Question: A 42 year old male with known recurrent nasopharyngeal carcinoma notes a change in voice and presents to your clinic. Examination reveals asymmetric palate elevation and scapular winging. Further questioning reveals a minor taste change. What syndrome could this patient exhibit?

[Answer will be posted with next week's new question]

Answer to last week's question, "Shoot And Score" (July 31, 2018)

4; no, the outcome in children with scores less than 6 is poor. The patient should be evaluated and fit for hearing amplification, typically a bone conducting hearing aid.