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The content of this grand round presentation is published for the consumption of resident doctors and specialist ENT surgeons only, and should not be viewed by non-ENT- specialist viewer as authoritative information on treatment of specific ear, nose & throat disorders mentioned or discussed. It should never be viewed as alternative to seeking sound specialist opinion on matters relating to diseases of the ear, nose & throat. otolaryngologyinafrica.net is not liable for any abuse or misuse of information gleaned from these presentations.