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The scientific manifestations are varied in kind and should seem at any time from early infancy to early adult life. Box four: Causes of dysphagia 421 Oral Causes: They include disorders of following features and buildings: Chewing: Trismus, fractures of mandible, neoplasms of the upper or lower jaw, and temporomandibular joints disorders Lubrication: Causes of xerostomia corresponding to radiotherapy and Mikulicz disease Tongue: Paralysis, painful ulcers, tumors, abscess and whole glossectomy Palate: Cleft palate and oronasal fstula Buccal cavity and foor of mouth: Ulcers and Ludwig's angina Pharyngeal Causes Tumors: Tonsil, soft palate, pharynx, base of tongue, supraglottic larynx, or even obstructive hypertrophic tonsils Infammatory: Acute tonsillitis, peritonsillar abscess, retropharyngeal abscess, parapharyngeal abscess, acute epiglottitis, edema of larynx Spasmodic: Tetanus and rabies Paralytic: Palatal palsy, which current with nasal regurgitation, could also be caused by diphtheria, bulbar palsy, or cerebrovascular accidents. Wholesaler charge-backs are generally settled within 30 days of the liability being incurred
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