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KMID : 0361019920350030414
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Korean Journal of Otolaryngology - Head and Neck Surgery
1992 Volume.35 No. 3 p.414 ~ p.418
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The Clinical Evaluation of Selective Neck Dissection on Tuberculous Cervical Lymphadenitis
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전영훈
장 영/김동환/김상현/김용재/정덕희/최종욱/정광윤
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Abstract
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The most common manifestation of mycobacterial infection encountered in otolaryngologic practice is a cervical lymphadenitis.
Mycobacterial cervical lymphadenitis or scrofula, remains a diagnostic and therapeutic challenge because it mimic other pathologic process and because of the consistent reliability of physical and laboratory findings.
Fifteen cases of tuberculous cervical lymphadenitis were treated with selective neck dissection and postoperative antituberculous medication(12~18 months) during recent 5-years, we obtained favorable results.
1) Twelve cases had nodes in the posterior triangle, four cases had bilateral and positive chest X-ray was exhibited by four patients, Skin test was positive in eight patients; AFB stain and culture were positive in three and six respectively.
Histologic examination was the most reliable test with 100% postive specimens.
2) Selective neck dissection was done on 15 patient; supraomohyoid neck dissection(4), lateral neck dissection(2) and posterolateral neck dissection(9) were performed. Postoperative complication were hypertrophic scar in five, shoulder syndrome
in
one
and there was no recurrence until now.
Selective neck dissection provides a rapid tissue diagnosis, shortens hospitalization, carries a low morbidity and reduce recurrence.
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KEYWORD
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