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Presbyacusis is the term commonly used to describe a symmetrical, slowly progressive, high frequency, sensorineural hearing impairment. This hearing impairment is commonly encountered after the age of 65. It is bound to become even more common due to increased life expectancy. It is at present the most common cause of adult hearing loss in the United States.


Malta Aeromedical Examiner Seminar

St James Hospital Sliema Boardroom-8 November 2011

-Presentation commentary: Barotrauma of the middle ear-clinical features and investigation

Nasal Obstruction-Blocked nose

Agius TM Fifth year medical student

Agius A M Otolaryngologist, Senior Lecturer, University of Malta 


Sinusitis accounts for the 5th most common cause of antibiotic use in the US, affecting over 30 million Americans annually(1). This figure is based on the clinical diagnosis by primary care physicians or specialists in otolaryngology.

Meta tittawwal gewwa l-halq u tnizzel l-ilsien jidhru bicctejn laham mal-genb li huma t-tunsilli. Ma’ dawn iz-zewg tunsilli hemm ukoll tunsilla ohra, mohbija gewwa l-ilsien.

The purpose of this communication is to call to the attention of the medical profession in general not only to the needlessness but also to the possible harmfulness of excisional lymph node biopsy as the first or even as an early step in the diagnosis of cancer. -  Hayes Martin, 1961

Before reaching for the prescription pad the clinician must ask him/herself what is the diagnosis in this particular case. As noted elsewhere in the online tutorial, the primary tool for diagnosis lies in the history given by the patient. Is drug treatment indeed warranted and indicated or may side effects such as hypotension become more likely?

Prominent ears are a congenital deformity.

Snoring, up till only a few years ago treated by the medical community as a social inconvenience, is now showing convincing evidence of actually being a health hazard.

Immediately following injury patients often have a nosebleed. The nasal bridge then swells up and the areas on the sides of the nose become bruised. Application of ice at an early stage helps limit the bruising and swelling. The lower, soft part of the nose can be kept pinched for about 10 to 15 minutes to stop the bleeding.

Both sinusitis and otitis media are extremely common infections occurring in both adults and children. 
*Department of ENT, Faculty of Surgery, University of Malta Medical School, G Mangia, Malta, **Department of Pharmacy, University of Malta, Msida, Malta, and ***Department of Medical Statistics, Health Information Unit, Department of Health, G Mangia, Malta

Target Audience: This module aims to convey the basic concepts of managing patients with vertigo and can be completed within a flexible timeframe. It has been designed with continuous professional development in mind and aims to reach medical practitioners, Basic Surgical Trainees and clinical medical students in their final years.