Endoscopic Endonasal Treatment of a Pott's Puffy Tumor

• Main Authors: Jinho Jung, Hak Chun Lee, Il-Ho Park, Heung-Man Lee
• Format: Article
• Language: English
• Published: Korean Society of Otorhinolaryngology-Head and Neck Surgery 2012-06-01
• Series: Clinical and Experimental Otorhinolaryngology
• Subjects: Frontal sinusitis; Osteomyelitis; Endoscopy
• Online Access: http://www.e-ceo.org/upload/pdf/ceo-5-112.pdf

Pott's puffy tumor is an infrequent entity characterized by a subperiosteal abscess associated with frontal bone osteomyelitis. It has become rare due to the development of antibiotics and is usually seen as a complication of frontal sinusitis. Although Pott's puffy tumor is more commonly described in children, it should also be included in the differential diagnosis of swelling on the forehead in adults. Once the diagnosis is suspected, appropriate imaging should be performed to evaluate the possible complications. The treatment of Pott's puffy tumor combines medical and surgical approaches in order to prevent further complications. The goal of surgery is to drain the sinus and to excise the infected bone if necessary. The endoscopic endonasal approach is a safe and effective alternative to the external approach. This report describes the case of a 25-year-old man with Pott's puffy tumor resulting from frontal sinusitis.