Trotter's Syndrome

Trotter's syndrome Can be easily confused with temporomandibular disorder as related to advanced nasopharyngeal carcinoma and is associated with the following:

  1. Unilateral conductive deafness due to middle ear effusion
  2. Trigeminal neuralgia due to perineural spread
  3. Soft palate immobility
  4. Difficulty opening mouth

Diagnoses of this syndrome are currently on the rise due to increased use of bisphosphonates.

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    [T]he syndrome known as life is too diffuse to admit of palliation. For every symptom that is eased, another is made worse. The horse leech’s daughter is a closed system. Her quantum of wantum cannot vary.
    Samuel Beckett (1906–1989)