Ipsilateral immobility of soft palate is seen in? – ENT MCQ

Ipsilateral immobility of soft palate is seen in?
A. Lermoyez syndrome
B. Ortner’s syndrome
C. Costen’s syndrome
D. Trotter’s syndrome

Correct answer : D. Trotter’s syndrome

PET CT scan of a case of nasopharyngeal carcinoma. FDG positive primary site is visualised.

• Trotter’s syndrome is seen in nasopharyngeal carcinoma when it spreads laterally and involves the sinus of Morgagni.
• There is conductive hearing loss, ipsilateral immobility of soft palate and neuralgic pain.
• Ortner’s syndrome is characterised by paralysis of recurrent laryngeal nerve and cardiomegaly.
• Costen’s syndrome occurs due to defective bite resulting in temporomandibular joint abnormality.
• Lermoyez syndrome is a form of Meniere’s disease.

Ref: Diseases of Ear, Nose and Throat by P.L. Dhingra, 5th edition, p458-462.
Image credits: Gulec SA, Hoenie E, Hostetter R, Schwartzentruber D. PET probe-guided surgery: applications and clinical protocol. World J Surg Oncol. 5, 65. 2007. Licensed under the Creative Commons Attribution 2.0 Generic license. http://www.wjso.com/content/5/1/65