Tunkel D E, Romaneschi K B
Department of Otolaryngology/Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Md, USA.
Laryngoscope. 1995 Oct;105(10):1024-8. doi: 10.1288/00005537-199510000-00002.
Fifteen children with nontuberculous mycobacterial adenitis of the head and neck underwent surgical treatment between July 1991 and July 1994. Fine-needle aspiration for biopsy and culture allowed early diagnosis in nine children. Positive cultures grew Mycobacterium avium-intracellulare complex in 12 children and M. chelonei in one child. Total excision 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 wound repair. Two patients required more than one surgical procedure. Our approach to early diagnosis and surgical treatment of cervicofacial nontuberculous mycobacterial adenitis is presented.
1991年7月至1994年7月期间，15名头颈部非结核分枝杆菌性腺炎患儿接受了手术治疗。9名患儿通过细针穿刺活检和培养得以早期诊断。12名患儿培养结果呈阳性，培养出鸟分枝杆菌-胞内分枝杆菌复合群，1名患儿培养出龟分枝杆菌。10例患儿进行了淋巴结切除术和唾液腺切除术联合的根治性切除。刮除术成功治疗了5名患儿。1例患者需要局部皮瓣覆盖进行一期伤口修复。2例患者需要不止一次手术。本文介绍了我们对头面部非结核分枝杆菌性腺炎的早期诊断和手术治疗方法。
