J Korean Soc Radiol.  2010 Feb;62(2):101-104. 10.3348/jksr.2010.62.2.101.

Pott's Puffy Tumor Arising from Frontal Sinusitis

• Lim JY
• Kang HK

• KMID: 2208945
• DOI: http://doi.org/10.3348/jksr.2010.62.2.101

Abstract

Pott's puffy tumor is an extremely rare and potentially life-threatening complication of frontal sinusitis. We report a case of a 64-year-old man who presented at our emergency department with mild tenderness on the glabellar area and diplopia. Computed Tomography (CT) revealed frontal sinusitis and osteomyelitis of the frontal bone. Following sinus trephination and long-term antibiotic therapy, the patient achieved a complete recovery.

MeSH Terms

Diplopia
Emergencies
Frontal Bone
Frontal Sinus
Frontal Sinusitis
Humans
Middle Aged
Osteomyelitis
Pott Puffy Tumor
Tomography, X-Ray Computed

Figure

• 

  Fig. 1 64-year-old man complaining of diplopia, blurred vision, and mild tenderness on the glabellar area. A, B. On a PNS series, the blurred margin of the bony wall of the right frontal sinus (black arrows) (A), and soft tissue swelling on the prefrontal area (white arrows) are seen (B). C. Sagittal PNS CT scan reveals full opacification of the frontal sinus, erosive thinning of the anterior wall of the frontal sinus (black arrows), and sclerotic bone marrow of the frontal skull (white arrows). D. On an axial PNS CT scan, sclerotic bone marrow of the frontal skull (white arrows) is observed. E. Soft tissue swelling and enhancement is observed over the forehead. F. A post-operative brain MRI shows enhancement of the frontal bone marrow (black arrows). No abnormal intracranial findings are present.

Reference

1. Bannon PD, McCormack RF. Pott's puffy tumor and epidural abscess arising from pansinusitis. J Emerg Med. 2008; 11. 20. [Epub ahead of print].

2. Blackman SC, Schleiss MR. Forehead swelling caused by Pott's puffy tumor in a 9-year-old boy with sinusitis. Pediatr Int. 2005; 47:704–707.

3. Tattersall R, Tattersall R. Pott's puffy tumor. Lancet. 2002; 359:1060–1063.

4. Martinez-Diaz GJ, Hsia R. Pott's puffy tumor after minor head trauma. Am J Emerg Med. 2008; 26:739.e1–739.e3.

5. Raja V, Low C, Sastry A, Moriarty B. Pott's puffy tumor following an insect bite. J Postgrad Med. 2007; 53:114–116.

6. Lamoreau KP, Fanciullo LM. Pott's puffy tumour mimicking preseptal cellulitis. Clin Exp Optom. 2008; 91:400–402.

7. Reynolds DJ, Kodsi SR, Rubin SE, Rodgers IR. Intracranial infection associated with preseptal and orbital cellulitis in the pediatric patient. J AAPOS. 2003; 7:413–417.