Coronavirus 2019 or COVID-19 is a novel entity which had led to many challenges among physicians due to its rapidly evolving nature. Vertigo or dizziness has recently been described as a clinical manifestation of COVID-19. Countless studies, emerging daily from various parts of the world, have revealed dizziness as one of the main clinical manifestation of COVID-19. This is not surprising as dizziness has historically been associated with viral infections. An earlier published study from China found dizziness to be the most common neurological manifestation of COVID-19. 1 Dizziness was proposed to occur ensuing the neuroinvasive potential of severe acute respiratory syndrome coronavirus 2 or SARS-CoV-2 virus which causes COVID-19. Baig et al postulated that the virus enters the neural tissue from circulation and binds to the angiotensinconverting enzyme 2 receptors found in the capillary

The Hirsch (h) index is an original and simple new bibliometric measure incorporating both quantity and quality. In this study, our aim was first to present characteristics of the statistical correlation between the h index and several standard bibliometric indicators and secondly we compared the h index between otolaryngologists from Europe and US. We used the Institute of Scientific Information (ISI) Web of Knowledge to identify citation reports from a random sample of influential editors from six otolaryngology journals: Journal of Laryngology and Otology (n = 21), Clinical Otolaryngology (n = 16), European Archives of Oto-Rhino-Laryngology (n = 49), The Laryngoscope (n = 66), Otolaryngology-Head and Neck Surgery (n = 15), and Archives of Otolaryngology-Head and Neck Surgery (n = 15). The following data were gathered: Number of publications (P), total citations received by P(C), total citations received by P without self-citations (Cs), average number of citations per publication (CPP), and Hirsch index (h). Statistical analysis was used to correlate the above data and we also compared the h index of European and North American editors. There were 182 randomly selected editors. We observed a good correlation between the h index and other standard bibliometric indicators. Using the non-parametric Mann-Whitney test, the median P between Europe and US was not statistically significant. However, the median C, CS and h were statistically significant. In conclusion, the h index is a simple yet powerful indicator as it combines productivity and impact. Overall, the US editorial panel have a higher h index.

Croup (laryngotracheitis) is frequently encountered in the emergency department in a young child presenting with stridor. We describe a rare case of croup secondary to SARS-CoV-2 in an 18-month-old child who presented with stridor and respiratory distress and required urgent intubation. Subsequently, the child developed multisystem inflammatory syndrome in children (MIS-C). The child was monitored in paediatric intensive care unit. We would like to highlight that COVID-19 croup in children may be an indicator for MIS-C, and close monitoring is warranted as MIS-C is a life-threatening condition. Our limited experience suggests that COVID-19 croup especially if associated with MIS-C has an underlying more severe pathology and may require prolonged treatment in comparison with the typical croup or even COVID-19 croup. It is important to recognise this clinical entity during a time when most countries are in a third wave of COVID-19 pandemic.

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of SARS-CoV-2, and this would explain the root cause of dysphonia among patients with COVID-19.Additionally, the pulmonary system has been reported to be severely inflicted by the SARS-CoV-2 could explain the newonset dysphonia in patients with COVID-19 as optimal pulmonary air support is an essential prerequisite for efficient phonation.Psychogenic dysphonia should not be overlooked as the ongoing pandemic causes emotional strain to most individuals. Psychogenic dysphonia or psychogenic disturbance of speech and voice quality can be suspected once the primary organic changes in the larynx have been ruled out. 8 Females aged 30 to 50 have been reported with psychogenic dysphonia, which can be treated with adequate counseling and voice therapy.New-onset dysphonia requires thorough history taking along with physical examination. In addition to the laryngeal examination, reverse transcription-polymerase chain reaction should be carried out in all patients with new-onset complaints to rule out COVID-19 as dysphonia may be the silent manifestation of COVID-19.