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ENT · Sinuses: Pott's puffy tumour
Sample itemA teenager with frontal sinusitis has a tender, doughy swelling of the forehead. What complication is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Subperiosteal abscess from frontal bone osteomyelitis
Pott's puffy tumour is a subperiosteal abscess with osteomyelitis of the frontal bone. It needs IV antibiotics and drainage with debridement. It can lead to intracranial extension.
Option by option
A. Frontal sinus carcinoma
Carcinoma of the frontal sinus is rare.
B. Cavernous sinus thrombosis
Cavernous sinus thrombosis produces orbital signs.
C. Subperiosteal abscess from frontal bone osteomyelitis (correct)
Correct. This is Pott's puffy tumour.
D. Frontal mucocele
A mucocele is a slowly expanding sterile cyst.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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