{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T23:36:08Z","timestamp":1792712168023,"version":"4.5.0"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"5-6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Acute rhinosinusitis is a common diagnosis within the military, resulting in high healthcare utilization. Barotrauma caused by \u201csinus squeeze\u201d can increase morbidity associated with rhinosinusitis and can lead to complications such as Pott\u2019s Puffy Tumor (PPT). Pott\u2019s Puffy Tumor is a rare but serious complication of bacterial rhinosinusitis that is typically treated with intravenous antibiotics and surgical drainage. Herein, we present a case of early PPT that occurred following barotrauma from a plane flight. The patient had sequential healthcare visits during which time he developed the classic \u201cdoughy\u201d forehead swelling associated with PPT. Computed tomography demonstrated pansinusitis with ostiomeatal unit obstruction and trans-osseus extension of the underlying sinusitis consistent with early PPT. Importantly, no abscess or bony dehiscence had developed. Given his stability and lack of comorbidities, he was discharged on oral antibiotics with 24-hour specialist outpatient follow-up. Oral corticosteroid therapy was subsequently initiated to promote sinus drainage. At ensuing follow-up, the patient reported development of nasal drainage and resolution of his pain and swelling. This case report demonstrates the feasibility of outpatient treatment with oral medication in the setting of early PPT in select patients. This is of particular utility in the military operational setting, where occupational exposure to barotrauma is frequent, and austere scenarios often limit access to parenteral antibiotics or specialty consultation.<\/jats:p>","DOI":"10.1093\/milmed\/usaf365","type":"journal-article","created":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T18:09:33Z","timestamp":1752689373000},"page":"e1319-e1322","source":"Crossref","is-referenced-by-count":1,"title":["Early Pott\u2019s Puffy Tumor Syndrome Due to Barotrauma Treated Successfully With Oral Antibiotic and Corticosteroid Therapy"],"prefix":"10.1093","volume":"191","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3170-986X","authenticated-orcid":false,"given":"L T Martin A C","family":"Manoukian","sequence":"first","affiliation":[{"name":"3rd Medical Battalion, 3d Marine Logistics Group, III Marine Expeditionary Force, Unit 38445 , FPO, AP 96373-8445,","place":["United States"]},{"name":"Department of Emergency Medicine, NMRTC Camp Pendleton , Camp Pendleton, CA 92055,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L T Sally L","family":"Westcott","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, U.S. Naval Hospital Guam , Agana Heights, GU 96910,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2722-6387","authenticated-orcid":false,"given":"L C D R Scott B","family":"Hughey","sequence":"additional","affiliation":[{"name":"United States Naval Academy , Annapolis, MD 21402,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"key":"2026050517481067200_usaf365-B1","volume-title":"Acute Sinusitis. StatPearls","author":"DeBoer","year":"2023"},{"key":"2026050517481067200_usaf365-B2","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1513\/pats.201006-038RN","article-title":"Microbiology of sinusitis","volume":"8","author":"Brook","year":"2011","journal-title":"Proc Am Thorac Soc"},{"key":"2026050517481067200_usaf365-B3","first-page":"A4368","volume-title":"Sinusitis and Rhinitis Symptoms Following Deployment-Related Occupational and Environmental Exposures Among US Veterans","author":"Maccarone","year":"2023"},{"key":"2026050517481067200_usaf365-B4","doi-asserted-by":"crossref","first-page":"100367","DOI":"10.1016\/j.jacig.2024.100367","article-title":"Sinusitis and rhinitis among US veterans deployed to Southwest Asia and Afghanistan after September 11, 2001","volume":"4","author":"Maccarone","year":"2025","journal-title":"J Allergy Clin Immunol Glob"},{"key":"2026050517481067200_usaf365-B5","doi-asserted-by":"crossref","first-page":"e72","DOI":"10.1093\/cid\/cis370","article-title":"Executive summary: IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults","volume":"54","author":"Chow","year":"2012","journal-title":"Clin Infect Dis"},{"key":"2026050517481067200_usaf365-B6","doi-asserted-by":"crossref","first-page":"103529","DOI":"10.1016\/j.amjoto.2022.103529","article-title":"Pott\u2019s puffy tumor: a comprehensive review of the literature","volume":"43","author":"Rohde","year":"2022","journal-title":"Am J Otolaryngol"},{"key":"2026050517481067200_usaf365-B7","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1186\/s10194-017-0788-0","article-title":"Headache attributed to airplane travel: diagnosis, pathophysiology, and treatment\u2014a systematic review","volume":"18","author":"Bui","year":"2017","journal-title":"J Headache Pain"},{"key":"2026050517481067200_usaf365-B8","volume-title":"Sinus Squeeze. StatPearls","author":"Jamil","year":"2025"},{"key":"2026050517481067200_usaf365-B9","volume-title":"Barosinusitis. StatPearls","author":"Battisti","year":"2023"},{"key":"2026050517481067200_usaf365-B10","doi-asserted-by":"crossref","first-page":"e51","DOI":"10.1097\/PEC.0000000000001657","article-title":"A case of Pott\u2019s puffy tumor associated with barosinusitis from scuba diving","volume":"37","author":"Patel","year":"2021","journal-title":"Pediatr Emerg Care"},{"key":"2026050517481067200_usaf365-B11","volume-title":"Pott Puffy Tumor. StatPearls","author":"Sandoval","year":"2025"},{"key":"2026050517481067200_usaf365-B12","first-page":"CD008115","article-title":"Systemic corticosteroids for acute sinusitis","volume":"2014","author":"Venekamp","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"2026050517481067200_usaf365-B13","first-page":"422","article-title":"The use of point-of-care ultrasound in the diagnosis of pott\u2019s puffy tumor: a case report","volume":"5","author":"Acu\u00f1a","year":"2021","journal-title":"Clin Pract Cases Emerg Med"}],"container-title":["Military Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/191\/5-6\/e1319\/63779249\/usaf365.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/191\/5-6\/e1319\/63779249\/usaf365.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T22:19:28Z","timestamp":1778019568000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/milmed\/article\/191\/5-6\/e1319\/8203520"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,9]]},"references-count":13,"journal-issue":{"issue":"5-6","published-online":{"date-parts":[[2025,7,9]]},"published-print":{"date-parts":[[2026,5,1]]}},"URL":"https:\/\/doi.org\/10.1093\/milmed\/usaf365","relation":{},"ISSN":["0026-4075","1930-613X"],"issn-type":[{"value":"0026-4075","type":"print"},{"value":"1930-613X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,5]]},"published":{"date-parts":[[2025,7,9]]}}}