A Rare Case of Idiopathic Frontal Bone Osteomyelitis
Keywords:
Osteomyelitis, frontal bone, fistulae, sequestrum, potts puffy tumourAbstract
Osteomyelitis, although seen usually in long bones, shows a rare occurrence in the frontal bone as well. Acute osteomyelitis mostly presents as a soft, tender and fluctuant swelling on the forehead, known as Pott’s puffy tumour when subperiosteal abscess is present, first described by Sir Percival Pott. Whereas chronic osteomyelitis presents as a forehead lump with or without fistula. We present a case of a 70 year old female who presented with a long-term history of forehead swelling and right upper eyelid fistula without any prior history of sinusitis, trauma or sinus surgery. She underwent surgical debridement of the necrotic bone and sequestrum with an uneventful post operative period.
Downloads
References
Bandyopadhyay R, Chatterjee A, Banerjee S, Bandyopadhyay SK, Mondol A. Frontal osteomyelitis presenting as upper eyelid ectropion: A cautionary tale. Saudi journal of ophthalmology. 2015 Jul 1;29(3):238-41.
V. N. Chaturvedil; R. M. Raizada; A. K. Kennedy Singh; M. P. Puttewar; S. Bali (2004). Osteomyelitis of frontal bone. Indian Journal of Otolaryngology and Head & Neck Surgery, 56(2), 126–128.
Tatsumi S, Ri M, Higashi N, et al. Pott’s puffy tumor in an adult: a case report and review of literature. J Nippon Med Sch. 2016;83(5):211–214.
Costa L, Mendes Leal L, Vales F, et al. Pott’s puffy tumor: rare complication of sinusitis. Braz J Otorhinolaryngol. 2016;8694–1816.
Harington PC. Complications of sinusitis. Ear Nose Throat J 1984;63:58–71.
WellsRG,StyJR,LandersDA.Radiologicalevaluationof Pott puffy tumour. JAMA 1986;255:1331–2.
Deutsch E, Hevron I, Eilon A. Pott’s puffy tumor treated by endoscopic frontal sinusotomy. Rhinology. 2000;38(4):177–180.
Al-Qudah M, Graham SM. Modified osteoplastic flap approach for frontal sinus disease. Ann Otol Rhinol Laryngol. 2012;121(3):192–196.
Jaswal A, Jana AK, Sikder B, et al. Frontal sinus osteo- myelitis with midline fistula. Indian J Otolaryngol Head Neck Surg. 2007;59(3):284–287.
Lund V. The complications of sinusitis. In: Mackay IS, Bull TR, Kerr AG, eds. Scott Brown’s Otolaryngology 5th edn. London: Butterworths, 4/13/8.
Blackshaw G, Thomson N. Pott’s puffy tumour reviewed. J Laryngol Otol 1990;104:574–7
Holder J, Corbin D, Marquez S, Clarke H, Walcott J, Thomas R. Pott’s puffy tumour and subdural empyema following frontal sinusitis. West Indian Med J 1991;40:33–6.
El-Silimy O. Combined endonasal and percutaneous endoscopic approach to Pott’s puffy tumour. Rhinology 1996;34:119–22.
