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Post-traumatic Pott’s puffy tumour: A case report

ntroduction Pott’s puffy tumour was described for the first time in the 18th century by Percivall Pott. It is a pseudo-inflammatory tumour, cor- responding to osteomyelitis of the frontal sinus responsible for erosion of the anterior wall of the frontal sinus and subperiosteal abscess. Pott initially described this tumour as a complication of local trauma in 1768 and then as a complication of frontal sinusitis in 1775 [1]. Delayed diagnosis and treatment of this disease can be responsible for complications (intracranial extension). We report a case of Pott’s puffy tumour and a review of the literature. 2. Casereport A 37-year-old man consulted for swelling of the forehead, palpebral oedema and headache present for about one month. He reported a history of old head injury. Physical examination demonstrated a fluctuating forehead swelling associated with left palpebral oedema, aspiration of which revealed frank pus (Fig. 1). CT scan of the paranasal sinuses revealed opacification of the left frontal sinus with disruption of its outer wall and infiltration of the ipsilateral subcutaneous tissues of the forehead (Fig. 2). Bacteriological culture of the aspiration sample remained ster- ile. Treatment consisted of open surgery (bicoronal incision). The outer table was removed by circular saw. Pus was drained and ? Correspondingauthor. E-mail address: clinica@clinicaclaros.com (P. Clarós). http://dx.doi.org/10.1016/j.anorl.2015.08.018 1879-7296/© 2015 Published by Elsevier Masson SAS. abstract Introduction: Osteomyelitis of the frontal sinus is a rare clinical entity and generally occurs as a complica- tion of trauma to the forehead or frontal sinusitis. It can be responsible for life-threatening complications, as the first symptoms may appear to be minor. Early diagnosis and appropriate management to prevent central nervous system complications significantly reduce the morbidity and mortality. Case report: The authors report the case of a 34-year-old man with Pott’s puffy tumour following trauma to the frontal sinus. Discussion: The diagnosis was suggested clinically and confirmed radiologically. Treatment was surgical with craniotomy and external drainage.


Auteur(s) : claros
Année de publication : 2015
Revue : European Annals of Otorhinolaryngology, Head and Neck diseases
N° de volume : 136
Type : Article
Mise en ligne par : AHMED Houra