Department of Otolaryngology, Faculty of Medicine, Kagawa University, Kagawa, Japan.
Laryngoscope. 2012 Nov;122(11):2382-8. doi: 10.1002/lary.23490. Epub 2012 Aug 2.
OBJECTIVES/HYPOTHESIS: Pott's puffy tumor (PPT) is defined as one or more subperiosteal abscesses of the frontal bone based on osteomyelitis. PPT is observed predominantly in the adolescent age group and rarely in adults. Some parameters affecting prognosis and an appropriate surgical approach for antecedent frontal sinusitis have not been elucidated due to the rarity of patients with adult PPT.
Retrospective patient record and literature study.
Five patients from our cohort and 27 patients identified in a literature search formed the study group.
The incidence rate of intracranial complications was lower than in previous reports at 29.0%. There was no correlation between the incidence rate of intracranial complications and each patient's parameters. It was indicated that the department first consulted by the patients was possibly related to the initial diagnosis and the incidence rate of intracranial complications.
Although the incidence rate of major complications is lower than in children and later than in earlier published adult cases, patients are still at high risk of serious intracranial complications. Early diagnosis and adequate treatment may contribute to reducing the incidence rate.
目的/假说：波特氏肿（Pott's puffy tumor，PPT）定义为基于骨髓炎的额骨一处或多处骨膜下脓肿。PPT 主要发生在青少年，很少发生在成人。由于成人 PPT 患者罕见，一些影响预后的参数和额窦炎的适当手术方法尚未阐明。
回顾性患者记录和文献研究。
我们的队列中有 5 名患者，文献检索中确定了 27 名患者，组成了研究组。
颅内并发症的发生率为 29.0%，低于以往报道。颅内并发症的发生率与每个患者的参数之间没有相关性。提示患者首次就诊的科室可能与初始诊断和颅内并发症的发生率有关。
尽管严重并发症的发生率低于儿童，也晚于已发表的成人病例，但患者仍有发生严重颅内并发症的高风险。早期诊断和充分治疗可能有助于降低发生率。
