Paul Lennon1, Michael Crotty2, John E Fenton3. 1. Department of Otolaryngology, Head and Neck Surgery, University Hospital Limerick, Dooradoyle, Limerick, Ireland, and Graduate Entry Medical School, University of Limerick, Ireland paullennon81@gmail.com. 2. General Practice, Synergy Medical Clinic, Sherwood Park, Edmonton, Alberta, Canada. 3. Department of Otolaryngology, Head and Neck Surgery, University Hospital Limerick, Dooradoyle, Limerick, Ireland, and Graduate Entry Medical School, University of Limerick, Ireland.