True about T.B. larynx:
A. Turban’ epiglottisB. 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.
• 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.
