Kühn Jan Philipp, Linsler Stefan, Nourkami-Tutdibi Nasenien, Meyer Sascha, Becker Sören L, Yilmaz Umut, Schick Bernhard, Bozzato Alessandro, Kulas Philipp
Klinik für Hals‑, Nasen- und Ohrenheilkunde, Universitätsklinikum des Saarlandes, Kirrberger Straße, 66421, Homburg, Deutschland.
Klinik für Neurochirurgie, Universitätsklinikum des Saarlandes, Homburg, Deutschland.
HNO. 2022 Jul;70(7):550-556. doi: 10.1007/s00106-021-01133-x. Epub 2022 Mar 8.
Pott's puffy tumor (PPT) is an infection of the frontal sinus with subperiosteal and intracranial abscess formation and one of the rare entities in pediatrics. We present a series of four cases of PPT that occurred in two children (6 and 9 years) and in two young adults (17 and 19 years). All patients were treated by an interdisciplinary team of pediatric, neurosurgical, ENT, radiological, and neuroradiological specialists. Antibiotic treatment was combined with single endoscopic surgery in one case and combined endoscopic sinus surgery with an open transcranial approach to drain intracranial abscess formation in three cases. It is important to be aware that PPT occurs in children with the finding of intracranial abscess formation. Therefore, a close interdisciplinary cooperation for successful treatment is needed in this rare disease.
波特氏肿（Pott's puffy tumor，PPT）是一种额窦感染并伴有骨膜下和颅内脓肿形成的疾病，是儿科罕见病症之一。我们报告了一系列4例PPT病例，分别发生在两名儿童（6岁和9岁）以及两名年轻人（17岁和19岁）身上。所有患者均由儿科、神经外科、耳鼻喉科、放射科和神经放射科专家组成的跨学科团队进行治疗。1例患者采用抗生素治疗并联合单次内镜手术，3例患者采用联合内镜鼻窦手术及开放经颅入路引流颅内脓肿形成。需要注意的是，PPT发生于伴有颅内脓肿形成的儿童。因此，对于这种罕见疾病，成功治疗需要密切的跨学科合作。
