The isolated pulmonary involvement as well as upper respiratory tract involvement is declining in consequence of anti-tuberculosis treatment and vaccine programs. However, the incidence of tuberculosis is increasing in less developed and in some developed cities. A 56-year-old woman presented with 5-6 years history of nasal obstruction, sleep with open mouth, and snoring. The mass of the nasopharynx biopsy was performed under local anesthesia. The biopsy material's histopathological examination showed features of tuberculosis and diagnosis confirmed as tuberculosis by the pathologists. Primary nasopharyngeal tuberculosis without the lung involvement is very rare; otorhinolaryngologists should keep in mind the possibility of tuberculosis in the differential diagnosis of nasopharyngeal mass as the incidence of tuberculosis in developed countries is steadily increasing.

Our aim was to evaluate the effects of iatrogenic, acute and deep hypothyroidism on nasal mucociliary clearance. A total of 46 patients undergoing total or near total thyroidectomy for differentiated thyroid cancer between March and June 2012, and scheduled to undergo radioactive iodine (I-131) ablation therapy followed with an induced hypothyroidism for routine screening were included in the study. Mucociliary clearance test was made during hypothyroid and euthyroid periods in all the patients included in the study. Of the 46 patients included in the study, 37 (%80.4) were females, 9 (%19.6) were males, and the average mucociliary clearance times were 16.78 and 9.58 min during hypothyroid and euthyroid periods, respectively. When the results were compared statistically, mucociliary clearance time measured during hypothyroidism period was found to be significantly longer than the one measured during euthyroid period. Mucociliary clearance time was found to be long during iatrogenic acute and deep hypothyroid periods. During these periods, patients should be followed closely for lower and upper respiratory tract infections.

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