Head and Neck - Jinnah Medical and Dental College

55yr old smoker, teacher by profession comes to OPD with complaints of change in voice (Hoarsness) for > 4 months and a palpable lymph node at Rt. Level ll. He has no co-morbids other than GERD. Ear and Nose examination while IDL was difficult to perform due to increased Gag reflex. ................
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