Orbital abscess as a complication of Pott’s puffy tumour in an adolescent male

Pott’s puffy tumour (PPT) is a known complication of frontal sinusitis. It is defined as subperiosteal abscess formation due to osteomyelitis of the frontal bone presenting as a forehead swelling. It is a life-threatening condition that can lead to intracranial and intraorbital complications. Gadoli...

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Bibliographic Details
Published in:BMJ case reports 2019-07, Vol.12 (7), p.e229664
Main Authors: Linton, Stefan, Pearman, Alexander, Joganathan, Varajini, Karagama, Yakubu
Format: Article
Language:English
Subjects:
Abscess - drug therapy
Abscess - surgery
Abscesses
Administration, Intravenous
Adolescent
Adults
Anti-Bacterial Agents - administration & dosage
Anti-Bacterial Agents - therapeutic use
Antibiotics
Case reports
Diagnosis, Differential
Ears & hearing
Edema
Fractures
Frontal Bone - pathology
Frontal Sinusitis - diagnostic imaging
Frontal Sinusitis - microbiology
Frontal Sinusitis - pathology
Humans
Magnetic Resonance Imaging
Male
Medical imaging
Orbital Cellulitis - etiology
Orbital Cellulitis - pathology
Osteomyelitis - pathology
Otolaryngology
Pott Puffy Tumor - complications
Sinuses
Teenagers
Tomography, X-Ray Computed
Trauma
Treatment Outcome
Unusual Presentation of More Common Disease/Injury
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Summary:Pott’s puffy tumour (PPT) is a known complication of frontal sinusitis. It is defined as subperiosteal abscess formation due to osteomyelitis of the frontal bone presenting as a forehead swelling. It is a life-threatening condition that can lead to intracranial and intraorbital complications. Gadolinium-enhanced MRI and contrast CT scan are the best modalities to localise and define the collection, in addition to confirming disease extension. Once confirmed by imaging and depending on disease extension, management of PPT requires a multidisciplinary team approach and depends on the local provision of surgical care. Following surgical drainage of the abscess cavity, a prolonged course of antibiotics is required postoperatively to treat the underlying osteomyelitis.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2019-229664