Tuberculosis in otolaryngological practice

Girija A. Ghate, Paresh S. Chavan, James Thomas, Mayur H. Ingale


Background: Tuberculosis has become a common occurrence in Otorhinolaryngology with increasing number of extra pulmonary cases.

Methods: This is a study of 27 patients who visited ENT OPD of Dr. D. Y. Patil Medical College, Pune, with variety of manifestations of tuberculosis in the ENT region.  

Results: Majority of those suffered from tuberculous cervical lymphadenopathy, other manifestations included laryngeal tuberculosis, tuberculous otitis media, lupus vulgaris and tuberculous infection of a pre auricular sinus. FNAC and histopathologic examination proved to be reliable tools of diagnosis. Five of these patients suffered from concurrent pulmonary tuberculosis. All these responded well to category 1 anti-tubercular therapy well.

Conclusions: Tuberculosis in Otorhinolaryngology shows a variety of manifestations so it should be kept in mind whenever dealing with unusual presentations.


Tuberculosis, Cervical lymphadenopathy, Tuberculous otitis media, Lupus vulgaris, Tuberculous laryngitis

Full Text:



World Health Organization, Global tuberculosis control, Geneva, Switzerland, WHO Report 2010, WHO/CDS/TB/ 2010: 275.

Golden MP, Vikram HR. Extrapulmonary tuberculosis: an overview. Am Family Physician. 2005;72(9):1761–8.

Michael RC, Michael JS. Tuberculosis in Otorhinolaryngology: Clinical Presentation and Diagnostic Challenges. Int J Otolaryngol. 2011;686894.

Kulkarni NS, Gopal GS, Ghaisas SG, Gupte NA. Epidemiological considerations and clinical features of ENT tuberculosis. J Laryngol Otol. 2001;115(7):555–8.

Wares F, Balasubramanium R, Mohan A, Sharma SK. Extrapulmonary tuberculosis: management and control, in Tuberculosis Control in India. In: Agarwarl SP, Chauhan LS, Eds. New Delhi, India: Elsevier; 2005: 95–114.

Mullay SG. Hiranandani LH. A clinical study and surgical management of two hundred and fifty cases of tubercular cervical lymphadenitis. J Laryngol Otol.1970;84:781.

Yonus M, Coode P. Tuberculosis of Waldeyer’s ring. Pakistan J Otolaryngol. 1987;3:6-9.

Khan KA, Khan NA, Maqbool M. Otorhino-laryngolocical Manifestation of tuberculosis. JK Sci. 2002;4(3).

Yaniv E. Tuberculous otitis media. A clinical record. Laryngoscope. 1987;97:1303– 6.

Singh B, Balwally AN, Nash M, Har-El G, Lucente FE. Laryngeal tuberculosis in HIV-infected patients: a difficult diagnosis. Laryngoscope. 1996;106(10):1238–40.

Lau SK Wei, Wi Hsu C, Engzell UC. Efficacy of fine needle aspiration cytology in diagnosis of cervical lymphadenopathy. J Laryngol Otol. 1990;104:24-7.