Case presentation A 50-year-old male patient presented with nasal obstruction and impairment of hearing in the right ear of four months duration. Physical examination The patient had a nasal tone of voice, and on asking him to say AAA, the right side of the soft palate was found immobile. Examination of the neck revealed bilateral enlargement of the upper deep cervical lymph nodes, which were hard in consistency. Examination of the right ear showed retraction, loss of luster, and a waxy appearance of the tympanic membrane.
What is your diagnosis for this patient? * This patient case is from the Editorial Team of Docplexus and is meant for educational purposes only. The answer is posted in the comment section below!