True about T.B. larynx:
A. Turban’ epiglottis
B. Odynophagia
C. Cricoarytenoid fixation
D. Ulceration of arytenoids
E. Paralysis of vocal cord
Ans. (A) Turban epiglottis ; (B) Odynophagia; (D) Ulceration of arytenoids:
• Tuberculosis of larynx is always secondary to pulmonary TB, mostly affecting males in middle age gp. Tubercle bacilli reach the larynx by bronchogenic or haematogenous routes.
• It affects — interarytenoid fold, ventricular bands, vocal cords and epiglottis in order (post. part> ant. part)
• C/F:- Weakness and hoarseness of voice, pain, odynophagia, dysphagia.
• Laryngeal examination shows
— Vocal cord Hyperaemia, ulceration giving mouse nibbled appearance. Arytenoids ulceration, granulation tissue.
— Interarytenoid region Granulation tissue, superficial ragged ulceration and swelling that gives rnamillated appearance.
— Epiglottis Pseudoedema — the ‘turban epiglottis’
— Swelling of ventricular bands and aryepiglottic folds.
—Marked pallor of surrounding muscosa.
A. Turban’ epiglottis
B. Odynophagia
C. Cricoarytenoid fixation
D. Ulceration of arytenoids
E. Paralysis of vocal cord
Ans. (A) Turban epiglottis ; (B) Odynophagia; (D) Ulceration of arytenoids:
• Tuberculosis of larynx is always secondary to pulmonary TB, mostly affecting males in middle age gp. Tubercle bacilli reach the larynx by bronchogenic or haematogenous routes.
• It affects — interarytenoid fold, ventricular bands, vocal cords and epiglottis in order (post. part> ant. part)
• C/F:- Weakness and hoarseness of voice, pain, odynophagia, dysphagia.
• Laryngeal examination shows
— Vocal cord Hyperaemia, ulceration giving mouse nibbled appearance. Arytenoids ulceration, granulation tissue.
— Interarytenoid region Granulation tissue, superficial ragged ulceration and swelling that gives rnamillated appearance.
— Epiglottis Pseudoedema — the ‘turban epiglottis’
— Swelling of ventricular bands and aryepiglottic folds.
—Marked pallor of surrounding muscosa.
