Pott's puffy tumor in children

Bih Yu Tsai, Kuang Lin Lin, Tzou Yien Lin, Cheng Hsun Chiu, Wen Jane Lee, Shao Hsuan Hsia, Chieh Tsai Wu, Huei Shyong Wang

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Introduction: Pott's puffy tumor is characterized by subperiosteal abscess associated with osteomyelitis of frontal bone. Reports are limited for this rare entity in the antibiotics era but increase during past decade. Methods: We had clinical analysis of a series with six consecutive pediatric patients of Pott's puffy tumor during 20 years in a tertiary medical center via retrospective chart review. One case was described in detail. Results: Male-to-female ratio was 5:1. The mean age at the time of diagnosis was 13 years-3 months. The risk factors were acute sinusitis in two (33%), chronic sinusitis in two (33%), recent head trauma in two (33%), and acupuncture therapy on skull in one (17%). The commonest presenting symptoms were fever, headache, forehead tenderness, vomiting, and fatigue/malaise (100%). Pott's puffy tumor was diagnosed on average the seventh day after fever, and half had intracranial involvement at diagnosis. All had intracranial infections, and most of them had subdural empyema. The most often involved sinus was frontal sinus (100%). The frontal lobe was the most common site of intracranial infection (100%), two thirds of which are polymicrobial from two or more sites. The initial operation was performed on average on the 5.8th days after diagnosis. Half of the patients underwent reoperation. The mortality rate was 17% (one of six). Conclusion: The symptoms of Pott's puffy tumor are inconspicuous even though early intracranial involvement often occurred. The importance of early diagnosis and aggravated and prompt treatment with prolonged antibiotic therapy is emphasized for better outcome.

Original languageEnglish
Pages (from-to)53-60
Number of pages8
JournalChild's Nervous System
Volume26
Issue number1
DOIs
Publication statusPublished - Jan 2010
Externally publishedYes

Fingerprint

Pott Puffy Tumor
Sinusitis
Fever
Subdural Empyema
Acupuncture Therapy
Frontal Bone
Anti-Bacterial Agents
Frontal Sinus
Forehead
Frontal Lobe
Osteomyelitis
Infection
Reoperation
Craniocerebral Trauma
Skull
Abscess
Vomiting
Fatigue
Headache
Early Diagnosis

Keywords

  • Abscess
  • Pott's puffy tumor
  • Pseudomonas
  • Sinusitis
  • Trauma

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

Cite this

Tsai, B. Y., Lin, K. L., Lin, T. Y., Chiu, C. H., Lee, W. J., Hsia, S. H., ... Wang, H. S. (2010). Pott's puffy tumor in children. Child's Nervous System, 26(1), 53-60. https://doi.org/10.1007/s00381-009-0954-z

Pott's puffy tumor in children. / Tsai, Bih Yu; Lin, Kuang Lin; Lin, Tzou Yien; Chiu, Cheng Hsun; Lee, Wen Jane; Hsia, Shao Hsuan; Wu, Chieh Tsai; Wang, Huei Shyong.

In: Child's Nervous System, Vol. 26, No. 1, 01.2010, p. 53-60.

Research output: Contribution to journalArticle

Tsai, BY, Lin, KL, Lin, TY, Chiu, CH, Lee, WJ, Hsia, SH, Wu, CT & Wang, HS 2010, 'Pott's puffy tumor in children', Child's Nervous System, vol. 26, no. 1, pp. 53-60. https://doi.org/10.1007/s00381-009-0954-z
Tsai BY, Lin KL, Lin TY, Chiu CH, Lee WJ, Hsia SH et al. Pott's puffy tumor in children. Child's Nervous System. 2010 Jan;26(1):53-60. https://doi.org/10.1007/s00381-009-0954-z
Tsai, Bih Yu ; Lin, Kuang Lin ; Lin, Tzou Yien ; Chiu, Cheng Hsun ; Lee, Wen Jane ; Hsia, Shao Hsuan ; Wu, Chieh Tsai ; Wang, Huei Shyong. / Pott's puffy tumor in children. In: Child's Nervous System. 2010 ; Vol. 26, No. 1. pp. 53-60.
@article{248000bcbe5a47b9b99daed4c0db6d27,
title = "Pott's puffy tumor in children",
abstract = "Introduction: Pott's puffy tumor is characterized by subperiosteal abscess associated with osteomyelitis of frontal bone. Reports are limited for this rare entity in the antibiotics era but increase during past decade. Methods: We had clinical analysis of a series with six consecutive pediatric patients of Pott's puffy tumor during 20 years in a tertiary medical center via retrospective chart review. One case was described in detail. Results: Male-to-female ratio was 5:1. The mean age at the time of diagnosis was 13 years-3 months. The risk factors were acute sinusitis in two (33{\%}), chronic sinusitis in two (33{\%}), recent head trauma in two (33{\%}), and acupuncture therapy on skull in one (17{\%}). The commonest presenting symptoms were fever, headache, forehead tenderness, vomiting, and fatigue/malaise (100{\%}). Pott's puffy tumor was diagnosed on average the seventh day after fever, and half had intracranial involvement at diagnosis. All had intracranial infections, and most of them had subdural empyema. The most often involved sinus was frontal sinus (100{\%}). The frontal lobe was the most common site of intracranial infection (100{\%}), two thirds of which are polymicrobial from two or more sites. The initial operation was performed on average on the 5.8th days after diagnosis. Half of the patients underwent reoperation. The mortality rate was 17{\%} (one of six). Conclusion: The symptoms of Pott's puffy tumor are inconspicuous even though early intracranial involvement often occurred. The importance of early diagnosis and aggravated and prompt treatment with prolonged antibiotic therapy is emphasized for better outcome.",
keywords = "Abscess, Pott's puffy tumor, Pseudomonas, Sinusitis, Trauma",
author = "Tsai, {Bih Yu} and Lin, {Kuang Lin} and Lin, {Tzou Yien} and Chiu, {Cheng Hsun} and Lee, {Wen Jane} and Hsia, {Shao Hsuan} and Wu, {Chieh Tsai} and Wang, {Huei Shyong}",
year = "2010",
month = "1",
doi = "10.1007/s00381-009-0954-z",
language = "English",
volume = "26",
pages = "53--60",
journal = "Child's Nervous System",
issn = "0256-7040",
publisher = "Springer Verlag",
number = "1",

}

TY - JOUR

T1 - Pott's puffy tumor in children

AU - Tsai, Bih Yu

AU - Lin, Kuang Lin

AU - Lin, Tzou Yien

AU - Chiu, Cheng Hsun

AU - Lee, Wen Jane

AU - Hsia, Shao Hsuan

AU - Wu, Chieh Tsai

AU - Wang, Huei Shyong

PY - 2010/1

Y1 - 2010/1

N2 - Introduction: Pott's puffy tumor is characterized by subperiosteal abscess associated with osteomyelitis of frontal bone. Reports are limited for this rare entity in the antibiotics era but increase during past decade. Methods: We had clinical analysis of a series with six consecutive pediatric patients of Pott's puffy tumor during 20 years in a tertiary medical center via retrospective chart review. One case was described in detail. Results: Male-to-female ratio was 5:1. The mean age at the time of diagnosis was 13 years-3 months. The risk factors were acute sinusitis in two (33%), chronic sinusitis in two (33%), recent head trauma in two (33%), and acupuncture therapy on skull in one (17%). The commonest presenting symptoms were fever, headache, forehead tenderness, vomiting, and fatigue/malaise (100%). Pott's puffy tumor was diagnosed on average the seventh day after fever, and half had intracranial involvement at diagnosis. All had intracranial infections, and most of them had subdural empyema. The most often involved sinus was frontal sinus (100%). The frontal lobe was the most common site of intracranial infection (100%), two thirds of which are polymicrobial from two or more sites. The initial operation was performed on average on the 5.8th days after diagnosis. Half of the patients underwent reoperation. The mortality rate was 17% (one of six). Conclusion: The symptoms of Pott's puffy tumor are inconspicuous even though early intracranial involvement often occurred. The importance of early diagnosis and aggravated and prompt treatment with prolonged antibiotic therapy is emphasized for better outcome.

AB - Introduction: Pott's puffy tumor is characterized by subperiosteal abscess associated with osteomyelitis of frontal bone. Reports are limited for this rare entity in the antibiotics era but increase during past decade. Methods: We had clinical analysis of a series with six consecutive pediatric patients of Pott's puffy tumor during 20 years in a tertiary medical center via retrospective chart review. One case was described in detail. Results: Male-to-female ratio was 5:1. The mean age at the time of diagnosis was 13 years-3 months. The risk factors were acute sinusitis in two (33%), chronic sinusitis in two (33%), recent head trauma in two (33%), and acupuncture therapy on skull in one (17%). The commonest presenting symptoms were fever, headache, forehead tenderness, vomiting, and fatigue/malaise (100%). Pott's puffy tumor was diagnosed on average the seventh day after fever, and half had intracranial involvement at diagnosis. All had intracranial infections, and most of them had subdural empyema. The most often involved sinus was frontal sinus (100%). The frontal lobe was the most common site of intracranial infection (100%), two thirds of which are polymicrobial from two or more sites. The initial operation was performed on average on the 5.8th days after diagnosis. Half of the patients underwent reoperation. The mortality rate was 17% (one of six). Conclusion: The symptoms of Pott's puffy tumor are inconspicuous even though early intracranial involvement often occurred. The importance of early diagnosis and aggravated and prompt treatment with prolonged antibiotic therapy is emphasized for better outcome.

KW - Abscess

KW - Pott's puffy tumor

KW - Pseudomonas

KW - Sinusitis

KW - Trauma

UR - http://www.scopus.com/inward/record.url?scp=71349086528&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=71349086528&partnerID=8YFLogxK

U2 - 10.1007/s00381-009-0954-z

DO - 10.1007/s00381-009-0954-z

M3 - Article

C2 - 19727764

AN - SCOPUS:71349086528

VL - 26

SP - 53

EP - 60

JO - Child's Nervous System

JF - Child's Nervous System

SN - 0256-7040

IS - 1

ER -