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Laryngeal tuberculosis is the most common granulomatous disease of the larynx and has usually been considered to result from pulmonary tuberculosis, although it might be localized in the larynx as a primary lesion without any pulmonary involvement, The diagnosis of LT may be difficult on account of the non-pathognomonic complaints and physical findings, especially in those patients without pulmonary disease, The infection begins with exudation in the subepithelial space followed by round cell infiltration and heals with fibrosis in LT.