Usually, the tuberculous invasion of the epiglottis is only a small part of the picture when the entire larynx is tuberculous. It is usually the most painful and the most rapidly fatal localization in the larynx, especially when all of the epiglottis is involved. On the other hand, the rest of the larynx sometimes shows so little involvement and the epiglottis so much relatively that tuberculosis of the epiglottis is the chief problem confronting the laryngologist. The importance of this situation is accentuated when the physician who is an expert in diseases of the chest reports that the pulmonary disease is limited to the left upper lobe and the right apex, with an excellent prospect for an early arrest of the pulmonary disease and later an ultimate cure, if the condition in the larynx can be cured; the pulmonary disease anyway offers a good chance for an ultimate cure.