Pneumocephalus associated with Pott's puffy tumor

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%

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

2018

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“…Also, gadolinium-enhanced MRI may help define the involvement of brain parenchyma or dura mater [ 3 ]. Pneumocephalus also may be found [ 10 ]. Ultrasound imaging of the forehead may assist in the initial radiological investigation and to guide needle specimen collection for culture [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Neurosurgical Management of Pott’s Puffy Tumor in an Obese Adolescent with Asthma: Case Report with a Brief Review of the Literature

Podolsky-Gondim

Santos

Carneiro

et al. 2018

Cureus

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Pott’s puffy tumor is a rare and severe complication of frontal sinusitis, characterized by the progressive swelling of the frontal soft tissues secondary to a subperiosteal abscess. Radiological imaging with ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI) are important diagnostic tools in establishing diagnosis and treatment planning. Early surgery along with intravenous antibiotics are required in order to achieve a good recovery. The authors report a case of Pott’s puffy tumor in an obese 14-year-old male, with a previous history of asthma and a chronic use of steroids, treated with neurosurgical debridement followed by a combined course of intravenous (IV) and oral antibiotics, who had a favorable outcome upon long-term follow-up. In addition, a brief review of the current medical literature was performed for a discussion on the diagnostic and therapeutic features of this pathology.

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“…Twenty-six cases were identified from the literature search to have fulfilled the inclusion criteria for review. 2,7-20 These were combined with the 3 cases from this author’s series, totaling 29 patients (Table 1). There were 20 males in the reviewed cohort, with a median age of 25 years (range, 9-86 years).…”

Section: Resultsmentioning

confidence: 99%