Beyond the Sinus: Unmasking Pott's Puffy Tumor Through Imaging.

IF 1 Q3 MEDICINE, GENERAL & INTERNAL Cureus Pub Date : 2024-11-04 eCollection Date: 2024-11-01 DOI:10.7759/cureus.73000
Aashna Sikka, Ashwin Bobby, Rakesh Gali
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Abstract

Pott's puffy tumor (PPT) is a rare yet severe complication of frontal sinusitis, characterized by localized forehead swelling resulting from osteomyelitis and subperiosteal abscess formation. This case report discusses a 15-year-old male patient who initially presented with upper respiratory tract symptoms. These progressed to seizures, leading to the identification of extensive sinusitis and significant intra-cranial complications. The case emphasizes the benefits of integrating multiple imaging modalities to improve diagnoses and patient care. Imaging findings facilitated early diagnosis and prompted urgent referrals to pediatric neurosurgery and otorhinolaryngology, allowing for timely surgical interventions which were vital in preventing further morbidity. This report underscores the importance of a multidisciplinary team approach in managing complex conditions like PPT, ensuring comprehensive care and optimal patient outcomes.

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超越窦道通过成像揭开波特浮肿瘤的神秘面纱。
波特浮肿瘤(PPT)是额窦炎的一种罕见但严重的并发症,其特点是骨髓炎和骨膜下脓肿形成导致前额局部肿胀。本病例报告讨论的是一名 15 岁男性患者,最初表现为上呼吸道症状。这些症状发展为癫痫发作,导致发现广泛的鼻窦炎和严重的颅内并发症。该病例强调了整合多种成像模式以改善诊断和患者护理的益处。影像学检查结果有助于早期诊断,并促使患者紧急转诊至小儿神经外科和耳鼻喉科,以便及时进行手术干预,这对防止进一步发病至关重要。这份报告强调了多学科团队方法在管理 PPT 等复杂病症、确保全面护理和最佳患者治疗效果方面的重要性。
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