaluate the surgical need. The subdural empyema is pathologywith a medical and surgical management; wich involves collection drainage and intravenous antibiotic therapy. It is been describedthat the treatment duration will be prolonged for 3 to 6 weeks. A multidisciplinary approach is necessary for a better neurologicaland functional outcome, because the mortality rates are described up to 40%.

Tumor inflamatorio de Pott en el siglo XXI: presentación de dos casos / Inflammatory Tumor of Pott in the 21st Century: Presentation of two cases

La sinusitis es una patología frecuente en la edad pediátrica y generalmente se presenta como complicación de una infección de vías respiratorias altas. En la era preantibiotica las sinusitis producían con cierta frecuencia, complicaciones extra o intracraneales. El tumor inflamatorio de Pott es una complicación, actualmente inusual de la sinusitis frontal entre sus causas más frecuentes. Sin embargo, el diagnóstico precoz y el tratamiento médico quirúrgico oportuno son fundamentales para evitar secuelas neurológicas devastadoras o incluso la muerte de los pacientes que padecen esta patología. Se presenta el caso de dos pacientes con diagnóstico de sinusitis, quienes desarrollan el tumor inflamatorio de Pott y sus complicaciones supurativas intracraneales extraaxiales. Se revisa en la literatura, las características clínicas, imagenologicas, diagnóstico y tratamiento de esta entidad.

Application of frontal sinus optical probe in endoscopic frontal sinus surgery / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To discuss the application of frontal sinus optical probe in endoscopic frontal sinus surgery.@*METHOD@#The clinical data of 58 adult patients (86 sides) suffering from chronic frontal sinusitis were analyzed retrospectively. The patients received endoscopic frontal sinus surgery with frontal sinus optical probe because of difficulty in confirming ostia under endoscope. All cases were followed up post operation to evaluate the efficacy.@*RESULT@#The ostia of frontal sinus were successfully opened with this method in all cases, and no serious intracranial or orbital complication occurred. After 6 to 18 months follow-up postoperatively, the symptoms vanished in 51 cases and improved in 7 cases and none of all recurred. The endoscopic examinations showed well opening of frontal sinus ostia.@*CONCLUSION@#Localization of frontal ostium with frontal sinus optical probe is a simple, convenient, safe and effective accessorial method for revision endoscopic frontal sinus surgery.

Frontoethmoidal Cells on Computed Tomographic Analysis: The Prevalence and Relationship to Frontal Sinus/Recess Mucosal Thickening

OBJECTIVES: To determine the prevalence of frontoethmoidal cells (FECs) in patients with and without frontal sinus/recess mucosal thickening and to establish the relationship between the FECs and the frontal sinus/recess mucosal thickening. MATERIALS AND METHODS: We retrospectively reviewed 245 consecutive ostiomeatal CT scans (490 sides). The normal and frontal sinus/recess mucosal thickening groups were categorized based on these images. The latter group was sub-categorized into the frontal sinus mucosal thickening group (FS group) and the frontal recess mucosal thickening group (FR group). RESULTS: Types 1, 2, 3 and 4 frontal cells were found in 17.5, 6.7, 8.3 and 0% of 326 normal sides, respectively. The prevalence of agger nasi, suprabullar, frontal bullar, supraorbital ethmoid and interfrontal sinus septal cells was 85.6, 43.3, 4.9, 4.3 and 17.2% of the same 326 normal sides, respectively. Type 3 frontal cells, frontal bullar cells and suprabullar cells were more prevalent in the FS and FR groups than in the normal group. All types of cells were more prevalent in the FS group, but only the suprabullar cells were more prevalent in the FR group than in the normal group. CONCLUSION: These findings suggest that type 3 frontal cells, frontal bullar cells and suprabullar cells may have a significant association with frontal sinus/recess mucosal thickening.

A Case of Subdural Empyema Caused by Sinusitis in a Child / 소아감염

The current paper reports on a case of subdural empyema secondary to frontal sinusitis in an otherwise healthy child. Sinusitis is a common and benign condition in most pediatric cases. Because of the widespread use of antibiotics, intracranial extension of pediatric sinusitis is rarely seen today; however, complications (e.g., cavernous sinus thrombosis, orbital infection, meningitis, and subdural empyema) are potentially life threatening. A 15-year-old right-handed male presented with a 3-day history of fever, headache, and left-sided palsy. Computed tomography revealed right-sided subdural empyema with right frontal sinusitis and maxillary sinusitis. A postoperative inpatient neurological consultation was requested 2 months post-surgery due to motor function deficits. The results suggested that early and accurate diagnosis of subdural empyema leads to prompt treatment and a favorable outcome for the patient.

Celulitis orbitaria, celulitis frontal y empiema como complicaciones de sinusitis / Orbital cellulitis, frontal cellulitis and empyema as sinusitis complications

La celulitis orbitaria usualmente ocurre como complicación de infecciones de los senos para nasales, y la etiología es principalmente bacteriana. Para realizar un diagnóstico e implantar terapéutica temprana tiene gran importancia reconocer las manifestaciones clínicas de la sinusitis y las edades más afectadas, pues dada su ubicación anatómica, pueden complicarse también con infecciones del sistema nervioso central, que en la edad pediátrica tienen una connotación especial. Se presentan aquí dos pacientes de 10 y 14 años de edad respectivamente, que desarrollaron celulitis orbitaria en un caso, y celulitis frontal y empiema en el otro; así mismo, se muestran los medios diagnósticos utilizados para identificar signos tempranos de posibles complicaciones, con el objetivo que el pediatra pueda identificarlos, así como la terapéutica implantada para dar solución o evitar estas complicaciones

Orbital cellulite generally occurs as a complication of paranasal sinus infections and the etiology is mainly bacterial. It is very important to recognize the clinical manifestations of sinusitis and the most affected ages to make a correct diagnosis and to apply early treatment, since its anatomical location may bring complications with central nervous system infections which, at pediatric ages, can acquire special significance. Here are two patients aged 10 and 14 years, who developed orbital cellulitis in one case and frontal cellulitis and empyema in the other. Likewise, the diagnostic means used to identify the early signs of possible complications were presented, in order that a pediatrician can detect them, as well as the treatment to solve or to prevent these complications

Evolução clínica e tomográfica da osteomielite frontal: relato de caso / Clinical and tomography evolution of frontal osteomyelitis: case report

INTRODUÇÃO: A osteomielite frontal é uma complicação de rinossinusite que pode ter evolução aguda ou crônica. Há reação inflamatória com aumento da pressão intra-óssea, isquemia e necrose local, levando à formação de abscesso ósseo. Não havendo drenagem, ocorrerá descolamento do periósteo, invasão de partes moles e piora da isquemia com posterior sequestro ósseo. MÉTODO: Relato de caso de um paciente internado em serviço de emergência de outra instituição por complicação de rinossinusite que foi encaminhado para o Serviço de Otorrinolaringologia do Hospital Universitário Professor Edgard Santos da Universidade Federal da Bahia. RELATO DE CASO: Paciente masculino, 16 anos, apresentou-se ao serviço de emergência de outra instituição com cefaleia, vômitos e febre que evoluiu com edema periorbitário e frontal à esquerda, cursando com flutuação palpebral e frontal.Submetido à drenagem de abscesso palpebral e frontal, com antibioticoterapia de amplo espectro sem melhora. Encaminhado para o nosso serviço mantendo edema e flutuação em região frontal e edema leve em região periorbitária esquerda. A endoscopia nasal evidenciou edema em meato médio à esquerda e a tomografia computadorizada mostrou sinusite fronto-etmoidal à esquerda e sinais de osteomielite frontal com sequestro ósseo e empiema epidural.Submetido à cirurgia endoscópica nasossinusal, acesso externo para exérese do osso frontal acometido e drenagem do empiema epidural. Evoluiu com remissão da doença. CONSIDERAÇÕES FINAIS: A falência no diagnóstico e no tratamento das complicações da rinossinusite pode levar a sequelas e complicações fatais.O diagnóstico de osteomielite frontal é firmado pela suspeita clinica e confirmado por exames radiológicos.A cirurgia está indicada quando a evolução for insidiosa, havendo sequestro ósseo ou complicações intracranianas.

INTRODUCTION: The frontal osteomyelitis is a complication of rhinosinusitis which can evolve to acute or chronicle. There is inflammatory reaction by the increasing of intraosseous pressure, ischemia and local necrosis, leading to bone abscess formation. There is no drainage, it will occur detachment of the periosteum, soft tissue invasion and worsening of ischemia with subsequent bone sequestration. METHOD: Case report of an inpatient in an emergency service of another institution by the complication of rhinosinusitis who was referred to the Otorhinolaryngology Service of University Hospital Professor Edgard Santos of Federal University of Bahia. CASE REPORT: Male patient, 16 years-old, presented himself to the ER of another institution with cephalea, vomits and fever which evolved to periorbital edema and frontal to the left, moving to palpebral fluctuation and frontal. Subjected to frontal and palpebral abscess drainage, with broad-spectrum antibiotic therapy with no improvement. He was referred to our service keeping edema and fluctuation in region frontal and light edema in left periorbital region. The nasal endoscopy showed edema in meatus to the left and the computerized tomography showed fronto-ethmoid sinusitis to the left and signs of frontal osteomyelitis with bone sequestration and epidural empyema. Subjected to sinasal endoscopy surgery, external Access or removal of the frontal one affected and epidural empyema drainage. Evolved to the remission of the disease. FINAL CONSIDERATIONS: Failure in the diagnosis and rhinosinusitis complication treatment can lead to sequalae and fatal complications. The diagnosis of the frontal osteomyelitis is confirmed by the clinical suspicion and confirmed by radiological examination. The surgery is indicated when the evolution is insidious, there is bone sequestration and intracranial complications.

Effects of Frontal Recess Cells on the Development of Frontal Sinusitis / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: Frontal recess anatomy can be very complex, with accessory cells extending to the frontal sinus and possibly contributing to the obstruction of the frontal sinus. However, there is still controversy on the effect of the frontal recess cells. We designed this study to assess the effect of frontal recess cells on frontal sinusitis. SUBJECTS AND METHOD: We retrospectively reviewed chart and collected data of those who visited the outpatient clinic between January and June, 2011. Parnasal sinus CT was taken with Brillance 64-slice computed tomography scanners. The image was reviewed by two or more otolaryngologists to identify the frontal recess cells. The nasofrontal isthmus diameter and the area of nasofrontal isthmus was reconstructed and measured with workstation. Then, we compared the radiological results of frontal recess cells with the frequency of frontal sinusitis. RESULTS: The presence of anterior group of frontal recess cells showed no influence on the frontal recess anatomy. The presence of frontal bullar cell was significantly associated with the development of frontal sinusitis by simple (p=0.001) and multiple (p=0.038) logistic regression models. It was shown that the narrower the area of frontal isthmus the more developed were the frontal sinusitis, showing statistically significance in the simple (p=0.013) and multiple (p=0.017) logistic regression models. CONCLUSION: Our results also showed that similar results compared to previous Asianreport. The narrowness of nasofrontal isthmus could be the cause of frontal sinusitis. The frontal bullar cell could be the cause of frontal sinusitis encroaching on the frontal recess and affect the nasofrontal pathway.

Endoscopic Endonasal Treatment of a Pott's Puffy Tumor

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.