Current clinical propensity of laryngeal tuberculosis: Review of 60 cases

JaeYoul Lim, Kwang Moon Kim, Eun Chang Choi, Young Ho Kim, Han Su Kim, Hong Shik Choi

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Although laryngeal tuberculosis is not frequent, it still occurs with an increasing incidence of pulmonary tuberculosis. Clinical pattern and spread mechanism of this disease have also changed as well. This study was performed to examine the current propensity seen in laryngeal tuberculosis and the clinical characteristics of this disease in patients showing atypical clinical pattern. The medical and videostroboscopic records of 60 patients with laryngeal tuberculosis diagnosed from the year 1994 to 2004 at the department of otorhinolaryngology in Severance Hospital were analyzed. The age of the patients ranged from 25 to 78 years, with their average age being 49.7 years. The ratio between men and women was 1.9:1. The major symptom encountered was hoarseness (96.6%). Clinically, granulomatous (n=22) and ulcerative types (n=11) of laryngeal tuberculosis were still prevalent, however, the incidence of atypical types such as polypoid (n=16) and nonspecific (n=11) were on the rise. Among the 27 cases that showed polypoid or nonspecific types, unilateral lesion was seen in 20 cases (74%). The most frequently affected area by this disease was true vocal cord, followed by false vocal cord, epiglottis, arytenoids and posterior commissure. Active pulmonary tuberculosis was present in 28 (46.7%), inactive pulmonary tuberculosis in 20 (33.3%), normal lung status in 12 cases (20%). Primary laryngeal tuberculosis was present in 9 cases (15%). Single lesion, polypoid and nonspecific type were prevalent in patients with inactive tuberculosis or normal lungs status. Physicians should be aware of the changes in the clinical pattern of laryngeal tuberculosis, which poses serious complications and risk of spreading.

Original languageEnglish
Pages (from-to)838-842
Number of pages5
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume263
Issue number9
DOIs
Publication statusPublished - 2006 Sep 1

Fingerprint

Laryngeal Tuberculosis
Pulmonary Tuberculosis
Vocal Cords
Epiglottis
Hoarseness
Lung
Incidence
Otolaryngology
Medical Records
Tuberculosis
Physicians

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Cite this

Lim, JaeYoul ; Kim, Kwang Moon ; Choi, Eun Chang ; Kim, Young Ho ; Kim, Han Su ; Choi, Hong Shik. / Current clinical propensity of laryngeal tuberculosis : Review of 60 cases. In: European Archives of Oto-Rhino-Laryngology. 2006 ; Vol. 263, No. 9. pp. 838-842.
@article{f65e90cee61c4734a3deb179fbeff195,
title = "Current clinical propensity of laryngeal tuberculosis: Review of 60 cases",
abstract = "Although laryngeal tuberculosis is not frequent, it still occurs with an increasing incidence of pulmonary tuberculosis. Clinical pattern and spread mechanism of this disease have also changed as well. This study was performed to examine the current propensity seen in laryngeal tuberculosis and the clinical characteristics of this disease in patients showing atypical clinical pattern. The medical and videostroboscopic records of 60 patients with laryngeal tuberculosis diagnosed from the year 1994 to 2004 at the department of otorhinolaryngology in Severance Hospital were analyzed. The age of the patients ranged from 25 to 78 years, with their average age being 49.7 years. The ratio between men and women was 1.9:1. The major symptom encountered was hoarseness (96.6{\%}). Clinically, granulomatous (n=22) and ulcerative types (n=11) of laryngeal tuberculosis were still prevalent, however, the incidence of atypical types such as polypoid (n=16) and nonspecific (n=11) were on the rise. Among the 27 cases that showed polypoid or nonspecific types, unilateral lesion was seen in 20 cases (74{\%}). The most frequently affected area by this disease was true vocal cord, followed by false vocal cord, epiglottis, arytenoids and posterior commissure. Active pulmonary tuberculosis was present in 28 (46.7{\%}), inactive pulmonary tuberculosis in 20 (33.3{\%}), normal lung status in 12 cases (20{\%}). Primary laryngeal tuberculosis was present in 9 cases (15{\%}). Single lesion, polypoid and nonspecific type were prevalent in patients with inactive tuberculosis or normal lungs status. Physicians should be aware of the changes in the clinical pattern of laryngeal tuberculosis, which poses serious complications and risk of spreading.",
author = "JaeYoul Lim and Kim, {Kwang Moon} and Choi, {Eun Chang} and Kim, {Young Ho} and Kim, {Han Su} and Choi, {Hong Shik}",
year = "2006",
month = "9",
day = "1",
doi = "10.1007/s00405-006-0063-5",
language = "English",
volume = "263",
pages = "838--842",
journal = "Archiv fur klinische und experimentelle Ohren- Nasen- und Kehlkopfheilkunde",
issn = "0003-9195",
publisher = "Springer Verlag",
number = "9",

}

Current clinical propensity of laryngeal tuberculosis : Review of 60 cases. / Lim, JaeYoul; Kim, Kwang Moon; Choi, Eun Chang; Kim, Young Ho; Kim, Han Su; Choi, Hong Shik.

In: European Archives of Oto-Rhino-Laryngology, Vol. 263, No. 9, 01.09.2006, p. 838-842.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Current clinical propensity of laryngeal tuberculosis

T2 - Review of 60 cases

AU - Lim, JaeYoul

AU - Kim, Kwang Moon

AU - Choi, Eun Chang

AU - Kim, Young Ho

AU - Kim, Han Su

AU - Choi, Hong Shik

PY - 2006/9/1

Y1 - 2006/9/1

N2 - Although laryngeal tuberculosis is not frequent, it still occurs with an increasing incidence of pulmonary tuberculosis. Clinical pattern and spread mechanism of this disease have also changed as well. This study was performed to examine the current propensity seen in laryngeal tuberculosis and the clinical characteristics of this disease in patients showing atypical clinical pattern. The medical and videostroboscopic records of 60 patients with laryngeal tuberculosis diagnosed from the year 1994 to 2004 at the department of otorhinolaryngology in Severance Hospital were analyzed. The age of the patients ranged from 25 to 78 years, with their average age being 49.7 years. The ratio between men and women was 1.9:1. The major symptom encountered was hoarseness (96.6%). Clinically, granulomatous (n=22) and ulcerative types (n=11) of laryngeal tuberculosis were still prevalent, however, the incidence of atypical types such as polypoid (n=16) and nonspecific (n=11) were on the rise. Among the 27 cases that showed polypoid or nonspecific types, unilateral lesion was seen in 20 cases (74%). The most frequently affected area by this disease was true vocal cord, followed by false vocal cord, epiglottis, arytenoids and posterior commissure. Active pulmonary tuberculosis was present in 28 (46.7%), inactive pulmonary tuberculosis in 20 (33.3%), normal lung status in 12 cases (20%). Primary laryngeal tuberculosis was present in 9 cases (15%). Single lesion, polypoid and nonspecific type were prevalent in patients with inactive tuberculosis or normal lungs status. Physicians should be aware of the changes in the clinical pattern of laryngeal tuberculosis, which poses serious complications and risk of spreading.

AB - Although laryngeal tuberculosis is not frequent, it still occurs with an increasing incidence of pulmonary tuberculosis. Clinical pattern and spread mechanism of this disease have also changed as well. This study was performed to examine the current propensity seen in laryngeal tuberculosis and the clinical characteristics of this disease in patients showing atypical clinical pattern. The medical and videostroboscopic records of 60 patients with laryngeal tuberculosis diagnosed from the year 1994 to 2004 at the department of otorhinolaryngology in Severance Hospital were analyzed. The age of the patients ranged from 25 to 78 years, with their average age being 49.7 years. The ratio between men and women was 1.9:1. The major symptom encountered was hoarseness (96.6%). Clinically, granulomatous (n=22) and ulcerative types (n=11) of laryngeal tuberculosis were still prevalent, however, the incidence of atypical types such as polypoid (n=16) and nonspecific (n=11) were on the rise. Among the 27 cases that showed polypoid or nonspecific types, unilateral lesion was seen in 20 cases (74%). The most frequently affected area by this disease was true vocal cord, followed by false vocal cord, epiglottis, arytenoids and posterior commissure. Active pulmonary tuberculosis was present in 28 (46.7%), inactive pulmonary tuberculosis in 20 (33.3%), normal lung status in 12 cases (20%). Primary laryngeal tuberculosis was present in 9 cases (15%). Single lesion, polypoid and nonspecific type were prevalent in patients with inactive tuberculosis or normal lungs status. Physicians should be aware of the changes in the clinical pattern of laryngeal tuberculosis, which poses serious complications and risk of spreading.

UR - http://www.scopus.com/inward/record.url?scp=33746404716&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33746404716&partnerID=8YFLogxK

U2 - 10.1007/s00405-006-0063-5

DO - 10.1007/s00405-006-0063-5

M3 - Article

C2 - 16835742

AN - SCOPUS:33746404716

VL - 263

SP - 838

EP - 842

JO - Archiv fur klinische und experimentelle Ohren- Nasen- und Kehlkopfheilkunde

JF - Archiv fur klinische und experimentelle Ohren- Nasen- und Kehlkopfheilkunde

SN - 0003-9195

IS - 9

ER -