Trismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma
Nasopharyngeal carcinoma (NPC) has a diverse incidence pattern but remains a rare tumour in the pediatric age group. Childhood nasopharyngeal carcinoma usually presents in the second decade of life. Paediatric NPC cases present a diagnostic challenge due to the high prevalence of common NPC presen...
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Elsevier
2017
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author | Maithrea, N. Periyathamby, S. Mohamad, Irfan |
author_facet | Maithrea, N. Periyathamby, S. Mohamad, Irfan |
author_sort | Maithrea, N. |
collection | USM |
description | Nasopharyngeal carcinoma (NPC) has a diverse incidence pattern but remains a rare tumour in the pediatric
age group. Childhood nasopharyngeal carcinoma usually presents in the second decade of life.
Paediatric NPC cases present a diagnostic challenge due to the high prevalence of common NPC presenting
symptoms of nasal obstruction, serous otitis media and hearing problems among children.
Furthermore, adenoid tissue is most often present, and a biopsy in an outpatient setup would be difficult.
However, trismus on initial presentation is uncommon, and even in adults is a therapy related complication.
As such, surgeons should have a high index of suspicion in NPC endemic areas, and a lower threshold
for imaging in these cases as overall outcome appeared to be similar between adult and childhood NPC. |
first_indexed | 2024-03-06T15:10:41Z |
format | Article |
id | usm.eprints-37274 |
institution | Universiti Sains Malaysia |
last_indexed | 2024-03-06T15:10:41Z |
publishDate | 2017 |
publisher | Elsevier |
record_format | dspace |
spelling | usm.eprints-372742017-10-30T09:32:05Z http://eprints.usm.my/37274/ Trismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma Maithrea, N. Periyathamby, S. Mohamad, Irfan R5-130.5 General works Nasopharyngeal carcinoma (NPC) has a diverse incidence pattern but remains a rare tumour in the pediatric age group. Childhood nasopharyngeal carcinoma usually presents in the second decade of life. Paediatric NPC cases present a diagnostic challenge due to the high prevalence of common NPC presenting symptoms of nasal obstruction, serous otitis media and hearing problems among children. Furthermore, adenoid tissue is most often present, and a biopsy in an outpatient setup would be difficult. However, trismus on initial presentation is uncommon, and even in adults is a therapy related complication. As such, surgeons should have a high index of suspicion in NPC endemic areas, and a lower threshold for imaging in these cases as overall outcome appeared to be similar between adult and childhood NPC. Elsevier 2017-03 Article PeerReviewed Maithrea, N. and Periyathamby, S. and Mohamad, Irfan (2017) Trismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma. Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 18 (1). pp. 91-93. ISSN 2090-0740 https://doi.org/10.1016/j.ejenta.2016.10.002 |
spellingShingle | R5-130.5 General works Maithrea, N. Periyathamby, S. Mohamad, Irfan Trismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma |
title | Trismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma |
title_full | Trismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma |
title_fullStr | Trismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma |
title_full_unstemmed | Trismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma |
title_short | Trismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma |
title_sort | trismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma |
topic | R5-130.5 General works |
work_keys_str_mv | AT maithrean trismusasararepresentingsymptominapediatricnasopharyngealcarcinoma AT periyathambys trismusasararepresentingsymptominapediatricnasopharyngealcarcinoma AT mohamadirfan trismusasararepresentingsymptominapediatricnasopharyngealcarcinoma |