Abstract: Objective: To analyze the clinical patterns of current laryngeal tuberculosis. Methods: Clinical analysis of 10 patients with pathologically confirmed laryngeal tuberculosis was carried out retrospectively. Analyzed 6 Wegener granuloma cases that involved the larynx and 24 supraglottic laryngeal carcinoma cases for differential diagnosis of laryngeal tuberculosis. Results: The age of patients of laryngeal tuberculosis ranged from 37 to 74 years. The male-to-female ratio was 1.5 to 1. The most frequent complaint was hoarseness. The epiglottis, arytepiglottic fold, the false vocal cord and the true vocal cord were commonly involved, 8 patients had active pulmonary tuberculosis, and 2 were proven to have normal lung status. All the patients received proper antituberculosis chemotherapy. Conclusions: The patterns of laryngeal tuberculosis have changed over the years. It can occur without pulmonary involvements. The characteristics of lesions seem to be more nonspecific. The differential diagnosis of this disease is more difficult. Prompt and proper treatment is very important in decreasing the complications of laryngeal tuberculosis.

Key words: Tuberculosis, laryngeal, diagnosis, differential