International Journal of Pediatric Otorhinolaryngology Extra
Volume 7, Issue 1 , Pages 1-5 , January 2012

Pott's puffy tumor in a 5-year-old boy: The role of ultrasound and contrast-enhanced CT imaging—Surgical case report

  • O.M. Vanderveken

      Affiliations

    • Department of Otorhinolaryngology, Head and Neck Surgery, Queen Paola Children's Hospital, ZNA Middelheim, Antwerp, Belgium
    • Faculty of Medicine, University of Antwerp, Belgium
    • Corresponding Author InformationCorresponding author at: University Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of Antwerp, p/a Wilrijkstraat 10, BE-2650 Edegem (Antwerp), Belgium. Tel.: +32 38213384.
    • ,
  • K. De Smet

      Affiliations

    • Department of Radiology, Queen Paola Children's Hospital, ZNA Middelheim, Antwerp, Belgium
    • ,
  • S. Dogan-Duyar

      Affiliations

    • Department of Pediatric Intensive Care, Queen Paola Children's Hospital, ZNA Middelheim, Antwerp, Belgium
    • ,
  • J. Desimpelaere

      Affiliations

    • Department of Radiology, Queen Paola Children's Hospital, ZNA Middelheim, Antwerp, Belgium
    • ,
  • E.L.I.M. Duval

      Affiliations

    • Department of Pediatric Intensive Care, Queen Paola Children's Hospital, ZNA Middelheim, Antwerp, Belgium
    • ,
  • M. De Praeter

      Affiliations

    • Department of Neurosurgery, Queen Paola Children's Hospital, ZNA Middelheim, Antwerp, Belgium
    • ,
  • D. Van Rompaey

      Affiliations

    • Department of Otorhinolaryngology, Head and Neck Surgery, Queen Paola Children's Hospital, ZNA Middelheim, Antwerp, Belgium

Received 2 August 2010 ,Accepted 12 August 2010.

  • Image Result

    Preoperative photographs of the 5-year-old boy referred to our children's hospital. The patient presented with a “Pott's puffy tumor”, showing an extensive frontal scalp swelling. Lateral view (left).

    Preoperative photographs of the 5-year-old boy referred to our children's hospital. The patient presented with a “Pott's puffy tumor”, showing an extensive frontal scalp swelling. Lateral view (left). Frontal view (right).

  • Image Result
    Ultrasound examination of the frontal swelling suggestive for a subperiosteal abscess (*) with discontinuity of the frontal bone (↑).

    Ultrasound examination of the frontal swelling suggestive for a subperiosteal abscess (*) with discontinuity of the frontal bone (↑).

  • Image Result
    Contrast-enhanced multislice CT scan confirmed the presence of a frontal sinusitis with osteomyelitis of the frontal bone (↑) and with subperiosteal (*) and epidural (**) abscess measuring 24mm×6mm×6m

    Contrast-enhanced multislice CT scan confirmed the presence of a frontal sinusitis with osteomyelitis of the frontal bone (↑) and with subperiosteal (*) and epidural (**) abscess measuring 24mm×6mm×6mm and 21mm×38mm×7mm. Brain window (left). Bone window (right).

  • Image Result
    The osteomyelitic focus: surgical view (upper left panel): 3D-CT reconstruction, external view (upper right panel); axial CT image, bone window (lower left panel); 3D-CT reconstruction, internal view

    The osteomyelitic focus: surgical view (upper left panel): 3D-CT reconstruction, external view (upper right panel); axial CT image, bone window (lower left panel); 3D-CT reconstruction, internal view (lower right panel).

  • Image Result
    Intraoperative photographs: surgical drainage of the epidural abscess (left) and the frontal sinus (right).

    Intraoperative photographs: surgical drainage of the epidural abscess (left) and the frontal sinus (right).

PII: S1871-4048(10)00057-2

doi: 10.1016/j.pedex.2010.08.002

International Journal of Pediatric Otorhinolaryngology Extra
Volume 7, Issue 1 , Pages 1-5 , January 2012

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