title: The Pott's puffy tumor: a dangerous sign for intracranial complications.
abstract: The Pott's puffy tumor is a subperiosteal abscess of the frontal bone associated with osteomyelitis. The purpose of this article is to alert the physician to the severe complications of this entity. The records of six patients were reviewed retrospectively. There were four adults and two adolescents. Nasal endoscopy showed edematous, polypoid mucosa in middle meatus in three and nasal polyps in the rest. At initial admission, two had orbital subperiosteal abscess, but normal cranial CT findings. During hospitalization, three experienced frontal lobe abscess and one frontal cerebritis. Endoscopic sinus surgery was performed in all with external drainage of Pott's puffy tumor in addition to antibiotherapy. Three patients underwent craniotomy/craniectomy for removal of frontal lobe abscesses. One patient with frontal lobe abscess died. Pott's puffy tumor may result in potentially dangerous intracranial complications. Early diagnosis and treatment are essential to reduce morbidity and mortality.
authors.affiliation: Department of Otorhinolaryngology, Erciyes University, Kayseri, Turkey. ketenci@erciyes.edu.tr
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Ketenci
authors.forename: Yaşar
authors.initials: Y
authors.lastname: Unlü
authors.forename: Bülent
authors.initials: B
authors.lastname: Tucer
authors.forename: Alperen
authors.initials: A
authors.lastname: Vural
mesh_terms: D000293:Adolescent; D000328:Adult; D001922:Brain Abscess / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002648:Child; D003399:Craniotomy; D003937:Diagnosis, Differential; D004322:Drainage / Q000379:methods*; D042241:Early Diagnosis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D059369:Pott Puffy Tumor / Q000150:complications* / Q000175:diagnosis / Q000401:mortality; D011379:Prognosis; D012189:Retrospective Studies; D015996:Survival Rate / Q000639:trends; D014057:Tomography, X-Ray Computed; D014421:Turkey / Q000453:epidemiology; D055815:Young Adult