Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-27T08:25:18.080Z Has data issue: false hasContentIssue false
  • English
  • Français

Laryngeal tuberculosis in the eighties—an Indian experience

Published online by Cambridge University Press:  29 June 2007

V. Rupa  and
T.S. Bhanu
V. Rupa*
Affiliation:
Vellore, India
T.S. Bhanu
Affiliation:
Vellore, India
*
Dr V. Rupa, Department of Otorhinolaryngology, Christian Medical College and Hospital, Vellore—632004, South India
Get access Rights & Permissions [Opens in a new window]

Abstract

Laryngeal tuberculosis is one of the rarer forms of extrapulmonary tuberculosis. A retrospective analysis of 26 patients seen in the last nine years in our hospital was conducted to illustrate the various modes of clinical presentation. Of the 26 patients, twenty were male and six female. The average age of presentation was 47 years with an age range of 15 months to 71 years. Hoarseness (92.3 per cent) was the commonest symptom. The laryngoscopic appearances often simulated malignancy. Most patients (69.2 per cent) outnumbered ulcerative ones (38.5 per cent). Laryngeal oedema was infrequent (7.7 per cent). Diagnosis was based on a laryngeal biopsy in 18 patients and on evidence of associated pulmonary tuberculosis and response to anti-tuberculous therapy in eight. Chest X-rays showed apical cavitation and infiltration as the commonest findings. Three patients had miliary tuberculosis and one had no pulmonary lesion. Diabetes mellitus was present in seven (26.9 per cent) patients. Four illustrative cases are described. The problems in diagnosis and management of laryngeal tuberculosis are discussed.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 9 , September 1989 , pp. 864 - 868
Copyright
Copyright © JLO (1984) Limited 1989

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Auerbach, O. (1946) Laryngeal tuberculosis. Archives of Otolaryngology, 44: 191–201.CrossRefGoogle ScholarPubMed
Bailey, M. C. and Windle-Taylor, P. C. (1981) Tuberculous laryngitis: a series of 37 patients. Laryngoscope, 91: 93–99.CrossRefGoogle ScholarPubMed
Bull, T. R. (1966) Tuberculosis of the larynx. British Medical Journal, 2: 991–992.CrossRefGoogle ScholarPubMed
Gertler, R. and Ramages, L. (1985) Tuberculous laryngitis—a one year harvest. Journal of Laryngology and Otology, 99: 1119–1125.Google ScholarPubMed
Hunter, A. M., Millar, J. W., Wightman, A. J. A. and Horne, N. W. (1981) The changing pattern of laryngeal tuberculosis. Journal of Laryngology Otology, 95: 393–398.CrossRefGoogle ScholarPubMed
Manni, H. (1983) Laryngeal tuberculosis in Tanzania. Journal of Laryngology and Otology, 107: 503–505.Google Scholar
Ormerod, F. C. (1951) A review of tuberculosis of the upper air passages during the past thirty years and its treatment by Streptomycin. Journal of Laryngology and Otology, 65(7): 461–471.CrossRefGoogle ScholarPubMed
Rohwedder, J. J. (1974) Upper respiratory tract tuberculosis—sixteen cases in a general hospital. Annals of Internal Medicine, 80: 708–713.CrossRefGoogle ScholarPubMed
Rupa, V., Mathew, J. and Bhanu, T. S. (1989) Paediatric laryngeal tuberculosis presenting with stridor. Journal of Laryngology and Otology, 103: 787–788.CrossRefGoogle ScholarPubMed
St Clair, Thomson (1955) Tuberculosis of the larynx in Diseases of the Nose and Throat (Negus, V. E., ed.), Cassell and Co. Ltd., London, p. 878–879.Google Scholar
Thaller, R. S., Gross, J. R., Pilch, B. Z. and Goodman, M. L. (1987) Laryngeal tuberculosis as manifested in the decades 1963–1983. Laryngoscope, 97: 848–850.CrossRefGoogle ScholarPubMed
Travis, W., Hybels, R. L. and Newman, M. H. (1976) Tuberculosis of the larynx. Laryngoscope, 86: 549–558.CrossRefGoogle ScholarPubMed