Next Article in Journal
Weaning Failure in Elderly Patients: A Systematic Review and Meta-Analysis
Previous Article in Journal
Impact of Remote Dielectric Sensing on Predicting Worsening Heart Failure During Hospitalization for Heart Failure
Previous Article in Special Issue
The Clinical and Surgical Characteristics of Parotid Tumors with Parapharyngeal Space Involvement—A Multicenter Experience of the Polish Salivary Network
 
 
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Systematic Review

Pott’s Puffy Tumor in Young Age: A Systematic Review and Our Experience

1
Otolaryngology Section, Department of Neuroscience DNS, University of Padova, 35100 Padova, Italy
2
Otorhinolaryngology and Skull Base Center, AP-HP, Hospital Lariboisière, 75010 Paris, France
3
Otolaringology Unit, Ca’ Foncello Hospital, Local Health Unit N.2 “Marca Trevigiana”, 31100 Treviso, Italy
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(21), 6428; https://doi.org/10.3390/jcm13216428
Submission received: 11 October 2024 / Revised: 23 October 2024 / Accepted: 24 October 2024 / Published: 26 October 2024

Abstract

Background: Pott’s Puffy Tumor (PPT) in young-age patients is a rare clinical entity characterized by osteomyelitis of the frontal bone with a subperiosteal abscess collection. Previous reviews primarily consist of small, retrospective case series and anecdotal reports. This study aims to present the largest, most up-to-date systematic review of essential clinical findings, diagnostic modalities, microbiologic considerations, and treatment approaches for managing PPT in pediatric and adolescent populations. Methods: PubMed, Scopus, and Web of Science databases were systematically screened until 3 January 2024. The protocol of this investigation was registered on PROSPERO in January 2024, and the systematic review was performed according to the PRISMA statement. The study included 184 patients from 109 articles and an additional case from the authors’ institution. Results: PPT commonly stems from untreated rhinosinusitis, respectively, acute pansinusitis, frontal acute rhinosinusitis and chronic rhinosinusitis, and direct head trauma. Infections typically involve a polymicrobial anaerobe-predominant microbiome. Computed tomography and magnetic resonance imaging are routinely used for presurgical assessment and posttreatment surveillance. Intracranial complications were significantly associated with the type of surgical treatment (p value < 0.0001). Conclusions: PPT is a significant and relatively morbid disease often under-recognized and misdiagnosed due to its variable clinical presentation. Management includes both antimicrobial therapy and surgical intervention, emphasizing the importance of an interdisciplinary approach.
Keywords: acute sinusitis; frontal sinusitis; Pott’s puffy tumor; intracranial complication; pediatric sinusitis; acute sinus infection; orbital complications of sinusitis; bacterial sinusitis; frontal bone osteomyelitis; subperiosteal abscess acute sinusitis; frontal sinusitis; Pott’s puffy tumor; intracranial complication; pediatric sinusitis; acute sinus infection; orbital complications of sinusitis; bacterial sinusitis; frontal bone osteomyelitis; subperiosteal abscess

Share and Cite

MDPI and ACS Style

Daloiso, A.; Mondello, T.; Boaria, F.; Savietto, E.; Spinato, G.; Cazzador, D.; Emanuelli, E. Pott’s Puffy Tumor in Young Age: A Systematic Review and Our Experience. J. Clin. Med. 2024, 13, 6428. https://doi.org/10.3390/jcm13216428

AMA Style

Daloiso A, Mondello T, Boaria F, Savietto E, Spinato G, Cazzador D, Emanuelli E. Pott’s Puffy Tumor in Young Age: A Systematic Review and Our Experience. Journal of Clinical Medicine. 2024; 13(21):6428. https://doi.org/10.3390/jcm13216428

Chicago/Turabian Style

Daloiso, Antonio, Tiziana Mondello, Francesco Boaria, Enrico Savietto, Giacomo Spinato, Diego Cazzador, and Enzo Emanuelli. 2024. "Pott’s Puffy Tumor in Young Age: A Systematic Review and Our Experience" Journal of Clinical Medicine 13, no. 21: 6428. https://doi.org/10.3390/jcm13216428

APA Style

Daloiso, A., Mondello, T., Boaria, F., Savietto, E., Spinato, G., Cazzador, D., & Emanuelli, E. (2024). Pott’s Puffy Tumor in Young Age: A Systematic Review and Our Experience. Journal of Clinical Medicine, 13(21), 6428. https://doi.org/10.3390/jcm13216428

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop