Document Detail

A Pott's puffy tumour as a late complication of a frontal sinus reconstruction: case report and literature review.
MedLine Citation:
PMID:  19936379     Owner:  NLM     Status:  MEDLINE    
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.
S Collet; V Grulois; Ph Eloy; Ph Rombaux; B Bertrand
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Rhinology     Volume:  47     ISSN:  0300-0729     ISO Abbreviation:  Rhinology     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-25     Completed Date:  2010-02-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0347242     Medline TA:  Rhinology     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  470-5     Citation Subset:  IM    
Department of Otorhinolaryngology - Head & Neck Surgery, University Hospital of Mont-Godinne, Universit? Catholique de Louvain, Yvoir, Belgium.
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MeSH Terms
Abscess / etiology,  therapy*
Anti-Bacterial Agents / therapeutic use
Combined Modality Therapy
Disease Progression
Drainage / methods
Forehead / injuries
Frontal Bone / pathology
Frontal Sinus / radiography,  surgery
Frontal Sinusitis / complications*,  therapy
Magnetic Resonance Imaging
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
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Methylmethacrylates

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