Neck adenitis remain a frequent occurrence in our areas. Within one year only, 57 cases were collected in the ORL department of University Hospital of Ouagadougou. Children were mostly affected (70% of cases) and the starting point or supposedly was mainly pharyngeal (67% of cases); streptococcus were the dominant microbes. Concerning the treatment, our preference was for wide antibiotherapy, in monotherapy but using wide spectrum, including staphylococcus aureus, due to its frequency in this pathology. But the primum movens remained the incision drainage. The post-operative period were regularly simple for our 57 patients.