Pott Puffy Tumor Caused by Dental Infection: A Case Report and Literature Review.

Hui Joon Yang, Seung Won Paik, Dong-Joon Park, Eun Jung Lee

The Journal of craniofacial surgery 2022 Mar-Apr 01

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Pott puffy tumor (PPT), first described by Sir Percivall Pott in 1760, is a rare clinical entity characterized by a subperiosteal abscess associated with osteomyelitis of the frontal bone caused by direct or hematogenous spread. Although rare in this modern age of antibiotics, this tumor usually occurs as a complication of sinusitis. Moreover, intracranial complications such as subdural abscess, meningitis, sinus thrombosis, or brain abscess can occur concomitantly with the underlying sinusitis, despite the administration of antibiotics. Herein, we present the case of a 48-year-old man who was diagnosed with PPT using computed tomography and treated medically and surgically. The infection remained uncontrollable after surgery and drain removal, owing to the persistence of the original dental focus of the infection. This case highlights the importance of treating the source of the infection in addition to the local area of inflammation, to facilitate complete infection control in PPT. Copyright © 2021 by Mutaz B. Habal, MD.

Citation

Hui Joon Yang, Seung Won Paik, Dong-Joon Park, Eun Jung Lee. Pott Puffy Tumor Caused by Dental Infection: A Case Report and Literature Review. The Journal of craniofacial surgery. 2022 Mar-Apr 01;33(2):e127-e130