A case of Pott’s puffy tumour from primary dental infection

Geyton, Thomas; Henderson, Arthur; Morris, Joseph E.; McDonald, Steve

doi:10.1136/bcr-2017-222294

Cited by 7 publications

(11 citation statements)

References 2 publications

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“…In 2017, Şimşek reported one case of PPT treated by means of an external approach to drain the abscess and remove the osteomyelitic bone combined with an endoscopic enlargement of the frontonasal duct [25]. Similarly Geyton and colleague performed ESS with external drainage of frontal sinus abscess in a 45-year-old man presented with PPT [26], while Tatsumi et al, performed successfully ESS alone, even if they did not report the extent of the sinus surgery [27]. More recently, another two cases have been reported by two different authors.…”

Section: Discussionmentioning

confidence: 99%

Draf III frontal sinus surgery for the treatment of Pott’s puffy tumour in adults: our case series and a review of frontal sinus anatomy risk factors

Pendolino

Koumpa

Zhang

et al. 2020

Eur Arch Otorhinolaryngol

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Purpose We present our case series of four adult patients with Pott's puffy tumour (PPT), successfully treated with Draf III over a mean period of 11 months. A critical review of the literature is also provided. Methods A retrospective review of patients undergoing Draf III for PPT from January 2018 to January 2019 was performed. Results Four consecutive male patients ranging from 26 to 62 years, with a mean age of 49.5 ± 16.3 years, undergoing Draf III for Pott's puffy tumour were included. Two patients had a Kuhn type IV frontal cell narrowing the frontonasal pathway and presented without previous sinus surgery, whereas the other two had previous sinus surgery. The success rate of the operation was 100% with an average length of follow-up of 11 months (range 5-18). Conclusion In our experience, the Draf III procedure is a highly effective treatment of PPT. In particular, we have demonstrated it to be very effective in accessing highly positioned Kuhn type IV cells.

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Section: Discussionmentioning

confidence: 99%

Draf III frontal sinus surgery for the treatment of Pott’s puffy tumour in adults: our case series and a review of frontal sinus anatomy risk factors

Pendolino

Koumpa

Zhang

et al. 2020

Eur Arch Otorhinolaryngol

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“…The patient was managed by ESS with external drainage of frontal sinus abscess and removal of retained root of tooth. 3 In other case, the patient had the history of teeth extraction before development of symptoms of frontal SPOA. A CT scan showed the sinus infection in the maxillary and frontal sinuses with intracranial extension.…”

Section: Discussionmentioning

confidence: 99%

“…Odontogenic sinusitis-associated frontal SPOA are rare and only 3 cases have been reported previously. 2,3,4 Here, we present our case, and try to review the previously reported cases of frontal SPOA caused by odontogenic maxillary sinusitis.…”

Section: Introductionmentioning

confidence: 99%

Odontogenic Sinusitis-Associated Pott’s Puffy Tumor: A Case Report and Literature Review

Min

Kim

2020

Ear Nose Throat J

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Pott’s puffy tumor (PPT) is a nonneoplastic complication of acute frontal sinusitis characterized by subperiosteal abscess (SPOA) formation and osteomyelitis. Although various clinical conditions are associated with frontal SPOA, cases associated with odontogenic sinusitis are rare. We report a recurrent case of frontal SPOA who had a previous history of craniotomy due to head trauma. The patient was presented with headache, facial swelling and diagnosed as frontal, ethmoid, and maxillary sinusitis with frontal SPOA, which is PPT. The patient was surgically managed by endoscopic sinus surgery and external drainage of the abscess. Although the symptoms had been relieved soon after the surgery, they were recurred after 1 week. By paranasal sinus computed tomography scans, it was suspected that severe carious teeth, which were missed before surgery, induced maxillary sinusitis which spread into the frontal sinus and subperiosteal areas inducing recurrence of disease. Our experience suggests that frontal SPOA may originate from odontogenic maxillary sinusitis caused by severe dental caries, which should be actively managed, especially in patients with the risk of spread of inflammation, such as those who have discontinuity in frontal bone.

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“…First described by Sir Percival Pott in the middle of the 18th century, Pott's puffy tumor (PPT) consists of osteomyelitis of the frontal bone with an associated subperiosteal abscess. [1][2][3] Generally, it is seen as a sequela of frontal sinusitis and presents with forehead swelling and pain. Adolescents are at the highest risk for PPT, likely due to increased vascularity of the diploic circulation, 1 but patients of any age can be affected.…”

Section: Introductionmentioning

confidence: 99%

“…This disease entity has become significantly less common since antibiotic therapy became widely available. 3 Treatment of PPT usually requires a combination of antibiotic therapy and surgery. 1,3 The recent literature has improved our understanding of odontogenic sinusitis and we now understand that this disease process is much more common than previously thought.…”

Section: Introductionmentioning

confidence: 99%