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The patient requires admission for intravenous anti-microbial treatment. Definitively, the abscess is drained via a combination of open and/or endoscopic approaches by an otolaryngologist, with the exact approach dependent on surgical skill set. At the very least, the abscess is trephined externally
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or trauma. Medical imaging can be of use in the diagnosis and evaluation of the underlying cause and extent of the condition. Ultrasound is able to identify frontal bone osteomyelitis, while computed tomography (CT) can evaluate bony erosion, and along with magnetic resonance imaging (MRI), can
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The cause of vein thrombosis is explained by venous drainage of the frontal sinus, which occurs through diploic veins, which communicate with the dural venous plexus; septic thrombi can potentially evolve from foci within the frontal sinus and propagate through this venous system. This type of
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Diagnosis is suspected clinically and is confirmed using cross sectional imaging of the sinuses and brain. The patient typically presents with a headache overlying the frontal sinuses and an associated forehead swelling. This is often preceded by a history of chronic rhinosinusitis.
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Vanderveken, O.M.; Smet, K. De; Dogan-Duyar, S.; Desimpelaere, J.; Duval, E.L.I.M.; Praeter, M. De; Rompaey, D. Van (2012). "Pott's puffy tumor in a 5-year-old boy: The role of ultrasound and contrast-enhanced CT imaging—Surgical case report".
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Plain X Rays can be used to demonstrate the location of this swelling, but the gold standard for diagnosis is a cross sectional CT scan of the sinuses and brain, aided by contrast to delineate the abscess itself.
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73:, either direct or through haematogenic spread. This results in a swelling on the forehead, hence the name. The infection can also spread inwards, leading to an intracranial
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chronic osteomyelitis of the frontal bone is confused with acute sub-periosteal abscess of the frontal bone, which presents as a discrete collection over the frontal sinus.
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as an emergency. Any associated frontal sinus table fracture can be managed electively. Intracranial extension requires referral to the neurosurgery.
77:. Pott's puffy tumor can be associated with cortical vein thrombosis, epidural abscess, subdural empyema, and brain abscess.
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Nicoli, Taija
Kristina; Mäkitie, Antti (2014-03-12). "Frontal Sinusitis Causing Epidural Abscess and Puffy Tumor".
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Banooni P, Rickman LS, Ward DM (March 2000). "Pott puffy tumor associated with intranasal methamphetamine".
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better appreciate the underlying cause and extent of possible intra-cranial extension/involvement.
167:"Not just a bump on the head: ultrasound as first-line imaging in a boy with Pott's puffy tumour"
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Some cases have been seen in a context of intranasal substance abuse (cocaine, methamphetamine).
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Pott's puffy tumor, spreading towards person's brain. MRI, T1, sagittal, gadolinium contrast.
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in 1760, is a rare clinical entity characterized by subperiosteal abscess associated with
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Picture demonstrating associated forehead swelling in patient with Pott’s puffy tumor.
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Karaman E, Hacizade Y, Isildak H, Kaytaz A (2008). "Pott's puffy tumor".
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Although it can affect all ages, it is mostly found among teenagers and
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Journal of Pediatric Otorhinolaryngology Extra
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88:. It is usually seen as a complication of frontal
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165:Reddan, Tristan; Connor, Patricia (2018).
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102:Frontal sinusitis, acute or chronic.
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224:New England Journal of Medicine
105:Frontal trauma, usually blunt.
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373:10.1097/SCS.0b013e31818b432e
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61:, first described by Sir
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299:10.1001/jama.283.10.1287
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