Pott's puffy tumor. A condition still to be considered

Abstract

In the era of antibiotics, Pott-Puffy Tumor PPT is a rarely recognized entity. An 11-year-old girl presented with headache, fever for one week, and frontal swelling for 3 days. On examination, she was febrile, congested nasal mucosa with yellowish nasal discharge and frontal swelling; tender not fluctuating with normal eye mobility. Computed tomography CT scan of brain and paranasal sinus revealed opacity of maxillary, left ethmoid, frontal sinus opacity and epidural collection in the right frontal region with post contrast enhancement. An extracranial superficial swelling with fluid collection at the same level of epidural collection. The patient underwent bilateral antral washout and left frontal sinus trephination, which had resulted into a complete resolving of symptoms and an avoidance of further invasive surgical intervention.