비외접근법과 티타늄 메쉬를 이용하여 전두동 두개성형술을 시행한 Pott’s Puffy Tumor 치료 1예

Pott’s puffy tumor is a subperiosteal abscess associated with the underlying frontal osteomyelitis, resulting from trauma or acute frontal sinusitis. The classical presentation consists of forehead swelling, headache, fever and purulent rhinorrhea. Despite its rarity, early diagnosis and aggressive medical and surgical management are essential for a good outcome because it is often associated with significant intracranial complications. In the present paper, we describe our experience of treating a 33-years old man with pott’s puffy tumor who had multiseptated left frontal sinus complained of a severe headache and a swelling of forehead. Because multiseptated frontal sinus with anterior wall defect, external approach of the frontal sinus was carried out. And then, we used titanium mesh to reconstruct frontal anterior wall. (J Clinical Otolaryngol 2014;25:224-228)