Laryngeal tuberculosis

About 15-25 percent casesof pulmonary tuberculosis can have laryngeal tuberculosis however primary laryngeal TB is not rare.

1. Laryngeal Tuberculosis Dr. Shrikant Phatak Head of ENT Department Choithram Hospital Indore

2. Laryngeal Tuberculosis Tuberculosis is the most frequent granulomatous disease involving larynx The lesions in the larynx can be the first presentation of underlying tuberculosis. Laryngeal involvement has been observed in 15 to 30% of the cases of pulmonary tuberculosis, but primary laryngeal involvement is not rare .

3. Laryngeal Tuberculosis Commonest symptoms are Change in voice –usually a high pitch due to infiltration of the vocal cords or whisper as a result of vocal cord palsy due to pressure effects of enlarged mediastinal lymph nodes. Painful Dysphagia –usually due to perichondritis around arytenoid cartilages Cough Weight loss ,Anorexia

4. Laryngeal Tuberculosis Sites of laryngeal involvement Epiglottis & Aryepiglottic folds False cords True vocal cords Posterior glottis & interarytenoid region

5. Laryngeal Tuberculosis I rregular proliferative lesions involving free border of both vocal cords & Interarytenoid region

6. Laryngeal Tuberculosis Diffuse lesions involving Laryngeal surface of theEpiglottis , Arytenoids, Aryepiglottic folds False & True vocal cord

7. Laryngeal Tuberculosis This patient complained of right sided neck pain. Stroboscopy showed congested edematous A-E fold False cord on Right side

8. Laryngeal Tuberculosis Unilateral involvement of the vocal cord .On Stroboscopy mucosal waves are present which rule out malignancy

9. Laryngeal Tuberculosis vocal cord palsy due to pressure effects of enlarged mediastinal lymph nodes

10. Laryngeal Tuberculosis Post Treatment with 4 drug Ante Koch’s medicines Larynx becomes almost normal in 3-4months period

11. Disclaimer The information contained in the presentation is based on the personal experience and cases collected at Choithram Hospital Indore over the last 20 years. It is intended for the use of Medical students ENT post graduates Pulmonologists. The views expressed are purely on personal opinion. viewers can make their own opinion. For any confusion please contact sole author. Everybody is allowed to copy or download the material best suited to him. I am not responsible for any controversies arising out of the presentation. For any suggestions or corrections you may please contact [email protected]

12. Laryngeal Tuberculosis Thank you