Cryptic crossword clue
Honk with laughter about helium though it might need nitrous oxide

The most common and most likely answer to this crossword clue is the 9 letter word TOOTHACHE

I've seen this crossword clue in Independent
T
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Buddy explains!

The straight part
We know that "it might need nitrous oxide" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case it might need nitrous oxide = toothache.
The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.
This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.

What does TOOTHACHE mean?

TOOTHACHE noun
  1. A pain or ache in a tooth.

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