■与骨膜下脓肿相关的额骨骨髓炎被称为Pott\的浮肿肿瘤。Pott浮肿肿瘤(PPT)是一种罕见的实体,主要影响儿童和青少年。这在成年人中并不常见,占30%的病例,在男性中占主导地位。Pott\'s肿的肿瘤的治疗是一个紧急情况,并基于抗生素治疗和手术治疗相结合,以防止颅内并发症的出现,降低发病率和死亡率。
方法:我们报告一例29岁女性患者,谁咨询了我们的耳鼻喉科(耳朵,鼻子,和咽喉)创伤后眶周肿胀的部门。CT扫描证实额骨骨髓炎和骨膜下脓肿。该患者接受了抗生素联合手术引流。目的是描述该临床病例的有效管理。
■这种情况表现为骨膜下/下脓肿,造成额叶肿胀,额骨骨髓炎最常见于额窦炎。最可怕的并发症是颅内,可能会危及生命.影像学是阳性诊断的关键,TPP的演变和预后取决于快速管理。头部CT扫描是确认诊断的首选检查。抗生素治疗应尽快开始,它通常通过静脉注射给药。手术治疗可能仅限于通过针头或经鼻内窥镜检查或钻孔的经皮引流,有时包括骨膜下/盖下脓肿的修剪。在颅内并发症的情况下,开颅手术可能是必要的。
结论:Pott的浮肿肿瘤是鲜为人知的并发症,通常继发于未治疗或治疗不良的鼻窦炎。由于这种糟糕的理解,这种情况会导致并发症,尤其是颅内的,增加发病率和死亡率。
UNASSIGNED: Frontal bone osteomyelitis associated with a subperiosteal abscess is known as Pott\'s puffy tumor. Pott puffy tumor (PPT) is a rare entity that mainly affects children and adolescents. It is less common in adults, accounting for 30 % of cases, and predominates in men. The therapeutic management of Pott\'s puffy tumor is an emergency and is based on a combination of antibiotic therapy and surgical treatment to prevent the emergence of intracranial complications and reduce morbidity and mortality.
METHODS: We report the
case of a 29-year-old female patient, who consulted our ENT (ear, nose, and throat) department for a post-traumatic periorbital swelling. CT scan confirmed osteomyelitis of the frontal bone and subperiosteal abscess. The patient underwent a combined surgical drainage with antibiotics. The aim is to describe an effective management of this clinical
case.
UNASSIGNED: This condition presents as a subperiosteal/subgaleal abscess creating a frontal swelling, with osteomyelitis of the frontal bone most often secondary to frontal sinusitis. The most feared complications are intracranial, which can be life-threatening. Imaging is the key to positive diagnosis, as the evolution and prognosis of TPP depend on rapid management. A CT scan of the head is the examination of choice to confirm the diagnosis. Antibiotic therapy should be started as soon as possible, it is usually administered by intravenous injection. Surgical management may be limited to percutaneous drainage by needle or transnasal endoscopy or trephination, sometimes including trimming of the subperiosteal/subgaleal abscess. In the
case of intracranial complications, a craniotomy may be necessary.
CONCLUSIONS: The Pott\'s puffy tumor is little-known complication, usually secondary to untreated or poorly treated sinusitis. As a result of this poor understanding, the condition can lead to complications, especially intracranial ones, which increase morbidity and mortality.