To review the treatment and outcome of patients with nontuberculous mycobacterial infections of the head and neck.
Retrospective examination of the medical records of patients treated by several surgeons during a 5-year period with a minimum 6-month follow-up.
Large teaching children's hospital.
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.
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.
Excisional biopsy is both the diagnostic procedure and treatment of choice for nontuberculous mycobacterial adenitis.(Arch Otolaryngol Head Neck Surg. 1994;120:873-876)
Stewart MG, Starke JR, Coker NJ. Nontuberculous Mycobacterial Infections of the Head and Neck. Arch Otolaryngol Head Neck Surg. 1994;120(8):873–876. doi:10.1001/archotol.1994.01880320073016
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