Abstract : Tuberculosis is an infection induced by the Mycobacterium tuberculosis bacteria. Tuberculosis usually targets the lungs, but can also involve all other organs. Incidence of laryngeal tuberculosis is low. Patients who are AFB +ve have sputum contaminated with the M. tuberculosis bacteria which gets lodged in various subsites of the larynx in susceptible patients leading to laryngeal tuberculosis. This study was conducted in a tertiary pulmonary care centre on 130 AFB +ve patients who were referred to the ENT dept with complaints of dysphonia, odynophagia, and prolonged hoarseness of voice. All the patients were already receiving ATT. Eleven patients who had varied lesions of the larynx were subjected to endoscopy and biopsy; histological examination of the biopsy specimens revealed tuberculous granuloma with presence of giant cells confirming laryngeal tuberculosis. India has the highest number of tuberculosis patients in the world and it is advisable to subject all patients of pulmonary tuberculosis who have long standing laryngeal symptoms to a proper ENT examination including direct laryngoscopy to rule out or establish laryngeal tuberculosis.