Soft palate tumour
The patient presented with left palatoglossal arch pain associated with mouth paraesthesiae. ?Recurrence of previously resected cancer.
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Resection of the right maxillary alveolar bone, hard palate and the inferior aspect of the right maxillary sinus to the pterygoid plates shown with soft tissue flap recon. Surgical clips in infra-temporal fossa. Dental implants seen.
Soft tissue thickening of soft palate especially on the left where it appears nodular.
No widening of the pterygopalatine fossa or foramen rotundum to indicate perineural spread along the maxillary division of the trigeminal nerve.
No cervical lymphadenopathy. No destructive osseous lesion.
Case submitted by Dr Smita Deb and A/Prof Pramit Phal.
Background of excision of oral cavity tumour 9 years ago. The left sided soft palatal thickening warrants direct visualisation to exclude tumour recurrence.