To learn and understand the pathogenesis, clinical presentation, diagnosis and management of tuberculosis in ear, nose and throat. Tuberculosis of the nose and peranasal sinus is rare condition and is the result of extension from the neighbouring focus of infection or from the lungs. Primary involvement in very rare. tuberculus foci have been demonstrated as occurring in bone marrow of the middle ear, especially in children, with no involvement of the mucus membrane of the middle ear. It is definitely a disheartening from the patients point of view to see disfigurement in the face and neck as a stigma, but the encouraging results of 6 to 9 months of antitubercular chemotherapy provides excellent way to council the patient of complete recovery. Elucidated with clinical case reports.