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Article
August 1994

Nontuberculous Mycobacterial Infections of the Head and Neck

Author Affiliations

From the Departments of Otorhinolaryngology and Communicative Sciences (Drs Stewart and Coker) and Pediatrics (Dr Starke), Baylor College of Medicine, Houston, Tex.

Arch Otolaryngol Head Neck Surg. 1994;120(8):873-876. doi:10.1001/archotol.1994.01880320073016
Abstract

Objective:  To review the treatment and outcome of patients with nontuberculous mycobacterial infections of the head and neck.

Design:  Retrospective examination of the medical records of patients treated by several surgeons during a 5-year period with a minimum 6-month follow-up.

Setting:  Large teaching children's hospital.

Patients:  Twenty-six children hospitalized for treatment of nontuberculous mycobacterial infections of the head and neck.

Main Outcome Measures:  Resolution of infection, recurrence, and need for additional surgical intervention for cure.

Results:  Eleven patients initially were treated by incisional biopsy or incision and drainage procedures; eight patients developed recurrence or a draining sinus tract, necessitating a second surgical procedure. In contrast, 15 patients initially underwent complete excision; only one developed a recurrence (P<.01). Thus, eight (31%) of 26 patients required at least two surgical procedures owing to inadequate initial treatment.

Conclusions:  Excisional biopsy is both the diagnostic procedure and treatment of choice for nontuberculous mycobacterial adenitis.(Arch Otolaryngol Head Neck Surg. 1994;120:873-876)

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