- 期刊
急性額竇炎併發波特氏額頭膨腫－病例報告
Acute Frontal Sinusitis Complicated with Pott's Puffy Tumor-Case Report
摘要
額竇炎併發之額骨骨髓炎被稱之波特氏額頭膨腫（Pott's puffy tumor）。臨床表現爲：在額骨下膿蓄積，產生膨鬆腫脹，並可能進而產生顱骨周圍骨膜下膿瘍、眼眶周圍膿瘍、或是硬膜外膿瘍。診斷方式為電腦斷層，而核磁共振是用來排除顱内侵犯及侵犯深度的最好工具。常見的致病菌爲多重菌種，包括格蘭氏陽性桿菌及厭氧菌。治療方式為靜脈注射抗生素及膿瘍引流，必要時移除感染之骨頭。
並列摘要
Pott's puffy tumor (PTT) is characterized by frontal bone osteomyelitis resulting from frontal sinusitis. It presents clinically as fluctuate swelling of the frontal bone due to abscess formation, which may include subperiosteal abscesses, periorbital abscesses, or epidural abscesses. Contrast-enhanced CT is the most appropriate imaging method for the diagnosis of PPT, and MRI provides a more detailed description of the extent of the disease. Common pathogens include multiple strains, such as Gram-positive bacillus and Anaerobic bacteria. Treatment with intravenous antibiotics, incision, and drainage are of crucial importance. Also, it is sometimes necessary to remove the infected bone.
延伸閱讀
- Chi, T. H., Yuan, C. H., Chien, C. Y., & Luo, S. D. (2013). 額竇骨折術後額竇黏液囊腫－病例報告. 北市醫學雜誌, 10(2), 163-167. https://doi.org/10.6200/TCMJ.2013.10.2.07
- Chen, C. G., Chai, Y. T., Cheng, C. A., Chen, S. C., & Liu, M. Y. (2004). 鼻腦白黴病以難以治療的頭痛表現並伴隨急性缺血腦中風：個案報告. Journal of Emergency Medicine, Taiwan, 6(3), 366-373. https://www.airitilibrary.com/Article/Detail?DocID=a0000061-200409-6-3-366-373-a
- Lin, Y. C., & Chen, C. W. (2011). 因鼻竇氣壓傷害所造成的額竇發炎性偽腫瘤. 台灣耳鼻喉頭頸外科雜誌, 46(6), 346-350. https://doi.org/10.6286/2011.46.6.346
- Tsai, S. T., Wang, C. H., Lin, S. Z., & Chiu, T. L. (2006). 額篩部腦膜膨出併腦室膨大的治療策略－病例報告. 慈濟醫學雜誌, 18(1), 39-44. https://doi.org/10.6440/TZUCMJ.200602.0016
- 王仲祺、江榮山、許振益（1999）。Allergic Fungal Sinusitis - Case Report。中華民國耳鼻喉科醫學雜誌，34(4)，320-323。https://doi.org/10.6286/1999.34.4.320