title: Long-standing postsurgical lower cranial nerve palsy mimicking a pharyngolaryngeal submucosal mass in an elderly patient.
abstract: Changes that occur as a natural part of senescence in the complex action of deglutition predispose to dysphagia and aspiration. This dysfunction is worsened in patients with preexisting anatomic or functional alteration such as in case of a postsurgical lower cranial nerve palsy. We present the case of a 72-year-old woman who underwent surgical resection of a right jugulotympanic tumor 33 years ago, resulting in lower cranial nerve palsy, and came to our attention referring a 4 months' history of progressive dysphagia in which a pharyngolaryngeal submucosal mass was suspected.
authors.affiliation: Department of Otolaryngology Head and Neck Surgery. National Cancer Institute Regina Elena, Rome, Italy.
authors.forename: Barbara
authors.initials: B
authors.lastname: Pichi
authors.forename: Valentina
authors.initials: V
authors.lastname: Terenzi
authors.forename: Paolo
authors.initials: P
authors.lastname: Marchesi
authors.forename: Antonello
authors.initials: A
authors.lastname: Vidiri
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Spriano
mesh_terms: D000368:Aged; D000375:Aging; D003389:Cranial Nerve Diseases / Q000209:etiology*; D003680:Deglutition Disorders / Q000209:etiology*; D003937:Diagnosis, Differential; D004428:Ear Neoplasms / Q000601:surgery; D005260:Female; D005925:Glomus Jugulare Tumor / Q000601:surgery; D043604:Glomus Tympanicum Tumor / Q000601:surgery; D006801:Humans; D007822:Laryngeal Neoplasms / Q000175:diagnosis; D010243:Paralysis / Q000209:etiology*; D010610:Pharyngeal Neoplasms / Q000175:diagnosis