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
Irregular 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

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
phatak_shrikant@yahoo.in

12. Laryngeal Tuberculosis
• Thank you