내시경적 비강접근 농양배액술로 치료한 Pott’s puffy tumor 1례

• 영문명: A case of Pott’s puffy tumor treated via endoscopic intranasal drainage
• 발행기관: 대한두개저학회
• 저자명: 양승현(Seung-Hyeon Yang) 김용완(Yong Wan Kim) 김해유(Hae Yu Kim)
• 간행물 정보: 『대한두개저학회지』제14권 제1호, 39~43쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2019.05.30

영문 초록

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.

목차

INTRODUCTION

CASE REPORT

DISCUSSION

키워드

Pott puffy tumor Abscess Endoscopy Drainage