波特氏头皮肿块的临床特征及诊疗策略  

Characteristics and therapeutic strategies of Pott's puffy tumor

作　　者：邓慧仪[1] 陈志鹏 吴喜福[1] 杨钦泰[1] DENG Huiyi;CHEN Zhipeng;WU Xifu;YANG Qintai(Department of Otolaryngology-Head and Neck Surgery,Department of Allergy,the Third Affiliated Hospital of Sun Yat-Sen University,Guangzhou,510630,China;Department of Ophthalmology and Otorhinolaryngology,the Second People′s Hospital of Longgang District)

机构地区：[1]中山大学附属第三医院耳鼻咽喉-头颈外科变态反应(过敏)科,广州510630 [2]深圳市龙岗区第二人民医院眼耳鼻喉科

出　　处：《临床耳鼻咽喉头颈外科杂志》2024年第1期83-85,90,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家自然科学基金(No:82000957);广东省中医药局科研项目(No:20221087)。

摘　　要：目的:探讨波特氏头皮肿块(pott’s puffy tumor, PPT)的临床特征及诊疗策略。方法:回顾性分析2例PPT患者的临床资料,并结合文献,着重对围手术期诊疗策略进行综合分析。2例患者均通过多学科会诊,给予及时、足量、可透过血脑屏障抗生素抗感染,及时行经鼻内镜内外联合径路PPT病变清除术。结果:2例患者经规范化围手术期处理,症状缓解,随访1年无复发。术后未出现额部疼痛及麻木感、局部凹陷、瘢痕增生等并发症。结论:PPT临床上相对罕见、病情危重,应引起重视;多学科会诊,及时、足量抗生素的使用,结合经鼻内镜内外联合径路PPT病变清除术,是规范化围手术期处理策略的关键。Objective To explore the characteristics and therapeutic strategies of Pott's puffy tumor(PPT).Methods The clinical data of two patients with PPT were retrospectively analyzed and combined with the literature,focusing on the comprehensive analysis of perioperative diagnosis and treatment strategies.Both patients underwent muti-disciplinary treatment,including timely administration of sufficient antibiotics capable of penetrating the blood-brain barrier.Early removal of PPT lesions was performed using a combined internal and external approach under nasal endoscopic guidance.Results After standardized perioperative management,the symptoms of the two patients were completely relieved,with no recurrence after one=year follow=up.Postoperative complications such as frontal pain,numbness,local depression,or scar hyperplasiawere not present.Conclusion PPT,being relatively rare and severe,requires careful attention.Key strategies for standardized perioperative management include multi-disciplinary consultation,timely and adequate antibiotic administration,and surgical intervention using a combined intranasal and extranasal endoscopic approach for lesion removal.

关 键 词：波特氏头皮肿块 多学科会诊 抗生素 鼻内镜 内外联合径路 

分 类 号：R765.04[医药卫生—耳鼻咽喉科]