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Background and Objectives:There are controversies in the management of tuberculous cervical lymphadenitis in spite of clinical efficacies of surgery and antituberculous chemotherapy. Materials and Methods:Fourty patients who had been pathologicaly confirmed to have cervical tuberculous lymphadenitis were analyzed retrospectively. We clasified them into 4 groups according to CT findings and checked their clinical and laborotary findings, as well as eficacies of treatment used. Results:The Type 4 was the most comon. All patients were treated with antituberculous medication. In Type 1 and 2, 11 patients among 13 patients were treated with antituberculous medication alone, whereas in Type 3 and 4, 21 patients among 27 patients were treated with the combined method of surgery and antituberculous medication. Most complicated cases were Type 3 and 4, where two cases had recurence, but most of the cases had local wound problems. All of these complicated cases had recovered to nearly normal state. Two recurent cases were treated with the combined methods completely. Conclusion:For of treatment. For cases that fall into type 3 and 4 tuberculous cervical lymphadenopathy, the combined method of surgery and antituberculous medication can be the first choice of treatment. For the initial treatment of type 3, 4, applying antituberculous medication for a period of 1-2 months before surgical intervention would be a more effective treatment. (Korean J Otolaryngol 2003 ;46 :426-31)