What is a Pott puffy tumor?
What is a Pott puffy tumor?
Pott puffy tumor is osteomyelitis of the frontal bone with associated subperiosteal abscess causing swelling and edema over the forehead and scalp. It is a complication of frontal sinusitis or trauma.
What does Pott’s puffy tumor feel like?
Typical and atypical clinical presentations In a patient with pre-disposing factors, Pott’s Puffy tumor usually presents as a well-circumscribed, fluctuant, tender swelling over the forehead. Infrequently, it may extend from the forehead onto the vertex and form an extensive subgaleal empyema [2].
Is Pott’s puffy tumor curable?
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.
Does Pott’s puffy tumor hurt?
Symptoms include frontal scalp swelling, headache, fever, nasal drainage, photophobia, and frontal sinus tenderness. Pott’s puffy tumor is a complication of frontal sinus disease or direct injury to the frontal bone. Singh et al6 noted that it was a sign of intracranial complications in 85% of 219 patients.
What are the complications of sinusitis?
Complications of sinusitis include the following:
- Orbital cellulitis.
- Subperiosteal abscess.
- Orbital abscess.
- Mastoiditis.
- Frontal or maxillary osteomyelitis.
- Subdural abscess.
- Cavernous sinus thrombosis.
- Brain abscess.
Can osteomyelitis cause sinusitis?
Osteomyelitis is a potential local complication most commonly occurring with frontal sinusitis. Osteomyelitis of the frontal bone is called a Pott puffy tumor and represents a subperiosteal abscess with local edema anterior to the frontal sinus.
What is frontal Mucocele?
Frontal mucocele is a benign pseudocystic lesion that occurs as a result of obstruction of the sinus ostium, causing progressive accumulation of mucus secretion inside the sinus cavity. Frontal sinus mucocele is the most common site of mucoceles; Lee et al.
What is the most common complication of sinusitis?
Orbital complications are the most common complications encountered with acute bacterial sinusitis. Infection can spread directly through the thin bone separating the ethmoid or frontal sinuses from the orbit or by thrombophlebitis of the ethmoid veins.
What kind of MRI is needed for Potts puffy tumor?
Intracranial abscesses have been observed in about 60% of patients with Potts puffy tumor. A CT scan with contrast will show the sinusitis and is useful for planning surgery. MRI is helpful for identifying intracranial complications.
How did Pott’s puffy tumor get its name?
Pott’s puffy tumor, first described by Sir Percivall Pott in 1760, is a rare clinical entity characterized by subperiosteal abscess associated with osteomyelitis. It is characterized by an osteomyelitis of the frontal bone, either direct or through haematogenic spread. This results in a swelling on the forehead, hence the name.
Can a CT scan show a puffy tumor?
Plain X Rays can be used to demonstrate the location of this swelling, but the gold standard for diagnosis is a cross sectional CT scan of the sinuses and brain, aided by contrast to delineate the abscess itself. Picture demonstrating associated forehead swelling in patient with Pott’s puffy tumor.
Are there any reliable incidence figures for Potts puffy tumor?
There are no reliable incidence figures for Potts puffy tumor which is a rare complication of acute frontal sinusitis as well as head trauma. Just be aware of Potts puffy tumor as a rare but possible complication of acute bacterial sinusitis so that you can recognize it promptly and refer appropriately.