Pott Tumor: A Case Report

Introduction: The Pott Puffy tumor is a rare comorbidity, characterized by frontal osteomyelitis, causing erosion of the anterior wall of the frontal sinus and subperiosteal abscess. It is usually a complication of trauma or frontal and ethmoid sinusitis. The main etiological agent found is Staphylococcus aureus. The vast majority of cases occur in children and adolescents. With the advent of antibiotic therapy, it was a significant reduction in the frequency of infectious processes of the paranasal sinuses and their complications.

Objective: This study aims to describe a case of Pott Puffy tumor and compares it with the literature.

Resumed Report: A 13-year-old male patient (P. S. T. C), complaining of frontal headaches accompanied intensity of hyperthermia 1 week ago. Five days of onset showed painful bulging frontal region. The patient was introduced ceftriaxone, clindamycin, and dexamethasone, and was requested for computed tomography (CT) of the sinuses, showing opacification of the frontal sinuses, small subdural collection along the frontal convexity median, and sphenoid and ethmoid cells bilaterally affected. Despite the initial clinical improvement, after was showed significant worsening frontal bulging. New CT was requested, evidencing increased subdural collection. Frontal craniotomy with frontal sinus cleansing and drainage of extradural empyema was submitted. After surgery, the patient showed clinical improvement and was discharged after 20 days of hospitalization.

Conclusion: As the case is described, the literature has shown that the treatment of Pott Puffy tumor consists of surgical drainage of the abscess and intravenous antibiotics for 2 to 6 weeks to a better prognosis.

Keywords: Pott Puffy tumor, frontal sinusitis, ethmoid sinusitis.