METHODS: Epidemiological and clinical data from 10 patients diagnosed with laryngeal tuberculosis in the Otorhinolaryngology department of (Blinded for manuscript) between January 2011 and December 2021 were retrieved and analyzed.
RESULTS: There were eight males and two females. Seven patients had a history of smoking and alcohol abuse and four had silicosis. Hoarseness was the most reported symptom (n = 9). The most frequent site of involvement were the true vocal cords (n = 6). All patients but one had concomitant active pulmonary tuberculosis. Patients had full resolution of laryngeal symptoms between 4 and 16 weeks after initiating antituberculosis treatment.
CONCLUSIONS: Laryngeal tuberculosis is indeed a great deceiver. On one hand it can look like a simple polypoid lesion or simulate laryngopharyngeal reflux; but on the other hand its risk factors, symptoms and appearance simulate laryngeal carcinoma like no other. Since most patients present with concomitant pulmonary tuberculosis, all suspect laryngeal lesions should perform a chest radiograph prior to rigid laryngoscopy. Antituberculosis treatment is effective in both alleviating symptoms and reducing the risk of transmission.
方法:检索并分析2011年1月至2021年12月耳鼻咽喉科诊断为喉结核的10例患者的流行病学和临床资料。
结果:有8名男性和2名女性。7例患者有吸烟和酗酒史,4例有矽肺。声音嘶哑是报告最多的症状(n=9)。最常见的受累部位是真实的声带(n=6)。除一名患者外,所有患者均伴有活动性肺结核。开始抗结核治疗后4至16周,患者的喉症状完全缓解。
结论:喉结核确实是一个很大的欺骗者。一方面,它看起来像一个简单的息肉样病变或模拟咽喉反流;但另一方面,其危险因素,症状和外观模拟喉癌没有像其他。由于大多数患者同时患有肺结核,所有可疑的喉部病变均应在刚性喉镜检查前进行胸部X光检查.抗结核治疗在缓解症状和降低传播风险方面都是有效的。