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KMID : 1037420190140010039
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Journal of Korean Skull Base Society
2019 Volume.14 No. 1 p.39 ~ p.43
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A case of Pott’s puffy tumor treated via endoscopic intranasal drainage
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Yang Seung-Hyeon
Kim Yong-Wan
Kim Hae-Yu
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Abstract
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Pott’s puffy tumor is soft tissue swelling of the forehead due to subperiosteal edema and the accumulation of pus or granulation tissue. It is usually associated with osteomyelitis of the frontal bone secondary to frontal sinusitis. An 11-year-old boy was admitted with left periorbital swelling and pain that had become aggravated from 3 days prior. Orbital computed tomography revealed pansinusitis with osteomyelitis on the left orbital roof. He underwent magnetic resonance image that showed an extradural abscess approximately 1.9 x 1.5 cm in his anterior cranial fossa. His serum test revealed increased white blood cell counts and an elevated C-reactive protein level. We performed a middle meatal antrostomy and frontal sinusotomy via a transnasal endoscope. Coagulase-negative Staphylococcus was cultured from the pus within his frontal sinus. Antibiotic therapy was administered for 6 weeks. The patient’s epidural abscess and pansinusitis subsided completely. We report herein a rare case of Pott’s puffy tumor patient who was treated with a transnasal endoscopic sinusotomy and antibiotic therapy.
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KEYWORD
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Pott puffy tumor, Abscess, Endoscopy, Drainage
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