Alessi D P, Dudley J P
Division of Head and Neck Surgery, UCLA Medical Center 90024-1624.
Arch Otolaryngol Head Neck Surg. 1988 Jun;114(6):664-6. doi: 10.1001/archotol.1988.01860180078035.
Atypical mycobacteria are among the most frequent causes of cervical adenitis. These unilateral nodes seldom present a treatment problem since surgical excision is curative. Occasionally, however, the affected cervical node lies adjacent to the facial nerve and/or its marginal mandibular branch. There can be a substantial risk of damage to the facial nerve and its branches in excision of such an infected mass with surrounding edema and cellulitis. An alternative and safe method of treatment in these cases is needle aspiration of the contents of mass. Of 17 cases of atypical mycobacteria-induced cervical adenitis seen at UCLA from 1975 to 1985, nine were treated by aspiration alone. None of these required further surgery. All were treated with one or more antituberculous agents during and after aspiration. This method of needle decompression of cervical nodes provides a safe and effective way to treat atypical mycobacteria infection that overlies the facial nerve and its branches.
非典型分枝杆菌是颈淋巴结炎最常见的病因之一。这些单侧淋巴结很少带来治疗难题，因为手术切除可治愈。然而，偶尔受累的颈淋巴结紧邻面神经和/或其下颌缘支。在切除伴有周围水肿和蜂窝织炎的此类感染肿块时，面神经及其分支有受到严重损伤的风险。对于这些病例，一种替代且安全的治疗方法是对肿块内容物进行针吸。1975年至1985年在加州大学洛杉矶分校（UCLA）所见的17例非典型分枝杆菌所致颈淋巴结炎病例中，9例仅通过针吸治疗。这些病例均无需进一步手术。针吸期间及之后，所有病例均接受了一种或多种抗结核药物治疗。这种对颈淋巴结进行针吸减压的方法为治疗覆盖于面神经及其分支上的非典型分枝杆菌感染提供了一种安全有效的方式。
