Evidence map›Paper›PMID 42500077›Full record

ReviewWorld journal of otorhinolaryngology - head and neck surgery2025

Draf III in the Acute Phase of Pott's Puffy Tumor: A Scoping Review.

Sahil Kakar, Haris Ali, Husnaa Fathima Ali Azamathullah Khan, Rameez Amjad, Akshara Sharma, Muhammad Daoud Tariq, Muhammad Sohaib Shahid, Shahzada Khuram Ahmed, Haissan Iftikhar

Abstract readReview
In one paragraph

Review in World journal of otorhinolaryngology - head and neck surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Draf III in the Acute Phase of Pott's Puffy Tumor: A Scoping Review.World journal of otorhinolaryngology - head and neck surgery · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sahil KakarDepartment of ENT and Skull Base Surgery, Queen Elizabeth Hospital Birmingham University Hospitals Birmingham Foundation Trust Birmingham UK.ORCID https://orcid.org/0009-0003-7816-323X
Haris AliQueen's Medical Centre Nottingham University Hospitals NHS Trust Nottingham UK.ORCID https://orcid.org/0000-0001-9722-0365
Husnaa Fathima Ali Azamathullah KhanGlenfield Hospital Leicester Hospitals Foundation Trust, NHS Leicester UK.
Rameez AmjadDepartment of Medical Education Aberdeen University Medical School Aberdeen UK.
Akshara SharmaUniversity Hospitals Birmingham Foundation Trust Birmingham UK.
Muhammad Daoud TariqFoundation University Medical College Islamabad Pakistan.
Muhammad Sohaib ShahidMedical College Aga Khan University Karachi Pakistan.
Shahzada Khuram AhmedDepartment of ENT and Skull Base Surgery, Queen Elizabeth Hospital Birmingham University Hospitals Birmingham Foundation Trust Birmingham UK.
Haissan IftikharDepartment of ENT Northamptonshire Healthcare NHS Foundation Trust Northamptonshire UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pott's puffy tumor (PPT) is a rare but serious sequela of frontal sinusitis characterized by osteomyelitis of the frontal bone with subperiosteal abscess formation. Surgical management has traditionally been delayed until resolution of the acute infection. This scoping review evaluates the safety and outcomes of performing "Hot" Draf III (modified Lothrop) surgery during the acute phase of PPT. Methods: A review was conducted in accordance with PRISMA guidelines. Literature searches were performed across PubMed, Embase, Scopus, and ClinicalTrials.gov without date restriction. Eligible studies included patients undergoing Draf III surgery acutely (within 28 days of presentation) for PPT. Data were extracted on demographics, surgical approach, complications, and reintervention rates. Pooled analysis was performed using a random-effects model with Freeman-Tukey transformation to stabilize variance. Results: Five studies met the inclusion criteria, encompassing nine patients (seven males, two females; mean age 50.3 years). All underwent acute Draf III surgery, primarily via endoscopic approaches (88.9%). Meta-analysis demonstrated a pooled complication rate of 0% (95% CI: 0%-40%) and a reintervention rate of 3% (95% CI: 0%-71%), with no significant heterogeneity ( Conclusion: "Hot" Draf III surgery appears to be a safe and effective management option for PPT during the acute phase, offering low complication and reintervention rates. While these findings support early surgical intervention, larger, prospective studies are required to validate long-term outcomes and define patient selection criteria.

Indexed as

Draf IIIendoscopic modified lothropfrontal bone osteomyelitisfrontal sinus surgeryPott's puffy tumor

Identifiers

PMID42500077
PMCPMC13398946

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.