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NEUROSURGICAL IMPLICATIONS OF POTT'S PUFFY TUMOR IN CHILDREN AND ADOLESCENTS
Frontal Sinusitis
Frontal Subperiosteal Abscess
Osteomyelitis
Skull Fracture
Epidural Abscess
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Abstract
Introduction Pott’s puffy tumor (PPT) is rare and usually seen
as a complication of frontal sinusitis resulting in subperiosteal
abscess of the frontal bonewith underlying osteomyelitis. PPT
is potentially severe and can lead to life-threatening intracra-nial complications.
Patients and methodsThe authors present a series of six
pediatric patients diagnosed with PPT and intracranial com-plications between 1999 and 2012. There were five boys and
one girl, and the mean age at diagnosis was 11.8 years. All
patients presented with frontal swelling, headache, and fever.
Two patients had lowered level of consciousness and severe
hemodynamic instability.
ResultsAll patients had epidural abscess, and one also pre-sented subdural empyema. Five patients underwent drainage
of all associated abscesses, bone resection, and sinusitis treat-ment. One was treated conservatively with broad-spectrum
antibiotics, and no surgical intervention was required. All
patients fully recovered their neurologic status, without further
complications.
Keywords
Pott’s Puffy TumorFrontal Sinusitis
Frontal Subperiosteal Abscess
Osteomyelitis
Skull Fracture
Epidural Abscess
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