Hypertelorism can cause pain in the pharynx, with the main areas including the tonsils and the root of the tongue, often unilateral and usually not severe. However, in severe cases, it can radiate to the ear or neck, and sometimes worsens when swallowing, speaking, turning the head, or at night. There is also a sensation of foreign body or obstruction in the pharynx, which is also unilateral, and sometimes there is a pins and needles sensation, tightness, and pulling sensation. The pain or discomfort radiates upward to the top of the head or the eyes, and laterally to the ipsilateral side of the face. In addition to these common symptoms, tinnitus, drooling, insomnia, and other signs of neurosis may also occur. Some patients may also come to the clinic with a cough as the main cause.