波特氏头皮肿块的临床特征及诊疗策略
Characteristics and therapeutic strategies of Potts puffy tumor
邓慧仪 1陈志鹏 2吴喜福 1杨钦泰1
作者信息
- 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
- 折叠
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.
Abstract
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 litera-ture,focusing on the comprehensive analysis of perioperative diagnosis and treatment strategies.Both patients un-derwent 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 ap-proach 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 complica-tions 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 manage-ment include multi-disciplinary consultation,timely and adequate antibiotic administration,and surgical interven-tion 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Key words
Pott's puffy tumor/muti-disciplinary treatment/antibiotics/nasal endoscopy/combined in-tranasal and extranasal endoscopic approach引用本文复制引用
基金项目
国家自然科学基金(82000957)
广东省中医药局科研项目(20221087)
出版年
2024
NETL
NSTL
万方数据