농양을 형성한 결핵성 경부 림프절염의 치료
Treatment of Tuberculous Cervical Abscess
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Abstract
Background and Objectives：Tuberculous cervical lymphadenitis is not an uncommon inflamatory disorder in Korea. It often does not respond to the antituberculous medication, but grows up gradually making the cervical abscess. Authors aimed to find out Subjects and Method：From Jan. 2001 through Dec. 2005, 52 cases of the tuberculous cervical abscess (16 males, 36 females：age range 18- 63 years, mean 30.4 years) were diagnosed and managed at the Department of Otolaryngology, Asan Medical Center. We reviewed medical records of patients to find out their presentations, diagnostic considerations, therapeutic options, and outcomes. Patients were folowed up for sixteen Results：There was no diference in the duration of antituberculous chemotherapy accor-ding to the surgical methods. However, in the cases of mass excision (91.7%), cure rate (remnant mass size <5 mm) was higher, compared to incision and drainage (80.0%). Compared to excision (3/15, 25%, 39 days), incision and drainage needed more days for dressing for healing (4/5, 80%, 90 days). ：Therefore, we recommend, if possible, complete excision as a therapeutic modality in cases of tuberculous cervical abscess. (Korean J Otolaryngol 2007 ;50 :426-30)
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