Tuberculosis of head and neck region, our experience at a tertiary care center in Gujarat

Background

Head and neck lesions of tuberculosis, though not uncommon are often difficult to diagnose and require a unique management protocol. These lesions are often misdiagnosed as bacterial infections, malignancies or other granulomatous diseases. Hence in our study we endeavor to gain a better understanding of the diagnostic and management protocols of tuberculosis in otorhinolaryngology.

Methods

We have performed an observational study at our institute, the patient’s details were obtained from patient record forms and noted in a standard proforma. Results were calculated as percentage and Chi square analysis was performed.

Results

We found cervical tuberculous lymphadenitis to be the most common manifestation 76.97%, with a significant association with pulmonary tuberculosis. Neck swelling was the most common presenting complaint, 65.35%. 26–50 years of age was the most commonly involved age group.

Conclusion

FNAC, PCR and histopathology are the modalities for bacteriological diagnosis for tuberculosis of Head and Neck. Anti-tuberculous therapy is uniformly found to be useful in all the patients, with surgical intervention used as and when required.