Singing teachers may be the first ones to observe symptoms and signs of medical problems in their students; and they often serve as a student's primary resource and advisor on a variety of issues, including medical issues. Most singers consult an otolaryngologist at some time during their careers, often on the recommendation of their teachers. Many singers also experience periods of stress, agi...

After an otolaryngologic examination, the patients were investigated to determine the extent of the disease. These included full blood count, a search for hepatosplenomegaly, bone marrow examination, plain radiography and computerised tomography (CT) of the paranasal sinuses. Examination of the nose including the nasopharynx and biopsy of the nasal tumours under general anaesthesia were perform...