A Case of Oculomotor Nerve Paralysis Caused by Cavernous Sinus Metastasis of Tonsil Cancer

Oropharyngeal squamous cell carcinoma (OSCC) with metastasis to the cavernous sinus (CS) is uncommon, and only a few cases have been described in the literature. The highest age-adjusted incidence rate for OSCC including the tonsil in males occurs in South Asians, and more cases should be reported t...

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Main Authors: Younghac Kim, Man Ki Chung, Sang Duk Hong
Format: Article
Language:English
Published: Korean Rhinologic Society 2022-03-01
Series:Journal of Rhinology
Subjects:
Online Access:http://j-rhinology.org/upload/pdf/jr-2021-00381.pdf
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author Younghac Kim
Man Ki Chung
Sang Duk Hong
author_facet Younghac Kim
Man Ki Chung
Sang Duk Hong
author_sort Younghac Kim
collection DOAJ
description Oropharyngeal squamous cell carcinoma (OSCC) with metastasis to the cavernous sinus (CS) is uncommon, and only a few cases have been described in the literature. The highest age-adjusted incidence rate for OSCC including the tonsil in males occurs in South Asians, and more cases should be reported to establish earlier identification and treatment. We report a case of OSCC in a 59-year-old male who underwent prompt endoscopic biopsy and early palliative radiation therapy to allow complete recovery of cranial nerve palsies to improve his quality of life, despite having a poor prognosis. Furthermore, this report emphasizes his dramatic resolution of symptoms after radiation therapy, highlighting the importance of rapid recognition and proper management.
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spelling doaj.art-d4078f4cc3d140ccaa684ab1f53145d22022-12-22T03:00:41ZengKorean Rhinologic SocietyJournal of Rhinology2384-43612022-03-01291525510.18787/jr.2021.00381738A Case of Oculomotor Nerve Paralysis Caused by Cavernous Sinus Metastasis of Tonsil CancerYounghac Kim0Man Ki Chung1Sang Duk Hong2 Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Republic of Korea Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Republic of Korea Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Republic of KoreaOropharyngeal squamous cell carcinoma (OSCC) with metastasis to the cavernous sinus (CS) is uncommon, and only a few cases have been described in the literature. The highest age-adjusted incidence rate for OSCC including the tonsil in males occurs in South Asians, and more cases should be reported to establish earlier identification and treatment. We report a case of OSCC in a 59-year-old male who underwent prompt endoscopic biopsy and early palliative radiation therapy to allow complete recovery of cranial nerve palsies to improve his quality of life, despite having a poor prognosis. Furthermore, this report emphasizes his dramatic resolution of symptoms after radiation therapy, highlighting the importance of rapid recognition and proper management.http://j-rhinology.org/upload/pdf/jr-2021-00381.pdftonsil canceroropharyngeal squamous cell carcinomacavernous sinusoculomotor nerve paralysis
spellingShingle Younghac Kim
Man Ki Chung
Sang Duk Hong
A Case of Oculomotor Nerve Paralysis Caused by Cavernous Sinus Metastasis of Tonsil Cancer
Journal of Rhinology
tonsil cancer
oropharyngeal squamous cell carcinoma
cavernous sinus
oculomotor nerve paralysis
title A Case of Oculomotor Nerve Paralysis Caused by Cavernous Sinus Metastasis of Tonsil Cancer
title_full A Case of Oculomotor Nerve Paralysis Caused by Cavernous Sinus Metastasis of Tonsil Cancer
title_fullStr A Case of Oculomotor Nerve Paralysis Caused by Cavernous Sinus Metastasis of Tonsil Cancer
title_full_unstemmed A Case of Oculomotor Nerve Paralysis Caused by Cavernous Sinus Metastasis of Tonsil Cancer
title_short A Case of Oculomotor Nerve Paralysis Caused by Cavernous Sinus Metastasis of Tonsil Cancer
title_sort case of oculomotor nerve paralysis caused by cavernous sinus metastasis of tonsil cancer
topic tonsil cancer
oropharyngeal squamous cell carcinoma
cavernous sinus
oculomotor nerve paralysis
url http://j-rhinology.org/upload/pdf/jr-2021-00381.pdf
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