Affiliation:
1. Department of Otorhinolaryngology–Head and Neck Surgery, Hôpital de Sion, Sion, Switzerland
2. Smell and Taste Outpatient Clinic, Department of Otorhinolaryngology–Head and Neck Surgery, Bern University Hospital, Bern, Switzerland
Abstract
BackgroundPott's puffy tumor (PPT) is a frontal subperiosteal abscess associated with underlying frontal bone osteomyelitis. It represents a well-known source of sinogenic intracranial infection, but the orbital complications related to this entity are rarely reported. The goal of this study was to characterize the orbital involvement in PPT.MethodsWe performed a systematic review through a Medline search (1950–2010). The authors reviewed all cases of PPT, selecting those explicitly describing orbital complications associated with PPT.ResultsWe screened 139 articles, of which 93 reported cases of PPT. Of these, 35 articles described a total of 42 cases presenting simultaneous orbital complications. Eyelid and/or periorbital edema was the most common finding in patients with orbital involvement, and preseptal cellulitis is by far the most prevalent orbital complication in PPT. Postseptal involvement (orbital cellulitis, subperiosteal abscess of the orbit, and orbital abscess) is much rarer. Although treatment of the classic PPT is surgical, only a minority of patients with orbital infection required orbital drainage. Most reported patients made a full recovery, without permanent sequelae.ConclusionOrbital infections are possible in patients with PPT. In contrast to surgical treatment of the frontal subperiosteal abscess, the orbital complications can be treated conservatively most of the time. Early diagnosis and aggressive therapy of the underling PPT are essential to avoid severe local or systemic complications.
Subject
General Medicine,Otorhinolaryngology,Immunology and Allergy
Cited by
29 articles.
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1. Girl with a frontal headache and fever;Journal of the American College of Emergency Physicians Open;2023-06
2. Post-traumatic Pott's tumor in a child;Journal of Pediatric Surgery Case Reports;2023-01
3. A Tumor Treated With Antibiotics: A Rare Case;Cureus;2022-12-22
4. Pott luck;Survey of Ophthalmology;2022-11
5. Pott's puffy tumor: A comprehensive review of the literature;American Journal of Otolaryngology;2022-09