Laryngeal tuberculosis
Tuberculosis of the larynx 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 curdled decomposition of tuberculosis, ulcers occur. When the tuberculosis process extends deeper into the perichondrium and cartilage.
Symptoms, the course depends on the process in the lungs. There is a deterioration in pregnancy, infectious diseases.
Most often, patients complain of various voice disorders and pain, both alone and when swallowing saliva and food, while talking, coughing. The pain in the throat is caused by the defeat of the outer ring of the larynx. Stenotic breathing due to the narrowing of the glottis can occur with an infiltrative-ulcerative granulating process or edema of the sublateral division, epiglottis, arytenoid cartilages. Cough is not a characteristic sign of tuberculosis of the larynx, as it depends on changes in the lungs. The defeat of the vocal folds is expressed in hyperemia, roughness, thickening and infiltration of individual areas, mainly the posterior third of the vocal folds. Ulceration is often detected on the inner or top surface of the vocal folds. The internal parts of the larynx are affected by the tuberculosis process much more often than the external ones.
Treatment. When productive tumorous forms (tuberculomas) produce curettage, electrocoagulation. In the complex therapy for paresis and paralysis include a vibrating neck massage in the larynx. In the treatment of dysphagia, intradermal novocaine blockade of the neck is used (see Diseases of the respiratory system, Tuberculosis).
- Diseases of the ear, throat, nose
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