Laryngeal tuberculosis

Laryngeal tuberculosis is a complication of pulmonary tuberculosis and occurs mainly in men aged 20-40 years. Pathological changes are characterized by the formation of epithelioid tubercles. With the development of infiltrates and the cheesy breakdown of tubercles, ulcers occur. With the spread of the tuberculous process in depth, the perichondrium and cartilage are affected.

Symptoms, course depend on the process in the lungs. There is a worsening during pregnancy, infectious diseases.

Most often, patients complain of various voice disorders and pain, both independently, and when swallowing saliva and food, when talking, coughing. Sore throat due to damage to the outer ring of the larynx. Stenotic breathing due to narrowing of the glottis occurs with an infiltrative-ulcerative granulating process or edema of the underparticle, epiglottis, arytenoid cartilage. Coughing is not a characteristic sign of laryngeal tuberculosis, because it depends on changes in the lungs. The defeat of the vocal folds is expressed in hyperemia, roughness, thickening and infiltration of individual sections, mainly the posterior third of the vocal folds. Ulceration is often determined on the inner or upper surface of the vocal folds. The internal parts of the larynx are affected by the tuberculosis process much more often than the external.

Treatment. With productive tumor-like forms (tuberculomas), curettage and electrocoagulation are performed. In complex therapy for paresis and paralysis include vibration massage of the neck in the larynx. At treatment of a dysphagia apply an intradermal novocaine blockade of a neck (see. Respiratory diseases. Tuberculosis).