PD113 - LONG TERM ESTHETIC AND FUNCTIONAL OUTCOMES IN CHILDREN WITH NONTUBERCULOUS MYCOBACTERIAL LYMPHADENITIS (ID 1289)
- Angela Manzanares (Spain)
- Marta Nabal (Spain)
- María Collada (Spain)
- Carmen González (Spain)
- Estrella Esquivel (Spain)
- María Dolores Delgado (Spain)
- Eunate Martí (Spain)
- Jesús Redondo (Spain)
- Paula López-Roa (Spain)
- Nuria Alberti (Spain)
- Elisa Fernandez-Cooke (Spain)
- Luis Prieto (Spain)
- Cinta Moraleda (Spain)
- Cristina Epalza (Spain)
- Serena Villaverde (Spain)
- Pablo Rojo (Spain)
- Daniel Blázquez-Gamero (Spain)
Abstract
Backgrounds:
The best management of lymphadenitis caused by non-tuberculous mycobacteria (NTB) is still controversial. Our aim was to evaluate long-term esthetic and functional outcomes and the patient/parent’s global in NTB lymphadenitis.
Methods
A retrospective observational study (2003-2020) in a University Hospital in Madrid was performed. Children with histological findings compatibles with NTB lymphadenitis and/or NTB isolated in samples were included. Families were contacted by telephone to complete a standardized questionnaire on global satisfaction, esthetic, and functional outcomes. Current anonymized photographs of the scars were evaluated by two blinded clinicians. Scars were assessed using the POSAS (Patient and Observer Scar Assessment Scale) scales.
Results:
77 children were included. Medianage was 2(IQR: 1,5-2,6) years and 46(59.7%) were women. In 57(64%) children complete excision was performed as the first treatment, wait-and-watch in 9(11.7%) children, antibiotics without surgery in 7(9.1%) children. Among 62 children that underwent complete excision (as first line or as rescue treatment) 11 (17.7%) had permanent facial palsy. Children were very/moderatly satisfied with outcomes in 70% (46/66), parents in 75.5% (49/65; 75.5%). Facial palsy was more common in the group of dissatisfied children (p=0.013). Median scar score (POSAS scale) was not associated with patient or parents satisfaction.
Conclusions/Learning Points:
Facial palsy has a greater impact than esthetics of the scar on the degree of satisfaction of the children. There is a high percentage of permanent facial palsy after complete excision surgery in our sample and other options, like wait-and-watch approach, should be offered to the families.
