All others are innervated by the recurrent laryngeal nerve. 5 A two-year old child is brought to the emergency room with upper respiratory infection symptoms. She is admitted but three days later she develops irritability, dysphagia, a stiff neck, and a high fever. 6 A three month old child has a large subcutaneous soft multiloculated mass from the mastoid tip to the clavicle. He moves his head normally and shows no cranial nerve palsies.
Skin color is normal and the child is normal in all other respects.
Nontuberculous mycobacterial adenitis. Branchial cleft cyst. A 30 year old female is seen in the emergency room becasue of complete loss of voice. While speaking she has a breathy and strained voice. Flexible fiberoptic exam shows that the vocal folds have normal appearance and have symmetric movement during breathing.