Bengaluru,1st April 2025 – A 54-year-old man from Anantapur, underwent a successful and complex surgical procedure at Fortis Hospital, Bannerghatta Road, Bengaluru, to remove a lemon-sized tumor. He was diagnosed with Pott’s Puffy Tumor, a rare and aggressive condition that involves an infection of the frontal sinus. Under the expert care of Dr Susheen Dutt, Senior Consultant – ENT, Cochlear Implant and Skull Base Surgeon, Fortis Hospital, Bannerghatta Road, Bangalore, along with Dr Abhishek S, Consultant – Otorhinolaryngology, Fortis Hospital, Bannerghatta Road, Bangalore the patient underwent a complex surgical procedure and was discharged after a five-day hospital stay.

The patient, Sham (name changed), a resident of Anantapur, was experiencing a rapidly growing and extremely painful swelling on his forehead, which had expanded to the size of a lemon within just three and a half weeks. Initially, he noticed a gradual swelling between his eyebrows, which soon became intensely painful. Concerned about the progressive nature of the swelling, he sought medical attention in his hometown. After local consultations, he was referred to Fortis Hospital in Bengaluru for further evaluation and advanced treatment.

Upon arrival at Fortis Hospital, a thorough medical evaluation was conducted, including an MRI (Magnetic resonance imaging), to determine if the infection had spread to the brain. The results revealed that the swelling was pressing against the back wall of the frontal sinus, a sinus located in the forehead. While the infection had not yet reached the brain, it posed a significant risk due to the proximity of the sinus to the frontal lobe. Understanding the severity of the case, Dr. Susheen recommended a surgical approach to ensure precise treatment and effective resolution of the condition.

Giving details of the case, Dr Susheen Dutt, Senior Consultant – ENT, Cochlear Implant and Skull Base Surgeon, Fortis Hospital, Bannerghatta Road, Bangalore said, “We opted for a combined approach (open and endoscopic), making a precise incision above the forehead to gain better access and ensure complete removal of the infected tissue. We had to ensure that the infection did not breach the thin layer of tissue separating the sinus from the brain. We worked meticulously to clear the infection while safeguarding the brain.”

“In addition to removing the infection, the team performed a frontal sinus obliteration procedure to prevent any future infections. Fat was used to fill the sinus cavity, sealing it off completely. This procedure eliminates the need for further bone reconstruction, as the sinus will not reopen. Over time, the area will heal, and the patient will not require additional surgeries. This approach prevents recurrence and avoids the complications associated with bone reconstruction.”

Mr. Akshay Oleti, Business Head, Fortis Hospitals Bengaluru, said, “At Fortis Hospitals, we are committed to providing the highest standard of care through innovative treatments and personalized patient services. The successful outcome of this case highlights our dedication to addressing complex medical conditions with advanced technology and expert clinical intervention. We are proud to support our patients in their recovery journey and continue to raise the bar in healthcare excellence.”