Treatment consists of surgical drainage of the abscess and the frontal sinus and 6 weeks of intravenous antibiotic therapy directed at the isolated organisms. Traditionally, surgical treatment of Pott's puffy umor required an external approach called trephination.
Trephination is carried out in the floor of the sinus. A drain placed through the trephine allows the drainage of sinus contents and can be used to irrigate with antibiotic solutions.
With increased experience and improved technique, the success rate of endoscopic sinus surgeryhave surpassed those of the external approach.
The general rule of frontal sinus surgery is to chose the least invasive procedure with which the surgeon is comfortable and whish will accomplish the task.