Abstract:A 20-year old Malay female presented with swelling at the angle of the mandible on the left side of 7 months duration. It was associated with neck discomfort, dysphagia and few episodes of aspiration. Examination showed a diffuse fixed swelling at the angle of mandible on the left side. It was non-tender and lymph node was not palpable. Multiple left cranial nerve palsies were elicited involving glossopharyngeal, vagus, accessory and hypoglossal nerves. Intraorally the left tonsil was medialized. A CT scan sho… Show more
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