Karaman Emin, Hacizade Yusif, Isildak Huseyin, Kaytaz Asim
Otolaryngology Department, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey.
J Craniofac Surg. 2008 Nov;19(6):1694-7. doi: 10.1097/SCS.0b013e31818b432e.
Pott's Puffy tumor is a rare clinical entity characterized by subperiosteal abscess associated with osteomyelitis. It is usually seen as a complication of frontal sinusitis or trauma predominantly in the adolescent age group. Pott's Puffy tumor can be associated with cortical vein thrombosis, epidural abscess, subdural empyema, and brain abscess. The cause of vein thrombosis is explained by venous derange of the frontal sinus, which occurs through diplopic veins, which communicate with the dural venous plexus; septic thrombi can potentially evolve from foci within the frontal sinus and propagate through this venous system. An apparently healthy 7-year-old girl presented to the emergency service of otolaryngology with complaints of swelling of forehead and periorbital zone, headache, chills, fever, and rhinorrhea. The patient described in this case report had 2 important complications of paranasal sinus disease: the relatively common complication of postseptal cellulites and the less common complication of Pott's Puffy tumor.
波特氏浮肿性肿瘤是一种罕见的临床病症,其特征为与骨髓炎相关的骨膜下脓肿。它通常被视为主要发生在青少年年龄组的额窦炎或创伤的并发症。波特氏浮肿性肿瘤可能与皮质静脉血栓形成、硬膜外脓肿、硬膜下积脓和脑脓肿有关。静脉血栓形成的原因是额窦的静脉紊乱,这种紊乱通过与硬脑膜静脉丛相通的板障静脉发生;感染性血栓可能从额窦内的病灶演变而来,并通过该静脉系统传播。一名看似健康的7岁女孩因前额和眶周区域肿胀、头痛、寒战、发热和流涕而到耳鼻喉科急诊就诊。本病例报告中描述的患者患有鼻旁窦疾病的两种重要并发症:相对常见的鼻中隔后蜂窝织炎并发症和较不常见的波特氏浮肿性肿瘤并发症。