| A Pott's puffy tumour as a late complication of a frontal sinus reconstruction: case report and literature review. | |
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MedLine Citation:
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PMID: 19936379 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A Pott's Puffy Tumour (PPT) is a rare clinical entity, which, traditionally has been described as an acute abscess with periosteitis secondary to osteomyelitis of the external table of the frontal bone of the skull, complicating an acute frontal sinusitis. The aim of this article is to present a case of progressively evolving PPT, which emerged during the course of a common rhinitis, in a patient who, thirty years previously, had undergone a reconstruction of the frontal sinus involving osteosynthesis. The patient was treated with antibiotic therapy coupled with external access surgery using the Cairn Unterberger approach. This allowed the drainage of pus, the removal of infected osteosynthetic material and a complete debridement of osteomyelitic bone from the affected area. Frontal sinus obliteration was undertaken using methyl methacrylate, preferable in this case to hydroxyapatite, due to the direct communication with the neighbouring sinus cavities and the presence of defective bone in the superior orbit. A review of literature available on Medline up to January 2008 reveals that this is the third published case of PPT complicating a frontal reconstruction. |
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Authors:
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S Collet; V Grulois; Ph Eloy; Ph Rombaux; B Bertrand |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Rhinology Volume: 47 ISSN: 0300-0729 ISO Abbreviation: Rhinology Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-11-25 Completed Date: 2010-02-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0347242 Medline TA: Rhinology Country: Netherlands |
Other Details:
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Languages: eng Pagination: 470-5 Citation Subset: IM |
Affiliation:
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Department of Otorhinolaryngology - Head & Neck Surgery, University Hospital of Mont-Godinne, Universit? Catholique de Louvain, Yvoir, Belgium. stephanie.collet@uclouvain.be |
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| MeSH Terms | |
Descriptor/Qualifier:
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Abscess
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etiology,
therapy* Anti-Bacterial Agents / therapeutic use Combined Modality Therapy Debridement Disease Progression Drainage / methods Forehead / injuries Frontal Bone / pathology Frontal Sinus / radiography, surgery Frontal Sinusitis / complications*, therapy Humans Magnetic Resonance Imaging Male Methylmethacrylates / therapeutic use Middle Aged Osteomyelitis / complications*, radiography, therapy Otorhinolaryngologic Surgical Procedures Postoperative Complications / therapy* Prosthesis-Related Infections / complications, surgery Reconstructive Surgical Procedures / adverse effects Rhinitis / complications Risk Factors Time Factors Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents; 0/Methylmethacrylates |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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