{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T18:56:27Z","timestamp":1784573787520,"version":"3.55.0"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,3,26]],"date-time":"2022-03-26T00:00:00Z","timestamp":1648252800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Although nowadays rare, Potts Puffy Tumor (PPT) is a rare but serious diagnosis characterized by osteomyelitis of the frontal bone. The introduction of broad-spectrum antibiotics made PPT an uncommon diagnosis in modern medicine, and it is mostly seen as a complication of frontal sinusitis in children and adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>We report a case of PPT in an elderly man with a sudden and increasing swelling of the forehead, which was initially diagnosed as an epidermoid cyst. Subsequent surgical exploration revealed osteomyelitis of the underlying frontal bone. Medical imaging by computed tomography (CT) and magnetic resonance imaging (MRI) was done, and treatment with Functional Endoscopic Sinus Surgery (FESS) and reconstructive surgery of the frontal bone was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>PPT is a rare, yet serious condition which is usually seen as a complication of chronic sinusitis which causes osteomyelitis and a subperiosteal abscess. Despite the atypical presentation of symptoms, the reported case underlines the importance of rapid deployment of medical imaging, referral, and administration of broad-spectrum antibiotics. Furthermore, surgical intervention is indicated in most cases. When left untreated, PPT can result in severe intracranial complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The diagnosis PTT is still relevant and may have a nonspecific presentation. A persisting epidermoid cyst after drainage should lead to the suspicion of a PTT. Immediate imaging and adequate treatment are required to prevent serious, potentially lethal intracranial complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.106975","type":"journal-article","created":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T12:50:51Z","timestamp":1648558251000},"page":"106975","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["Misdiagnosed epidermoid cyst appears Potts Puffy Tumor"],"prefix":"10.1097","volume":"94","author":[{"given":"R.","family":"Salemans","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Bijkerk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Sawor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Piatkowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-4-20260304","doi-asserted-by":"crossref","first-page":"79","DOI":"10.5144\/0256-4947.2012.26.5.1116","article-title":"Pott puffy tumor: a rare complication of sinusitis","volume":"33","author":"ur Rehman","year":"2013","journal-title":"Ann. Saudi Med"},{"key":"R2-4-20260304","doi-asserted-by":"crossref","first-page":"15","DOI":"10.7812\/TPP\/15-157","article-title":"Image diagnosis: Pott puffy tumor","volume":"20","author":"Apostolakos","year":"2016","journal-title":"Perm. J"},{"key":"R3-4-20260304","doi-asserted-by":"crossref","first-page":"2382","DOI":"10.1002\/lary.23490","article-title":"Evaluation of adult Pott's puffy tumor: our five cases and 27 literature cases","volume":"122","author":"Akiyama","year":"2012","journal-title":"Laryngoscope"},{"key":"R6-4-20260304","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1272\/jnms.83.211","article-title":"Pott's puffy tumor in an adult: a case report and review of literature","volume":"83","author":"Tatsumi","year":"2016","journal-title":"J. Nippon Med. Sch"},{"key":"R7-4-20260304","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. Surg"},{"key":"R8-4-20260304","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1002\/lary.27757","article-title":"Pott's puffy tumor in children: a review of the literature","volume":"130","author":"Koltsidopoulos","year":"2020","journal-title":"Laryngoscope"},{"key":"R9-4-20260304","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1016\/j.medmal.2006.08.005","article-title":"Pott's puffy tumor. A case report","volume":"37","author":"Kaabia","year":"2007","journal-title":"Med. Mal. Infect"},{"key":"R10-4-20260304","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1097\/MEJ.0b013e32801482ea","article-title":"An unusual cause of headache: Pott's puffy tumour","volume":"14","author":"McDermott","year":"2007","journal-title":"Eur J Emerg Med"},{"key":"R12-4-20260304","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1007\/s10140-010-0934-3","article-title":"Pott's puffy tumor, intracranial, and orbital complications as the initial presentation of sinusitis in healthy adolescents, a case series","volume":"18","author":"Blumfield","year":"2011","journal-title":"Emerg. Radiol"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222002218?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222002218?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.106975","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T10:01:25Z","timestamp":1772618485000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.106975"}},"subtitle":["A case report and literature review"],"short-title":[],"issued":{"date-parts":[[2022,5]]},"references-count":9,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2022.106975","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2022,5]]}}}