TB is a disease with a very long history and one which has sprung up again and been affecting various countries. Among the factors responsible for this resurgence, HIV should be mentioned. HIV has been regarded as responsible for changing the characteristics of TB, such as its epidemiology, natural history, clinical presentation, and resistance to drugs. The manifestations of TB in cervico-cephalic regions are frequent and have aroused interest. TB may present in Ear, Nose, Larynx, Pharynx Also in neck any part of the body.