Episodios

  • Ep. 223 Evaluation and Management of Bilateral Vocal Fold Paralysis with Dr. James Daniero

    Ep. 223 Evaluation and Management of Bilateral Vocal Fold Paralysis with Dr. James Daniero
    May 20 2025
    Never let the sun set on bilateral vocal fold paralysis–timely diagnosis and intervention are key. In this episode of Backtable ENT, Dr. James Daniero, a laryngologist from the University of Virginia, discusses the evaluation and management of bilateral vocal fold paralysis with Dr. Gopi Shah and guest host Dr. Stephen Schoeff.---SYNPOSISThe trio delves into the complexities of diagnosing and managing bilateral vocal fold paralysis in adults, examining etiologies, diagnostic procedures, and current treatment options. They specifically highlight the differences between bilateral vocal fold immobility and paralysis, discuss innovative techniques such as bilateral selective reinnervation and laryngeal pacing, and share practical tips for securing the airway in an acute setting. The episode also emphasizes the evolving nature of treatments and the importance of timely intervention.---TIMESTAMPS00:00 - Introduction 02:05 - Understanding and Diagnosing Bilateral Vocal Fold Paralysis09:19 - Management and Treatment Options25:40 - Tracheotomy Techniques and Considerations31:31 - Exploring Surgical Options for Patients34:22 - Addressing Dysphagia in Airway Surgeries35:50 - Innovative Techniques in Laryngeal Reinnervation39:34 - Patient Selection for Advanced Surgeries47:11 - Laryngeal Pacing: A Future Option54:50 - Final Thoughts and Recommendations---RESOURCESDr. James Daniero https://uvahealth.com/findadoctor/James-Daniero-1386817484Dr. Stephen Schoeff https://www.enthealth.org/find-ent/stephen-s-schoeff/
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    59 m
  • Ep. 222 Survivorship in Head and Neck Cancer with Dr. Michael Moore and Heather Starmer, PhD, CCC-SLP

    Ep. 222 Survivorship in Head and Neck Cancer with Dr. Michael Moore and Heather Starmer, PhD, CCC-SLP
    May 13 2025
    What does it take to improve quality of life after head and neck cancer? In this episode of Backtable ENT, guests Dr. Heather Starmer, a speech and language pathologist at Stanford University, and Dr. Michael Moore, a head and neck cancer surgeon at Indiana University explore the topic of head and neck cancer survivorship.---SYNPOSISThe discussion centers on the multifaceted challenges faced by survivors, including dysphagia, dry mouth, chronic pain, and mental health issues. The experts emphasize the importance of early intervention, community support, and comprehensive care to enhance the quality of life for survivors. Various resources, such as the Head and Neck Cancer Alliance, are highlighted to assist patients and providers in navigating survivorship. The conversation also outlines future directions in research and the need for more qualitative studies to better understand long-term survivorship outcomes.---TIMESTAMPS00:00 - Introduction03:23 - Understanding Survivorship & Challenges in Head and Neck Cancer14:06 - Managing Mobility and Lymphedema18:47 - Addressing Chronic Pain and Mental Health21:37 - Dental Care and Trismus Therapy25:58 - Long-Term Survivorship and Quality of Life31:36 - Survivorship Clinics and Multidisciplinary Care34:39 - Resources for Patients and Providers38:49 - Future Research and Educational Gaps---RESOURCESDr. Heather Starmerhttps://med.stanford.edu/profiles/heather-starmerDr. Michael Moorehttps://iuhealth.org/find-providers/provider/michael-g-moore-md-64028
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    47 m
  • Ep. 221 Chronic Cough: An Allergist’s Perspective with Dr. Basil Kahwash

    Ep. 221 Chronic Cough: An Allergist’s Perspective with Dr. Basil Kahwash
    May 6 2025
    How can you treat a chronic cough when you’re not sure what’s causing it? In this episode of BackTable ENT, Dr. Basil Kahwash, a board-certified allergist and immunologist from Ohio ENT and Allergy, discusses the complexities of diagnosing and treating chronic cough. ---SYNPOSISDr. Kahwash explains common causes, such as upper airway cough syndrome, allergic rhinitis, and asthma, and delves into the importance of patient history and physical exams in identifying the root cause. The conversation also covers diagnostic tools, including allergy testing, spirometry, and chest X-rays, as well as treatment options like allergy medication, immunotherapy, and cough suppressants. Dr. Kahwash also touches upon new therapies on the horizon and emphasizes the role of multidisciplinary collaboration with ENTs, pulmonologists, GI specialists, and speech therapists in managing chronic cough.---TIMESTAMPS00:00 - Introduction03:20 - Defining Chronic Cough06:47 - Patient Evaluation and Key Questions11:10 - Asthma vs. Allergic Rhinitis Cough18:31 - Red Flags in Chronic Cough30:20 - Diagnostic Testing for Chronic Cough34:46 - ENT Collaboration in Allergy36:08 - Skin Testing vs. Blood Testing for Allergies44:30 - Eosinophilic Esophagitis (EOE) & Upper Airway Cough Syndrome50:28 - Allergy Treatment Pathways01:03:05 - Conclusion and Contact Information---RESOURCESDr. Basil Kahwash https://www.ohioentandallergy.com/physicians/basil-kahwash-md/
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    1 h y 5 m
  • Ep. 220 Managing Nasal Polyps: Treatments and Insights with Dr. Martin Citardi

    Ep. 220 Managing Nasal Polyps: Treatments and Insights with Dr. Martin Citardi
    Apr 29 2025
    Is the future of nasal polyp treatment right under our nose? In this episode of Backtable ENT, Dr. Martin Citardi, a world-renowned rhinologist and skull-based surgeon at UTHealth Houston, discusses the latest advancements in the management of nasal polyps with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- This podcast is supported by:Medtronic ENT https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS Dr. Citardi shares insights from his comprehensive career, spanning patient care, device, and drug development. The surgeons discuss the evolving treatment landscape, challenges in managing recurrent nasal polyps, the role of steroids and biologics, and the importance of correctly identifying the type of polyps. Additionally, Dr. Citardi emphasizes the need for a better understanding of healthcare economics, particularly concerning the high costs of new treatments. The discussion also touches on the future of research and the need for a system to deploy treatment options effectively. --- TIMESTAMPS 00:00 - Introduction04:39 - Nasal Polyps: Patient Presentation and Initial Examination10:25 - Detailed Examination and Endoscopy Techniques17:26 - Imaging and Lab Workup20:11 - Treatment Strategies and Patient Management31:08 - Managing Patients with Allergies, AERD, and Asthma34:09 - Biologics vs. Surgery: A Comparative Discussion42:50 - Steroid Delivery Methods and Their Effectiveness52:24 - Follow-Up, Long-Term Management and Future Research57:01 - Conclusion and Final Thoughts --- RESOURCES Dr. Martin Citardi’s Profile:https://www.utphysicians.com/provider/martin-j-citardi/ Medtronic ENT:https://www.medtronic.com/en-us/healthcare-professionals/products/ear-nose-throat
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    58 m
  • Ep. 219 New Frontiers in Pediatric Hearing Loss: Implants, Gene Therapy, and CMV with Dr. Daniela Carvalho

    Ep. 219 New Frontiers in Pediatric Hearing Loss: Implants, Gene Therapy, and CMV with Dr. Daniela Carvalho
    Apr 22 2025
    Are new solutions for pediatric hearing loss finally within earshot? In this episode of the Back Table ENT Podcast, we talk with Dr. Daniela Carvalho, pediatric otolaryngologist and director of the Cochlear Implant Program at Rady Children's Hospital in San Diego. --- SYNPOSIS Dr. Carvalho discusses the latest advancements and practices in the field of pediatric hearing loss, including newer indications for cochlear implants and innovative gene therapies. They delve into the genetic causes of congenital hearing loss, current screening practices, and various gene therapies being tested for hearing deficiencies, such as those involving the OTOF gene and its application through viral vectors. The conversation also touches on the potential for future treatments, including completely implantable cochlear devices and the role of vaccines in preventing CMV-related hearing loss. --- TIMESTAMPS 00:00 - Introduction 01:54 - Understanding Congenital Hearing Loss and Screening 05:41 - Challenges with Older Children and Hearing Loss 08:48 - Cochlear Implants: Indications and Advances 15:59 - Exploring Gene Therapy for Hearing Loss 23:54 - Challenges and Considerations in Gene Therapy 25:23 - Counseling Families on Hearing Loss 27:04 - Future of Genetic Therapy and Cochlear Implants 32:46 - Addressing Congenital CMV 40:59 - Final Thoughts and Future Research --- RESOURCES Dr. Daniela Carvalho https://www.rchsd.org/doctors/daniela-carvalho-md-mmm/
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    46 m
  • Ep. 218 The Role of Dentistry in Pediatric Sleep Disordered Breathing with Dr. Loria Nahatis

    Ep. 218 The Role of Dentistry in Pediatric Sleep Disordered Breathing with Dr. Loria Nahatis
    Apr 15 2025
    What role does craniofacial growth play in childhood sleep health? Dr. Loria Nahatis, pediatric dentist from Beyond Pediatric Dentistry in Dallas, Texas, discusses the importance of early intervention in pediatric dentistry, focusing on evaluating and treating children with sleep disordered breathing. --- SYNPOSIS Dr. Nahatis shares her personal experience with her daughter and how noticing sleep-related issues shifted her focus in dental practice. Dr. Nahatis covers various treatment methods such as habit correctors, palatal expanders, and myofunctional therapy. The podcast emphasizes the importance of interdisciplinary collaboration between dentists, ENTs, and other healthcare providers to improve patient outcomes. Key points include the significance of nasal breathing, conservative treatment options, and the impact of jaw and dental structure on overall health. --- TIMESTAMPS 00:00 - The Importance of Screening for Sleep Disorders in Children 06:26 - Treatment Options and Approaches 10:29 - Guidelines and Policies on Sleep Disorders 19:42 - Teeth Grinding and Myofunctional Therapy 27:32 - Imaging and Evaluation Techniques 29:01 - Surgical Considerations and Early Interventions 36:44 - Counseling Families on Oral Appliances 50:12 - Insurance and Cost Considerations 56:15 - Collaborative Approaches and Final Thoughts --- RESOURCES Dr. Loria Nahatis’s practice profile: https://beyondpediatricdentistry.com/dr-loria-nahatis-dds/
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    1 h y 3 m
  • Ep. 217 Environmental Sustainability in ENT with Dr. Julie Strychowsky

    Ep. 217 Environmental Sustainability in ENT with Dr. Julie Strychowsky
    Apr 8 2025
    Operating rooms generate up to 30% of a hospital's waste–what can ENT do to change that? In this episode, Dr. Julie Strychowsky, a pediatric otolaryngologist at London Health Sciences Center in Ontario, discusses environmental sustainability in ENT. --- SYNPOSIS The discussion covers the inefficiencies and environmental impacts of current practices, such as the use of nitrous oxide, disposable equipment, and OR waste. Dr. Strychowsky shares insights on transitioning to more sustainable practices, including the use of reusable and multi-use equipment, standardizing procedures, and patient education initiatives like the ‘Bring Your Own Bag’ campaign. The doctors highlight the importance of climate change, the carbon footprint of healthcare, and the role of policy and innovation in reducing environmental impact. Finally, they discuss resources for further learning and potential areas for research and development in sustainable healthcare practices. --- TIMESTAMPS 00:00 - Introduction 02:51 - Climate Change and Its Impact on Health 05:07 - Surgical Sustainability: Reducing OR Waste 08:27 - Clinic Waste and Efficiency Improvements 16:12 - Anesthesia Gases and Environmental Impact 23:06 - In-Office Procedures and Telemedicine in ENT 28:58 - Global Efforts & Patient Involvement in Sustainability 37:03 - Policy Changes and Education for Sustainability 39:59 - Future Research and Innovation in ENT 42:26 - Final Thoughts and Mentorship --- RESOURCES Dr. Julie Strychowsky https://www.schulich.uwo.ca/paediatricsurgery/people/faculty/Strychowsky,%20Julie.html Kidane J, Thiel CL, Wang K, Rosen CA, Gandhi S. A Comparison of Environmental Impacts Between Reusable and Disposable Flexible Laryngoscopes. Laryngoscope. 2024 Dec 26. doi: 10.1002/lary.31927. Epub ahead of print. PMID: 39723758. https://pubmed.ncbi.nlm.nih.gov/39723758/ Anderson J, Hu H. Environmental Sustainability: Waste Audit Comparison Operating Room and In-Office Laryngeal Surgery. Laryngoscope. 2024 Feb;134(2):803-806. doi: 10.1002/lary.31005. Epub 2023 Sep 2. PMID: 37658737. https://pubmed.ncbi.nlm.nih.gov/37658737/ Cascade OR playbook https://cascadescanada.ca/
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    46 m
  • Ep. 216 Navigation in Sinus and Skull Base Surgery with Dr. Arif Janjua

    Ep. 216 Navigation in Sinus and Skull Base Surgery with Dr. Arif Janjua
    Apr 1 2025
    Getting lost on a road trip is one thing, but the stakes are much higher in skull base surgery. In this episode of Backtable ENT, Dr. Arif Janjua, rhinologist and fellowship director at the University of British Columbia, delves into the intricacies and advancements in navigation for sinus and skull base surgery. --- This podcast is supported by: Medtronic ENT https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS Dr. Janjua touches on his role in the Seattle Science Foundation, emphasizing continuous education and hands-on practice for surgeons. He emphasizes the importance of accuracy in patient tracking and registration, sharing techniques for optimizing navigation system setups by using a combination of tracing and touch points for precise registration. The doctors discuss the advantages of integrating navigation systems with specific instruments like microdebriders and suctions for improved surgical outcomes. Dr. Janjua also shares his preferred navigation tech, how he utilizes specific features in his surgical practice, and what’s on the horizon in sinus and skull base surgery. --- TIMESTAMPS 00:00 - Introduction 04:03 - Understanding Navigation in Sinus Surgery 07:41 - Navigating Instruments and Tools 21:58 - Challenges with Staff Training 22:43 - Choosing and Using Navigation Systems 24:25 - Advancements in Navigation Technology 32:30 - The Future of Navigation Technology 35:03 - Final Thoughts and Contact Information --- RESOURCES Medtronic ENT - Sponsor https://www.medtronic.com/en-us/healthcare-professionals/products.html Dr. Arif Janjua https://surgery.med.ubc.ca/people/ajanjua/
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    40 m
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