Linton Stefan, Pearman Alexander, Joganathan Varajini, Karagama Yakubu
ENT, Central Manchester University Hospitals NHS Foundation Trust, Manchester, Greater Manchester, UK.
Oculoplastics, Central Manchester University Hospitals NHS Foundation Trust Education and Training, Manchester, UK.
BMJ Case Rep. 2019 Jul 16;12(7):e229664. doi: 10.1136/bcr-2019-229664.
Pott's puffy tumour (PPT) is a known complication of frontal sinusitis. It is defined as subperiosteal abscess formation due to osteomyelitis of the frontal bone presenting as a forehead swelling. It is a life-threatening condition that can lead to intracranial and intraorbital complications. Gadolinium-enhanced MRI and contrast CT scan are the best modalities to localise and define the collection, in addition to confirming disease extension. Once confirmed by imaging and depending on disease extension, management of PPT requires a multidisciplinary team approach and depends on the local provision of surgical care. Following surgical drainage of the abscess cavity, a prolonged course of antibiotics is required postoperatively to treat the underlying osteomyelitis.
波特氏浮肿性肿瘤（PPT）是额窦炎的一种已知并发症。它被定义为由于额骨骨髓炎导致骨膜下脓肿形成，表现为前额肿胀。这是一种危及生命的疾病，可导致颅内和眶内并发症。钆增强磁共振成像（MRI）和增强CT扫描是定位和确定积液范围的最佳检查方式，同时还能确认疾病的蔓延情况。一旦通过影像学检查确诊，并根据疾病的蔓延情况，PPT的治疗需要多学科团队协作，这取决于当地的外科治疗条件。在脓肿腔进行手术引流后，术后需要长期使用抗生素来治疗潜在的骨髓炎。
