Flynn T R, Eisenberg E
Oral Surg Oral Med Oral Pathol. 1986 May;61(5):440-7. doi: 10.1016/0030-4220(86)90383-x.
Trotter's syndrome is a clinical triad of unilateral deafness, neuralgia affecting branches of the trigeminal nerve, and defective mobility of the soft palate, which is caused by malignant tumors involving the lateral pharyngeal recess (Rosenmüller's fossa). It is an ominous presentation, which can masquerade as dental or masticatory pain. Computerized tomography (CT) can be used not only to explain the anatomic basis of Trotter's syndrome but also to determine the extent and distribution of the malignant tumor involved. The advantages of CT over conventional radiography are illustrated by a case of adenoid cystic carcinoma that presented as Trotter's syndrome. Perineural invasion by tumor is shown on the gross level for the first time with CT, and important diagnostic considerations, which may aid in the early diagnosis of future cases, are discussed.
特罗特综合征是一种临床三联征，表现为单侧耳聋、影响三叉神经分支的神经痛以及软腭活动受限，它由累及咽侧隐窝（罗森米勒窝）的恶性肿瘤引起。这是一种预后不良的表现，可能会伪装成牙痛或咀嚼痛。计算机断层扫描（CT）不仅可以用来解释特罗特综合征的解剖学基础，还可以确定所涉及恶性肿瘤的范围和分布。通过一例表现为特罗特综合征的腺样囊性癌病例说明了CT相对于传统放射摄影的优势。CT首次在大体水平上显示了肿瘤的神经周围浸润，并讨论了可能有助于未来病例早期诊断的重要诊断要点。
