Minimally invasive treatment of patients with Pott's puffy tumour with or without endocranial extension - a case series of six patients: Our Experience

1.The use of a purely endoscopic approach (Draf 2a frontal sinusotomy) is a viable and safe approach for the surgical management of PPT. 2.In PPT associated with intracranial complications, we do not believe that endoscopic drainage is contra-indicated. 3.The key factor in the management of PPT is early diagnosis and good multidisciplinary collaboration between the otolaryngologist, the neurosurgeon and other specialisms involved. Ideally, when neurosurgical intervention is indicated, it should be performed in the same session as the FESS. 4.Erosive bone sequesters seem to be capable of spontaneous remodelling without any additional intervention. 5.If patients are doing well clinically, it could be preferable to adopt an approach consisting of medical treatment and simple drainage of the abscess. This article is protected by copyright. All rights reserved