Open AccessTrismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma
Author(s) -
N. Maithrea,
S. Periyathamby,
Irfan Mohamad
Publication year - 2017
Publication title -
egyptian journal of ear nose throat and allied sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.108
H-Index - 8
eISSN - 2090-3405
pISSN - 2090-0740
DOI - 10.1016/j.ejenta.2016.10.002
Subject(s) - trismus , nasopharyngeal carcinoma , medicine , dermatology , carcinoma , pediatrics , dentistry , orthodontics , surgery , radiation therapy
Nasopharyngeal carcinoma (NPC) has a diverse incidence pattern but remains a rare tumour in the pediatric\udage group. Childhood nasopharyngeal carcinoma usually presents in the second decade of life.\udPaediatric NPC cases present a diagnostic challenge due to the high prevalence of common NPC presenting\udsymptoms of nasal obstruction, serous otitis media and hearing problems among children.\udFurthermore, adenoid tissue is most often present, and a biopsy in an outpatient setup would be difficult.\udHowever, trismus on initial presentation is uncommon, and even in adults is a therapy related complication.\udAs such, surgeons should have a high index of suspicion in NPC endemic areas, and a lower threshold\udfor imaging in these cases as overall outcome appeared to be similar between adult and childhood NPC