Sandoval Jose I., Hohman Marc H., De Jesus Orlando
Allegheny Health Network, Neurosurgery and Drexel University
Uniformed Services University/Madigan Army Medical Center
The term "Pott puffy tumor" (PPT) refers to edema of part or all of the forehead due to a subperiosteal abscess associated with frontal bone osteomyelitis (see Example of a Pott Puffy Tumor). While the word "tumor" typically suggests neoplasia, in this context, it refers to swelling as one of Celsus' "4 cardinal signs of inflammation"—the other 3 being calor (heat), rubor (redness), and dolor (pain). PPT was first described in 1760 by Sir Percivall Pott as a complication of a frontal bone fracture. Sir Percivall Pott was a prominent surgeon of the eighteenth century, known for identifying the link between chimney sweeping and scrotal cancer, as well as for describing mycobacterial infection of the spine (Pott disease) and bimalleolar ankle fractures (Pott fractures). In 1775, Pott documented a more typical case of PPT, which developed as a complication of frontal sinusitis. He also outlined its treatment through operative drainage—a method that remains a mainstay of treatment today.
“波特氏浮肿瘤”（PPT）一词指的是因额骨骨髓炎相关的骨膜下脓肿导致的部分或整个前额水肿（见波特氏浮肿瘤示例）。虽然“肿瘤”一词通常暗示肿瘤形成，但在此语境中，它指的是肿胀，是塞尔苏斯“炎症的四大主要体征”之一，另外三个体征是发热、发红和疼痛。PPT最早于1760年由珀西瓦尔·波特爵士描述为额骨骨折的一种并发症。珀西瓦尔·波特爵士是18世纪一位杰出的外科医生，以确定扫烟囱与阴囊癌之间的联系、描述脊柱的分枝杆菌感染（波特病）以及双踝骨折（波特骨折）而闻名。1775年，波特记录了一个更典型的PPT病例，该病例是作为鼻窦炎的并发症出现的。他还概述了通过手术引流进行治疗的方法，这种方法至今仍是主要的治疗手段。
