SURGICAL-TREATMENT OF CERVICOFACIAL NONTUBERCULOUS MYCOBACTERIAL ADENITIS IN CHILDREN

Fifteen children with nontuberculous mycobacterial adenitis of the hea d and neck underwent surgical treatment between July 1991 and July 199 4. Fine-needle aspiration for biopsy and culture allowed early diagnos is in nine children, Positive cultures grew Mycobacterium avium-intrac ellulare complex in 12 children and M. chelonei in one child. Total ex cision was performed in 10 cases with combinations of lymphadenectomy and salivary gland excision, Curettage was used to successfully treat five children. One patient required local flap coverage for primary wo und repair. Two patients required more than one surgical procedure. Ou r approach to early diagnosis and surgical treatment of cervicofacial nontuberculous mycobacterial adenitis is presented.