Department of Otorhinolaryngology, Erciyes University, Kayseri, Turkey.
Eur Arch Otorhinolaryngol. 2011 Dec;268(12):1755-63. doi: 10.1007/s00405-011-1660-5. Epub 2011 Jun 10.
The Pott's puffy tumor is a subperiosteal abscess of the frontal bone associated with osteomyelitis. The purpose of this article is to alert the physician to the severe complications of this entity. The records of six patients were reviewed retrospectively. There were four adults and two adolescents. Nasal endoscopy showed edematous, polypoid mucosa in middle meatus in three and nasal polyps in the rest. At initial admission, two had orbital subperiosteal abscess, but normal cranial CT findings. During hospitalization, three experienced frontal lobe abscess and one frontal cerebritis. Endoscopic sinus surgery was performed in all with external drainage of Pott's puffy tumor in addition to antibiotherapy. Three patients underwent craniotomy/craniectomy for removal of frontal lobe abscesses. One patient with frontal lobe abscess died. Pott's puffy tumor may result in potentially dangerous intracranial complications. Early diagnosis and treatment are essential to reduce morbidity and mortality.
波特氏膨出肿是额骨骨膜下脓肿，伴骨髓炎。本文旨在提醒医生注意该疾病的严重并发症。回顾性分析了 6 例患者的记录，其中 4 例为成年人，2 例为青少年。鼻内镜检查显示中鼻甲水肿、息肉样黏膜 3 例，其余 2 例为鼻息肉。初诊时，2 例患者有眼眶骨膜下脓肿，但头颅 CT 正常。住院期间，3 例患者出现额叶脓肿，1 例出现额叶脑脊髓炎。所有患者均行内镜鼻窦手术，除抗生素治疗外，还进行了波特氏膨出肿的外部引流。3 例额叶脓肿患者行开颅/颅骨切除术。1 例额叶脓肿患者死亡。波特氏膨出肿可能导致潜在的危险颅内并发症。早期诊断和治疗对于降低发病率和死亡率至关重要。
