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Michael G. Stewart, MD; Jeffrey R. Starke, MD; Newton J. Coker, MD

Arch Otolaryngol Head Neck Surg. 1994;120(8):873-876.

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)

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

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