Most common pa of larynx involved in Tuberculosis is
**Core Concept**
Tuberculosis (TB) of the larynx is a rare complication of pulmonary TB, often presenting as a granulomatous inflammation of the laryngeal mucosa. The posterior part of the larynx is more commonly involved due to its rich blood supply and lymphatic drainage.
**Why the Correct Answer is Right**
The posterior part of the larynx, particularly the interarytenoid region, is the most common site of TB involvement. This is because the posterior commissure is richly supplied with blood vessels and lymphatic channels, making it more susceptible to TB infection. The granulomatous inflammation caused by TB can lead to symptoms such as hoarseness, stridor, and difficulty swallowing. The posterior location of TB in the larynx also makes it more challenging to diagnose, often requiring a thorough endoscopic examination and biopsy for confirmation.
**Why Each Wrong Option is Incorrect**
**Option A:** The anterior part of the larynx, including the vocal cords, is less commonly involved in TB due to its relatively poor blood supply and lymphatic drainage.
**Option C:** While TB can affect any part of the larynx, the middle part is not the most common site of involvement. The middle part of the larynx includes the aryepiglottic folds and the ventricular folds, which are less frequently affected by TB.
**Option D:** TB can affect any part of the larynx, but stating that it can occur "anywhere" is too broad and does not accurately reflect the most common site of involvement.
**Clinical Pearl / High-Yield Fact**
TB of the larynx is often associated with a poor prognosis, particularly if left untreated. Early diagnosis and treatment are crucial to prevent complications such as laryngeal stenosis and vocal cord paralysis.
**β Correct Answer: B. Posterior. The posterior part of the larynx is the most common site of Tuberculosis involvement.**