A 14-Year-Old Male with Swelling of the Forehead

Arora, Harbir; Abdel‐Haq, Nahed

doi:10.3928/00904481-20141124-05

Cited by 12 publications

(17 citation statements)

References 11 publications

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“…Most of the articles were either case series or case reports. The characteristics of the included studies are summarized in Table …”

Section: Resultsmentioning

confidence: 99%

“…To cover the diversity of all potential pathogens, initial coverage should consist of broad‐spectrum antibiotics with good penetration in central nervous system (CNS) . Subsequently, the coverage is narrowed according to the results of culture and microbial susceptibility testing . Antibiotic therapy should be prolonged for at least 6 to 8 weeks postoperatively .…”

Section: Discussionmentioning

confidence: 99%

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Pott's puffy tumor in children: A review of the literature

2018

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Objectives: Pott's puffy tumor (PTT) is a frontal subperiosteal abscess associated with underlying frontal osteomyelitis. The purpose of the present study was to assess the rate of intracranial involvement in pediatric and adolescent patients with PPT and to discuss the diagnostic workup and the therapeutic features of this pathology.Methods: We searched Web of Science, PubMed and MEDLINE from 1998 to 2018. The search focused on papers concerning the diagnostic procedure and therapeutic management of PTT. Statistical techniques were not used.Results: We included 53 articles that described 92 pediatric and adolescent patients with PPT. The overall rate of intracranial complications was found to be 72%. Most authors used computed tomography for the diagnosis of PTT and its complications, either alone or in combination with magnetic resonance imaging. In 50% of cases, an endoscopic endonasal approach is used for the management of the underlying acute or chronic sinusitis.Conclusions: On the basis of the available literature, it seems that the incidence rate of intracranial involvement in patients with PPT is quite high. Early diagnosis using the appropriate imaging raise the possibility of good recovery. Concerning the therapy of PTT, endoscopic sinus surgery could be considered as a valuable technique. The vast majority of patients treated appropriately recover without long-term neurologic complications and sequelae.

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“…Most of the articles were either case series or case reports. The characteristics of the included studies are summarized in Table …”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Pott's puffy tumor in children: A review of the literature

2018

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“…[1,7]. Intracranial infections additionally may contain anaerobic organisms [18]. Pathogens that have infrequently been cultured include Enterococcus, Pseudomonas, E. coli, P. multocida and S. constellatus [2,11].…”

Section: Discussionmentioning

confidence: 99%

Pott’s Puffy Tumor with Intracranial Extension in a Minimally Symptomatic Adolescent

Jugmohansingh¹,

Sharma²,

Ramnarine³

et al. 2020

EJSCR

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Pott’s puffy tumor is a non-neoplastic, Otolaryngological emergency. It is regarded as a rare clinical condition in the post-antibiotic era and a high index of suspicion is required for its diagnosis. The aetiology is multifactorial and includes sinusitis, infections, trauma, surgery, malignancy, substance abuse as well as contiguous spread along neurovascular bundles. These result in osteomyelitis and subperiosteal abscess formation within the frontal bone. Intracranial involvement can also occur and lead to serious complications. This is the case report of a 12-year old female who developed intermittent forehead swelling, headaches and pyrexia over a 2-week period. Radiological imaging identified changes consistent with a Pott’s puffy tumor complicated by an intracranial abscess. A combined open and endoscopic endonasal approach was used to drain the purulent collections and the patient was placed on antibiotics for a total of six weeks. The management of Pott’s puffy tumor will then be discussed.

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“…Culture of abscess fluid may reveal mixed polymicrobial growth with the most common causative bacterial pathogens including Streptococcus species, Staphyloccoccus aureus but also anaerobic organisms (such as Fusobacterium ) especially in cases of intracranial involvement [9]. Cases with Haemophilius influenza, Enterococcus, Pseudomonas, E scherichia coli and one case with Pasteurella multocida have also been reported [3].…”

Section: Discussionmentioning

confidence: 99%

Potts puffy tumour: a rare but important diagnosis

Hasan

Smith

Hammond-Kenny

2019

Journal of Surgical Case Reports

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Potts puffy tumour (PPT) is a subperiosteal abscess arising from frontal bone osteomyelitis. We present a case of a 75-year-old lady with headache and a forehead swelling who was initially treated for sinusitis and giant cell arteritis in a primary care setting, but failed to improve. Following clinical deterioration and further investigation, CT appearances were consistent with a diagnosis of PPT and an extra-axial collection. Needle decompression, frontal trephine and endoscopic frontal sinusotomy were performed and intraoperative swabs cultured Streptococcus constellatus PPT is an unusual clinical entity that benefits from prompt antibiotic and surgical management, and therefore early recognition is paramount. We highlight that PPT should be a differential diagnosis in all patients presenting with forehead or frontal swelling. Use of radiological imaging (CT/MRI) is necessary to not only confirm a diagnosis of PPT but to identify further intracranial complications, which can be life-threatening.

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A 14-Year-Old Male with Swelling of the Forehead

Cited by 12 publications

References 11 publications

Pott's puffy tumor in children: A review of the literature

Pott's puffy tumor in children: A review of the literature

Pott’s Puffy Tumor with Intracranial Extension in a Minimally Symptomatic Adolescent

Potts puffy tumour: a rare but important diagnosis

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