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Management of cervicofacial nontuberculous lymphadenitis in children

McClay, John E.a; Garcia, Carlab

Current Opinion in Otolaryngology & Head and Neck Surgery: December 2013 - Volume 21 - Issue 6 - p 581–587
doi: 10.1097/MOO.0000000000000005
PEDIATRIC OTOLARYNGOLOGY: Edited by Lisa Buckmiller

Purpose of review To review the body of literature on the treatment options for nontuberculous cervicofacial lymphadenitis in children, focusing on the most recent reports describing outcomes utilizing either observation alone, medical therapy or various forms of surgical intervention.

Recent findings Large studies have defined the time course of the disease and the safety and efficacy in treating nontuberculosis cervicofacial lymphadenitis with a wait-and-see approach.

Summary Nontuberculosis cervicofacial lymphadenitis is a disease with several stages that provides for various treatment options. All treatment regimens – wait-and-see approach, medical therapy, and surgical excision – have their risks and benefits. The current body of literature allows the otolaryngologist an assortment of treatment choices that permits him to tailor the treatment with an individualized approach for each family's preferences.

aFrisco ENT for Children, Frisco

bMedical City Dallas, Dallas, Texas, USA

Correspondence to John E. McClay, MD, Frisco ENT for Children, 11445 Dallas Parkway, Suite 240, Frisco TX 75033, USA. Tel: +1 214 494 4150; e-mail: jtmcclay@aol.com

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins