TB Larynx
TB Larynx
TB Larynx
Laryngeal tuberculosis (LT) is the most common granulomatous disease of the larynx and has usually
been considered to result from pulmonary tuberculosis (PT), although it might be localized in the larynx
as a primary lesion without any pulmonary involvement (1-5)
1. Shin JE, Nam SY,Yoo SJ, Kim SY. Changing trends in clinical manifestations of laryngeal
tuberculosis. Laryngoscope 2000;110:1950-3. [PubMed]
2. Thaller SR, Gross JR, Pilch BZ, Goodman ML. Laryngeal tuberculosis as manifested in the
decades 1963-1983. Laryngoscope 1987;97:848-50. [PubMed]
3. Kruschinski C, Welkoborsky HJ. Tuberculosis of the larynx associated with orofacial
granulomatosis in childhood. Otolaryngol Head Neck Surg 2005;132:967-9. [PubMed]
4. Richter B, Fradis M, Kohler G, Ridder GJ. Epiglottic tuberculosis: differential diagnosis and
treatment. Case report and review of the literature. Ann Otol Rhinol Laryngol 2001;110:197-201.
[PubMed]
5. Egeli E, Oghan F, Alper M, Harputluoglu U, Bulut I. Epiglottic tuberculosis in patient treated
with steroids for Addison’s disease. Tohoku J Exp Med 2003;201:119-25. [PubMed]
LT may cause hoarseness, dysphagia and odynophagia 6–8. The granulomatous lesions of LT may involve
all parts of the larynx due to haematogenic and lymphatic spreading of the mycobacteria 1 9.
The most common sites of LT in the larynx are, respectively, the interarytenoid region, the arytenoid
cartilages, the posterior surface of the true vocal cords and the laryngeal surface of the epiglottis 8 12.
TOTAL NO. OF PATIENTS WITH TB ( OLD/ACTIVE ) SCREENED FOR LARYNGEAL INVOLVEMENT: 108
SEX NUMBER
MALE 4
FEMALE 3
SYMPTOMS NUMBER
VOICE CHANGE 7
ODYNOPHAGIA 2
BREATHING DIFFICULTY 2
SYSTEMIC SYMPTOMS 4