J Korean Soc Radiol.  2010 Feb;62(2):101-104. 10.3348/jksr.2010.62.2.101.

Pott's Puffy Tumor Arising from Frontal Sinusitis

  • 1Department of Diagnostic Radiology, Seoul Veterans Hospital, Korea. knroo@hanmail.net


Pott's puffy tumor is an extremely rare and potentially life-threatening complication of frontal sinusitis. We report a case of a 64-year-old man who presented at our emergency department with mild tenderness on the glabellar area and diplopia. Computed Tomography (CT) revealed frontal sinusitis and osteomyelitis of the frontal bone. Following sinus trephination and long-term antibiotic therapy, the patient achieved a complete recovery.

MeSH Terms

Frontal Bone
Frontal Sinus
Frontal Sinusitis
Middle Aged
Pott Puffy Tumor
Tomography, X-Ray Computed


  • Fig. 1 64-year-old man complaining of diplopia, blurred vision, and mild tenderness on the glabellar area. A, B. On a PNS series, the blurred margin of the bony wall of the right frontal sinus (black arrows) (A), and soft tissue swelling on the prefrontal area (white arrows) are seen (B). C. Sagittal PNS CT scan reveals full opacification of the frontal sinus, erosive thinning of the anterior wall of the frontal sinus (black arrows), and sclerotic bone marrow of the frontal skull (white arrows). D. On an axial PNS CT scan, sclerotic bone marrow of the frontal skull (white arrows) is observed. E. Soft tissue swelling and enhancement is observed over the forehead. F. A post-operative brain MRI shows enhancement of the frontal bone marrow (black arrows). No abnormal intracranial findings are present.


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