{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T17:33:11Z","timestamp":1789147991200,"version":"build-2803163510"},"reference-count":34,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"26","license":[{"start":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T00:00:00Z","timestamp":1766966400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurosurg Case Lessons"],"published-print":{"date-parts":[[2025,12,29]]},"abstract":"\n BACKGROUND<\/jats:title>\n Pott\u2019s puffy tumor (PPT) is a subperiosteal abscess formation of the frontal bone with associated osteomyelitis. Few studies have described the range of neurosurgical techniques used or compared patient outcomes across different management strategies. These illustrative cases aim to compare the clinical course, surgical approaches, and outcomes in 4 pediatric patients and 1 adult patient with PPT.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n The authors report 5 illustrative cases of PPT in Tasmania. There were 3 males and 2 females with a mean age of 11 years. All patients presented with frontal headache, fever, and forehead edema after a trial of oral antibiotics in the community. One case resolved with medical therapy alone, while the remaining 4 required neurosurgical intervention. Among the operative cases, 1 patient underwent multiple procedures including a bifrontal craniectomy. Two patients underwent a frontal surgical incision and drainage, and 1 patient underwent needle aspiration. Fortunately, there were no long-term sequelae for any of the patients.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n The failure of medical management underscores the need for prompt neurosurgical referral with various surgical techniques available. Serious intracranial infection can result in significant surgical morbidity and mortality. This neurosurgical perspective advocates for early minimally invasive surgical intervention to prevent significant surgical morbidity and mortality.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE25690<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case25690","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T12:00:05Z","timestamp":1769083205000},"source":"Crossref","is-referenced-by-count":1,"title":["Neurosurgical perspective on Pott\u2019s puffy tumor management of both adult and pediatric patients in Tasmania, Australia: illustrative cases"],"prefix":"10.3171","volume":"10","author":[{"given":"Jim","family":"Weston","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Royal Hobart Hospital, Hobart, Tasmania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imogen","family":"Ibbett","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Royal Hobart Hospital, Hobart, Tasmania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nova","family":"Thani","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Royal Hobart Hospital, Hobart, Tasmania"},{"name":"School of Medicine, University of Tasmania, Hobart, Tasmania, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"bib1","series-title":"Int J Pediatr Otorhinolaryngol","first-page":"200","article-title":"Systematic review and case report: intracranial complications of pediatric sinusitis","volume":"86","author":"Patel","year":"2016","unstructured":"Patel NAGarber DHu SKamat A.Systematic review and case report: intracranial complications of pediatric sinusitis. Int J Pediatr Otorhinolaryngol. 2016;86:200-212."},{"issue":"1","key":"bib2","series-title":"Laryngoscope","first-page":"225","article-title":"Pott\u2019s puffy tumor in children: a review of the literature","volume":"130","author":"Koltsidopoulos","year":"2020","unstructured":"Koltsidopoulos PPapageorgiou ESkoulakis C.Pott\u2019s puffy tumor in children: a review of the literature. Laryngoscope. 2020;130(1):225-231."},{"issue":"9","key":"bib3","series-title":"Eur Arch Otorhinolaryngol","first-page":"4669","article-title":"Management of Pott\u2019s puffy tumor: a Delphi-method international clinical consensus statement","volume":"282","author":"van der Poel","year":"2025","unstructured":"van der Poel NShah GWolter NManagement of Pott\u2019s puffy tumor: a Delphi-method international clinical consensus statement. Eur Arch Otorhinolaryngol. 2025;282(9):4669-4680."},{"key":"bib4","series-title":"Int J Surg Case Rep","first-page":"110241","article-title":"Management of a Pott puffy tumor: case report and literature review","volume":"123","author":"Badr","year":"2024","unstructured":"Badr SAMyriam LYoussef OSami RReda AMohamed M.Management of a Pott puffy tumor: case report and literature review. Int J Surg Case Rep. 2024;123:110241."},{"issue":"21","key":"bib5","series-title":"J Clin Med","first-page":"6428","article-title":"Pott\u2019s puffy tumor in young age: a systematic review and our experience","volume":"13","author":"Daloiso","year":"2024","unstructured":"Daloiso AMondello TBoaria FPott\u2019s puffy tumor in young age: a systematic review and our experience. J Clin Med. 2024;13(21):6428."},{"issue":"3","key":"bib6","series-title":"J Pediatr Infect Dis Soc","first-page":"309","article-title":"Suppurative intracranial complications of pediatric sinusitis: a single-center experience","volume":"10","author":"Otto","year":"2021","unstructured":"Otto WRPaden WZConnors MSuppurative intracranial complications of pediatric sinusitis: a single-center experience. J Pediatr Infect Dis Soc. 2021;10(3):309-316."},{"key":"bib7","series-title":"Int J Pediatr Otorhinolaryngol","first-page":"112486","article-title":"Pott\u2019s puffy tumor in pediatric patients: our surgical experience","volume":"196","author":"Shapira","year":"2025","unstructured":"Shapira UButrus FMuhanna NAbergel AJahshan F.Pott\u2019s puffy tumor in pediatric patients: our surgical experience. Int J Pediatr Otorhinolaryngol. 2025;196:112486."},{"issue":"1","key":"bib8","series-title":"J Mem Med","first-page":"10","article-title":"Pott\u2019s puffy tumor\u2014overview of case series","volume":"3","author":"Bem Junior","year":"2021","unstructured":"Bem Junior LSMedeiros MNCGadelha LSPNNeri WJRCavalcanti MAG.Pott\u2019s puffy tumor\u2014overview of case series. J Mem Med. 2021;3(1):10-17."},{"issue":"4","key":"bib9","series-title":"Cureus","first-page":"10.7759","article-title":"Pott\u2019s puffy tumor: a case report on diagnosis through imaging","volume":"16","author":"Figueroa","year":"2024","unstructured":"Figueroa JPMejia MBohorquez DFigueroa JF.Pott\u2019s puffy tumor: a case report on diagnosis through imaging. Cureus. 2024;16(4):10.7759."},{"issue":"3","key":"bib10","series-title":"Neurosurg Rev","first-page":"509","article-title":"Management of subperiosteal abscess in Pott\u2019s puffy tumor: neurosurgical considerations and outcomes","volume":"39","author":"Thakar","year":"2016","unstructured":"Thakar ABhide A.Management of subperiosteal abscess in Pott\u2019s puffy tumor: neurosurgical considerations and outcomes. Neurosurg Rev. 2016;39(3):509-515."},{"issue":"3","key":"bib11","series-title":"J Craniofac Surg","first-page":"e313","article-title":"Pott puffy tumor in children: a rare emergency clinical entity","volume":"27","author":"Palabiyik","year":"2016","unstructured":"Palabiyik FBYazici ZCetin BCelebi SHacimustafaoglu M.Pott puffy tumor in children: a rare emergency clinical entity. J Craniofac Surg. 2016;27(3):e313-e316."},{"issue":"7","key":"bib12","series-title":"Cureus","first-page":"10.7759","article-title":"Clinical management and neurosurgical approach of Pott\u2019s puffy tumor: a case report","volume":"16","author":"Ferreira Furtado","year":"2024","unstructured":"Ferreira Furtado LMGil Nunes LCFernandes CGGuimar\u00e3es Pinto PCDa Costa Val Filho JA.Clinical management and neurosurgical approach of Pott\u2019s puffy tumor: a case report. Cureus. 2024;16(7):10.7759."},{"key":"bib13","series-title":"Int J Pediatr Otorhinolaryngol","first-page":"112176","article-title":"The impact of endoscopic sinus surgery in pediatric patients with sinogenic intracranial infection: a systematic review and meta-analysis","volume":"187","author":"Grose","year":"2024","unstructured":"Grose EXiao JBFang ERouthier-Chevrier BSiu JMWolter NE.The impact of endoscopic sinus surgery in pediatric patients with sinogenic intracranial infection: a systematic review and meta-analysis. Int J Pediatr Otorhinolaryngol. 2024;187:112176."},{"issue":"11","key":"bib14","series-title":"Childs Nerv Syst","first-page":"3505","article-title":"Pott\u2019s puffy tumor with intracranial extension in a child with incontinentia pigmenti: case-based review of the eponymous disease","volume":"40","author":"Datta","year":"2024","unstructured":"Datta DTu A.Pott\u2019s puffy tumor with intracranial extension in a child with incontinentia pigmenti: case-based review of the eponymous disease. Childs Nerv Syst. 2024;40(11):3505-3510."},{"issue":"suppl 1","key":"bib15","series-title":"HNO","first-page":"8","article-title":"Pott\u2019s puffy tumor: a need for interdisciplinary diagnosis and treatment","volume":"70","author":"K\u00fchn","year":"2022","unstructured":"K\u00fchn JPLinsler SNourkami-Tutdibi NPott\u2019s puffy tumor: a need for interdisciplinary diagnosis and treatment. HNO. 2022;70(suppl 1):8-13."},{"issue":"5","key":"bib16","series-title":"Am J Otolaryngol","first-page":"103529","article-title":"Pott\u2019s puffy tumor: a comprehensive review of the literature","volume":"43","author":"Rohde","year":"2022","unstructured":"Rohde RLNorth LMMurray MKhalili SPoetker DM.Pott\u2019s puffy tumor: a comprehensive review of the literature. Am J Otolaryngol. 2022;43(5):103529."},{"issue":"6","key":"bib17","series-title":"Ann Otol Rhinol Laryngol","first-page":"433","article-title":"Minimally invasive surgery for Pott\u2019s puffy tumor: is it time for a paradigm shift in managing a 250-year-old problem?","volume":"126","author":"Leong","year":"2017","unstructured":"Leong SC.Minimally invasive surgery for Pott\u2019s puffy tumor: is it time for a paradigm shift in managing a 250-year-old problem? Ann Otol Rhinol Laryngol. 2017;126(6):433-437."},{"key":"bib1","series-title":"Int J Pediatr Otorhinolaryngol","first-page":"200","article-title":"Systematic review and case report: intracranial complications of pediatric sinusitis","volume":"86","author":"Patel","year":"2016","unstructured":"Patel NAGarber DHu SKamat A.Systematic review and case report: intracranial complications of pediatric sinusitis. Int J Pediatr Otorhinolaryngol. 2016;86:200-212."},{"issue":"1","key":"bib2","series-title":"Laryngoscope","first-page":"225","article-title":"Pott\u2019s puffy tumor in children: a review of the literature","volume":"130","author":"Koltsidopoulos","year":"2020","unstructured":"Koltsidopoulos PPapageorgiou ESkoulakis C.Pott\u2019s puffy tumor in children: a review of the literature. Laryngoscope. 2020;130(1):225-231."},{"issue":"9","key":"bib3","series-title":"Eur Arch Otorhinolaryngol","first-page":"4669","article-title":"Management of Pott\u2019s puffy tumor: a Delphi-method international clinical consensus statement","volume":"282","author":"van der Poel","year":"2025","unstructured":"van der Poel NShah GWolter NManagement of Pott\u2019s puffy tumor: a Delphi-method international clinical consensus statement. Eur Arch Otorhinolaryngol. 2025;282(9):4669-4680."},{"key":"bib4","series-title":"Int J Surg Case Rep","first-page":"110241","article-title":"Management of a Pott puffy tumor: case report and literature review","volume":"123","author":"Badr","year":"2024","unstructured":"Badr SAMyriam LYoussef OSami RReda AMohamed M.Management of a Pott puffy tumor: case report and literature review. Int J Surg Case Rep. 2024;123:110241."},{"issue":"21","key":"bib5","series-title":"J Clin Med","first-page":"6428","article-title":"Pott\u2019s puffy tumor in young age: a systematic review and our experience","volume":"13","author":"Daloiso","year":"2024","unstructured":"Daloiso AMondello TBoaria FPott\u2019s puffy tumor in young age: a systematic review and our experience. J Clin Med. 2024;13(21):6428."},{"issue":"3","key":"bib6","series-title":"J Pediatr Infect Dis Soc","first-page":"309","article-title":"Suppurative intracranial complications of pediatric sinusitis: a single-center experience","volume":"10","author":"Otto","year":"2021","unstructured":"Otto WRPaden WZConnors MSuppurative intracranial complications of pediatric sinusitis: a single-center experience. J Pediatr Infect Dis Soc. 2021;10(3):309-316."},{"key":"bib7","series-title":"Int J Pediatr Otorhinolaryngol","first-page":"112486","article-title":"Pott\u2019s puffy tumor in pediatric patients: our surgical experience","volume":"196","author":"Shapira","year":"2025","unstructured":"Shapira UButrus FMuhanna NAbergel AJahshan F.Pott\u2019s puffy tumor in pediatric patients: our surgical experience. Int J Pediatr Otorhinolaryngol. 2025;196:112486."},{"issue":"1","key":"bib8","series-title":"J Mem Med","first-page":"10","article-title":"Pott\u2019s puffy tumor\u2014overview of case series","volume":"3","author":"Bem Junior","year":"2021","unstructured":"Bem Junior LSMedeiros MNCGadelha LSPNNeri WJRCavalcanti MAG.Pott\u2019s puffy tumor\u2014overview of case series. J Mem Med. 2021;3(1):10-17."},{"issue":"4","key":"bib9","series-title":"Cureus","first-page":"10.7759","article-title":"Pott\u2019s puffy tumor: a case report on diagnosis through imaging","volume":"16","author":"Figueroa","year":"2024","unstructured":"Figueroa JPMejia MBohorquez DFigueroa JF.Pott\u2019s puffy tumor: a case report on diagnosis through imaging. Cureus. 2024;16(4):10.7759."},{"issue":"3","key":"bib10","series-title":"Neurosurg Rev","first-page":"509","article-title":"Management of subperiosteal abscess in Pott\u2019s puffy tumor: neurosurgical considerations and outcomes","volume":"39","author":"Thakar","year":"2016","unstructured":"Thakar ABhide A.Management of subperiosteal abscess in Pott\u2019s puffy tumor: neurosurgical considerations and outcomes. Neurosurg Rev. 2016;39(3):509-515."},{"issue":"3","key":"bib11","series-title":"J Craniofac Surg","first-page":"e313","article-title":"Pott puffy tumor in children: a rare emergency clinical entity","volume":"27","author":"Palabiyik","year":"2016","unstructured":"Palabiyik FBYazici ZCetin BCelebi SHacimustafaoglu M.Pott puffy tumor in children: a rare emergency clinical entity. J Craniofac Surg. 2016;27(3):e313-e316."},{"issue":"7","key":"bib12","series-title":"Cureus","first-page":"10.7759","article-title":"Clinical management and neurosurgical approach of Pott\u2019s puffy tumor: a case report","volume":"16","author":"Ferreira Furtado","year":"2024","unstructured":"Ferreira Furtado LMGil Nunes LCFernandes CGGuimar\u00e3es Pinto PCDa Costa Val Filho JA.Clinical management and neurosurgical approach of Pott\u2019s puffy tumor: a case report. Cureus. 2024;16(7):10.7759."},{"key":"bib13","series-title":"Int J Pediatr Otorhinolaryngol","first-page":"112176","article-title":"The impact of endoscopic sinus surgery in pediatric patients with sinogenic intracranial infection: a systematic review and meta-analysis","volume":"187","author":"Grose","year":"2024","unstructured":"Grose EXiao JBFang ERouthier-Chevrier BSiu JMWolter NE.The impact of endoscopic sinus surgery in pediatric patients with sinogenic intracranial infection: a systematic review and meta-analysis. Int J Pediatr Otorhinolaryngol. 2024;187:112176."},{"issue":"11","key":"bib14","series-title":"Childs Nerv Syst","first-page":"3505","article-title":"Pott\u2019s puffy tumor with intracranial extension in a child with incontinentia pigmenti: case-based review of the eponymous disease","volume":"40","author":"Datta","year":"2024","unstructured":"Datta DTu A.Pott\u2019s puffy tumor with intracranial extension in a child with incontinentia pigmenti: case-based review of the eponymous disease. Childs Nerv Syst. 2024;40(11):3505-3510."},{"issue":"suppl 1","key":"bib15","series-title":"HNO","first-page":"8","article-title":"Pott\u2019s puffy tumor: a need for interdisciplinary diagnosis and treatment","volume":"70","author":"K\u00fchn","year":"2022","unstructured":"K\u00fchn JPLinsler SNourkami-Tutdibi NPott\u2019s puffy tumor: a need for interdisciplinary diagnosis and treatment. HNO. 2022;70(suppl 1):8-13."},{"issue":"5","key":"bib16","series-title":"Am J Otolaryngol","first-page":"103529","article-title":"Pott\u2019s puffy tumor: a comprehensive review of the literature","volume":"43","author":"Rohde","year":"2022","unstructured":"Rohde RLNorth LMMurray MKhalili SPoetker DM.Pott\u2019s puffy tumor: a comprehensive review of the literature. Am J Otolaryngol. 2022;43(5):103529."},{"issue":"6","key":"bib17","series-title":"Ann Otol Rhinol Laryngol","first-page":"433","article-title":"Minimally invasive surgery for Pott\u2019s puffy tumor: is it time for a paradigm shift in managing a 250-year-old problem?","volume":"126","author":"Leong","year":"2017","unstructured":"Leong SC.Minimally invasive surgery for Pott\u2019s puffy tumor: is it time for a paradigm shift in managing a 250-year-old problem? 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