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Pott's puffy tumour: innovative technique in calvarial reconstruction

Published online by Cambridge University Press:  07 October 2019

B Mettias ,
G Dow ,
D Srinivasan  and
Y Ramakrishnan
B Mettias*
Affiliation:
Department of ENT, Queen's Medical Centre, Nottingham University Hospitals, UK
G Dow
Affiliation:
Department of Neurosurgery, Queen's Medical Centre, Nottingham University Hospitals, UK
D Srinivasan
Affiliation:
Oral and Maxillofacial Surgery, Queen's Medical Centre, Nottingham University Hospitals, UK
Y Ramakrishnan
Affiliation:
Department of ENT, Queen's Medical Centre, Nottingham University Hospitals, UK
*
Author for correspondence: Mr Bassem Mettias, ENT Department, Queen's Medical Centre, Derby Rd, Nottingham NG7 2UH, UK E-mail: [email protected]
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Abstract

Background

Pott's puffy tumour is a rare complication of sinusitis. This osteomyelitis can affect the outer and inner tables of the frontal sinus. The treatment of Pott's puffy tumour combines medical and surgical approaches. Surgical approaches have traditionally been open, but endoscopic techniques have been adopted recently in select cases. The bony defect from debridement can be left alone, or closed with autografts or allografts.

Objective

To describe a technique for the reconstruction of a large skull vault after the debridement of extensive osteomyelitis of the anterior cranial vault.

Methods

Modified distraction osteogenesis is used in the cranial vault, to induce new bone formation. This is customarily used to lengthen long bones. The advantages of this technique include avoiding autologous grafts or alloplastic cranioplasty in the infected surgical bed, and allowing primary closure.

Results

Early post-operative imaging results have been encouraging, with no reported complications.

Conclusion

Modified distraction osteogenesis is a novel technique in the primary reconstruction of calvarial bone.

Keywords

Frontal BoneOsteomyelitisPott's Puffy TumorReconstructive Surgical ProceduresTissue Expansion Devices
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 11 , November 2019 , pp. 1005 - 1008
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Mr B Mettias takes responsibility for the integrity of the content of the paper

References

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