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J Korean Soc Laryngol Phoniatr Logop > Volume 31(2); 2020 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2020;31(2): 61-65.
doi: https://doi.org/10.22469/jkslp.2020.31.2.61
후두 결핵의 임상 양상 분석: 최근 10년간 단일 기관의 경험
김지훈1 , 공태훈2 , 최홍식3 , 변형권4
1국민건강보험 일산병원 이비인후과
2연세대학교 원주의과대학 이비인후과학교실
3제일이비인후과
4순천향대학교 의과대학 순천향서울병원 이비인후과학교실
Clinical Analysis of Laryngeal Tuberculosis: Recent 10 Years’ Experience in a Single Institution
Ji-Hoon Kim1 , Tae Hoon Kong2 , Hong-Shik Choi3 , Hyung Kwon Byeon4
1Department of Otorhinolaryngology, National Health Insurance Service Ilsan Hospital, Goyang, Korea
2Department of Otorhinolaryngology-Head and Neck Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea
3Jeil ENT Clinic, Seoul, Korea
4Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea
Correspondence  Hyung Kwon Byeon ,Tel: +82-2-709-9360, Fax: +82-2-795-3687, Email: ewellcastle@gmail.com
Received: 12 October 2020; Revised: November 4, 2020   Accepted: 15 November 2020.  Published online: 30 December 2020.
ABSTRACT
Background and Objectives The overall incidence of laryngeal tuberculosis (LT) has generally decreased over the recent years, yet there is still a discrete population of patients newly diagnosed with the disease. This study is aimed to examine the patients with LT over the recent 10 years and to investigate the changes in clinical pattern with respect to the past period. Materials and Method A retrospective review has been performed on 20 patients who have been initially diagnosed with LT between 2005 and 2015. Results The age of the patients ranged from 25 years to 95 years with an average age of 45.6 years. Seventeen patients (85%) showed hoarseness, which was the most common clinical symptom. Most affected lesion was the true vocal cord. Laryngoscopic examination showed various clinical manifestations: polypoid 30%, granulomatous 25%, nonspecific 25%, ulcerative 20%. A variety of methods were used for diagnostic confirmation of LT [acid-fast bacilli (AFB) smear 45%, AFB culture 40%, polymerase chain reaction 30%, surgical pathology 45%]. Coexisting pulmonary tuberculosis (PT) was detected in 10 patients (50%). Relative to the patients with inactive PT or normal lung status, those with active PT showed higher incidence of laryngeal lesions located in areas other than true vocal cord (p=0.050). Conclusion Based on the analytic results from this study, laryngologists should recognize the changes in the recent clinical patterns of LT and always be ready for clinical suspicion of this disease on such atypical laryngeal findings which can often mimic laryngeal malignancies to provide the pertinent treatment.
KEY WORDS: Laryngeal tuberculosis; Laryngeal cancer; Pulmonary tuberculosis
중심 단어: 후두 결핵, 후두암, 폐결핵
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