Vanderveken O M, De Smet K, Dogan-Duyar S, Desimpelaere J, Duval E L I M, De Praeter M, Van Rompaey D
Department of Otorhinolaryngology, Head and Neck Surgery, Queen Paola Children's Hospital, ZNA Middelheim, Antwerp, Belgium.
B-ENT. 2012;8(2):127-9.
We report a case of Pott's puffy tumour, a subperiosteal abscess of the frontal bone associated with an underlying frontal osteomyelitis, in a 5-year-old boy. Ultrasonography played a crucial role in the diagnosis of our patient, suggesting the presence of a Pott's puffy tumour with epidural abscess by showing a subperiosteal abscess associated with erosion of the frontal bone. Subsequently, the diagnosis of Pott's puffy tumour with epidural abscess was confirmed by contrast-enhanced CT scanning. Prompt neurosurgical intervention with drainage of abscesses and debridement of bone sequestrate, together with prolonged antibiotic therapy, significantly contributes to a favorable outcome.
我们报告了一例波特氏肿，这是一名5岁男孩额骨的骨膜下脓肿，伴有潜在的额骨骨髓炎。超声检查在我们患者的诊断中发挥了关键作用，通过显示与额骨侵蚀相关的骨膜下脓肿，提示存在伴有硬膜外脓肿的波特氏肿。随后，通过增强CT扫描确诊为伴有硬膜外脓肿的波特氏肿。及时的神经外科干预，包括脓肿引流和骨坏死清创，以及长期的抗生素治疗，对取得良好预后有显著作用。
