BackTable ENT & Allergy

What role does bioresorbable packing play in improving outcomes for ENT patients? In this episode of BackTable ENT, hosts Dr. Ashley Agan and Dr. Gopi Shah are joined by Dr. Satyan Sreenath, a rhinologist at Indiana University, to discuss the use of bioresorbable packing in ENT surgeries.

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SYNPOSIS

First, Dr. Sreenath offers insights into the advancements in sinus and skull base surgery, the types of packing materials available (such as HemoPore, NasoPore, and chitosan-based products), and their application for hemostasis, scar prevention, and patient comfort. The surgeons emphasize the importance of tailored postoperative care and use of nasal irrigations and debridements to optimize healing and surgical results. Dr. Sreenath also mentions the evolving field of drug delivery through bioresorbables and the benefits of exploring new technologies to enhance patient outcomes.

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TIMESTAMPS

00:00 - Introduction

01:53 - Bioresorbables for the Nose

06:44 - Patient Comfort and Postoperative Care

20:18 - Packing Techniques

24:52 - Chitosan-Based Products

32:51 - Techniques for Debridement & Postoperative Management

42:40 - Skull Base Surgery Considerations

55:25 - Nosebleeds and Emergency Care

01:02:05 - Complications and Innovations

01:07:40 - Conclusion

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RESOURCES

Dr. Sreenath’s IU profile

https://iuhealth.org/find-providers/provider/satyan-b-sreenath-md-1821999

BackTable+ for ENT

https://plus.backtable.com/pages/ent

Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

How can a dedicated ENT hospitalist improve patient care? In this episode of Backtable ENT Podcast, Dr. Annie Wang, an otolaryngologist at Houston Methodist Hospital, discusses her experience as a hospital-based ENT, also known as an ENT hospitalist, with hosts Dr. Gopi Shah and Dr. Ashley Agan.

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SYNPOSIS

Dr. Wang talks about the inception and development of her position, the daily responsibilities and challenges she faces, and the positive impact of having a dedicated inpatient ENT service. She also delves into the historical context and future potential of this model in improving patient outcomes and hospital efficiency, highlighting both qualitative and quantitative benefits. The conversation provides valuable insights for ENT departments considering the adoption of a hospitalist model.

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TIMESTAMPS

00:00 - Introduction

02:22 - Hospital-Based ENT Practice Model

04:33 - Daily Routine and Responsibilities

10:55 - Challenges and Solutions in ENT Practice

19:38 - Insights and Advice for New Programs

24:40 - Billing and Financial Tracking in the First Year

25:19 - Challenges and Insights from Inpatient Consults

28:42 - Coordination and Metrics in Patient Care

31:28 - The Value of ENT Hospitalists

43:50 - Vacation Protocols and Final Thoughts

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RESOURCES

Dr. Annie Wang’s Profile

https://www.houstonmethodist.org/doctor/ran-annie-wang/

BackTable+ for ENT

https://plus.backtable.com/pages/ent

Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

How are weight loss medications, like Ozempic, reshaping obstructive sleep apnea care? In this episode of the BackTable ENT podcast, host Dr. Gopi Shah discusses emerging weight loss medications and their impact on obstructive sleep apnea (OSA) with Dr. John Carter, a neurologist and sleep specialist, and Dr. Michael Weber, an otolaryngologist.

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SYNPOSIS

The doctors examine optimal candidates for GLP-1 medications, their side effects, and how these drugs integrate into current OSA treatment pathways. The conversation delves into patients’ experiences, new research findings, and the implications for future sleep apnea management and weight loss strategies. In sum, the episode highlights the promising role of GLP-1 medications while addressing potential challenges and unanswered questions.

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TIMESTAMPS

00:00 - Introduction

03:06 - Understanding Weight Loss Medications

06:18 - Impact of Weight Loss on OSA

12:56 - Clinical Trials and Research

18:57 - Future of OSA Management

23:19 - Challenges and Considerations

29:27 - Pediatric Considerations

37:05 - Final Thoughts and Contact Information

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RESOURCES

Dr. John Carter Profile

https://www.metrohealth.org/physician/john-carter-176808

Dr. Michael Weber

https://www.metrohealth.org/physician/michael-weber-174663

BackTable+ for ENT

https://plus.backtable.com/pages/ent

Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

The BackTable ENT show is closing out 2024 with gratitude, reflections, and plans for the year to come! In this episode of the Backtable ENT Podcast, hosts Dr. Ashley Agan and Dr. Gopi Shah celebrate a year of growth and milestones, including reaching 200 episodes and expanding their audience.

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SYNPOSIS

They highlight key episodes from 2024, covering various discussions like eustachian tube dilation in children, gender diversity in ENT, and unique aspects of treating OSA in women. Featuring guests Dr. Anthony Law, Dr. Jill D’Souza, Dr. Megan Durr, Dr. Dennis Poe, Dr. Daniel Knott, and Dr. Rahul Seth, the episode underscores the podcast’s commitment to delivering meaningful and educational content for practicing ENTs, trainees, and partners in the ENT community.

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TIMESTAMPS

00:00 - Introduction

01:56 - 2024 Highlights

02:40 - Personal and Professional Milestones

03:56 - Audience Demographics and New Initiatives

08:31 - AI and Laryngology with Dr. Anthony Law

15:21 - Challenges in Pediatric ENT with Dr. Jill D’Souza

23:50 - OSA in Women with Dr. Megan Durr

30:23 - Pediatric Eustachian Tube Dilation with Dr. Dennis Poe

37:53 - Gender Diversity in ENT: Education and Advocacy with Drs. Daniel Knott and Rahul Seth

43:46 - Reflections and Gratitude

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RESOURCES

BackTable+ for ENT

https://plus.backtable.com/pages/ent

Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

How can new tools help you be successful in sinus surgery? In this episode of the BackTable ENT Podcast, Dr. Peter-John “PJ” Wormald, Chair of Otolaryngology at Adelaide and Flinders Universities, delves into the complexities of frontal sinus surgery and innovative solutions for common surgical challenges with hosts Dr. Ashley Agan and Dr. Gopi Shah.

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SYNPOSIS

The surgeons discuss chronic frontal sinus disease, when to consider surgery, and optimal post-operative care. Dr. Wormald shares his surgical strategies, including the use of innovative technologies like Chitogel and 3D CT planning software for better surgical outcomes. He also touches on the challenges in training new surgeons and the potential for advances in medical simulation to improve surgical education. This thorough discussion offers insights into the latest techniques and innovations in sinus surgery.

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TIMESTAMPS

00:00 - Introduction

03:46 - Understanding Chronic Frontal Sinus Disease

07:57 - Approach to Sinus Surgery

13:27 - Antibiotic and Steroid Use in Sinus Treatment

18:23 - Patient Consultation and Decision Making

22:51 - Training the Next Generation of Surgeons

36:29 - Analyzing Surgical Factors & Predicting Surgical Outcomes

47:37 - Post-Operative Management

59:02 - Biologics and Long-Term Care

01:07:42 - Innovations in Surgical Training & Final Thoughts

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RESOURCES

BackTable+ for ENT

https://plus.backtable.com/pages/ent

PJ Wormald Profile

https://researchers.adelaide.edu.au/profile/peterj.wormald

Free Stryker Software for Windows

https://www.dropbox.com/s/r4sodtqv221c5yk/Stryker%20Building%20Blocks%203.6.0%20Windows%20Setup%20-%20FESS%202022.exe?dl=0

Free Stryker Software for Mac

https://www.dropbox.com/s/0iac9pmzdz0lqkz/Stryker%20Building%20Blocks%203.6.0%20macOS%20Setup%20-%20FESS%202022.dmg?dl=0

What does it take for a physician-leader to thrive in today's healthcare landscape? In this episode of the BackTable ENT Podcast, Dr. Sunil Verma has an inspiring conversation with host Dr. Gopi Shah about medicine, leadership, and personal growth. Dr. Verma is a laryngologist, Associate CMO of Ambulatory Care, and Associate Dean at UC Irvine Health.

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SYNPOSIS

Dr. Verma shares his journey from clinical practice to holding health system level positions. He discusses the importance of physician leadership, adapting to evolving healthcare systems, and finding personal and professional fulfillment. They also delve into challenges like balancing administrative and clinical roles, the impact of virtual meetings, and the essential need for support within medical teams. Dr. Verma offers insights on making a positive impact within health systems while maintaining personal well-being and growth.

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TIMESTAMPS

00:00 - Introduction

12:41 - Balancing Clinical and Administrative Roles

15:16 - The Importance of Physician Leadership

20:49 - Support Systems and Personal Growth

23:40 - Impact of Physician Leadership on Health Policy

25:43 - The Evolution of Health Systems

33:02 - Physician Burnout and Retention

40:45 - Adapting to Virtual Meetings

44:11 - Advice for Aspiring Leaders

50:45 - Final Thoughts and Pearls of Wisdom

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RESOURCES

BackTable+ for ENT

https://plus.backtable.com/pages/ent

Dr. Sunil’s UCI profile

https://www.ucihealth.org/find-a-doctor/v/sunil-verma

As a physician, how would you like to be treated as a patient? A simple shift in perspective can improve both patient care and the medical system at large. In this episode of the BackTable ENT Podcast, hosts Ashley Agan and Gopi Shah are joined by Dr. K.J. Lee, a renowned otolaryngologist, educator, and health policy advisor.

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SYNPOSIS

The discussion covers Dr. Lee’s journey into health policy and advocacy, his experiences with political figures like Barack Obama, and the importance of compassionate patient care through his concept of ‘The Patient is U’ (TPIU). Dr. Lee shares insights on the intersection of healthcare and politics, addresses challenges in the current medical system, and emphasizes the need for empathy and good stewardship in medical practice.

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TIMESTAMPS

00:00 - Introduction

03:39 - Dr. Lee’s Journey into Policy and Advocacy

11:46 - The Role of Otolaryngologists in Leadership

15:14 - Practicing TPIU: Treating Patients as You Would Want to Be Treated

20:20 - Dr. Lee’s Early Influences in Malaysia

29:32 - Healthcare Economics and Quality

31:48 - Complexities in Healthcare Decisions

36:31 - Reflections on a Medical Career

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RESOURCES

BackTable+ for ENT

https://plus.backtable.com/pages/ent

Official TPIU Organization Link

https://tpiu.org/about/

TPIU

https://tpiu.org/k-j-lee-md-received-the-2024-distinguished-service-award/

Can technology improve the accuracy of parathyroid tissue identification during surgery? In this episode of Backtable ENT Podcast, Dr. Gopi Shah and Dr. Ashley Agan welcome Dr. Michael Singer, an otolaryngologist specializing in minimally invasive parathyroid and thyroid surgery at Henry Ford Health in Michigan.

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This podcast is supported by:

Medtronic ENT

https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html

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SYNPOSIS

First, Dr. Singer discusses various aspects of identifying parathyroid glands during surgery, differentiating between hypoparathyroidism and hypocalcemia, and the impact of concurrent thyroid disease on patient outcomes. He highlights the importance of continuous improvement and being open to new technologies, specifically the use of autofluorescence and fluorescence imaging to enhance surgical accuracy and patient safety. The conversation also addresses the practical applications of these technologies, including the Medtronic PTeye parathyroid detection system, and their potential to change the approach to thyroid and parathyroid surgeries. Throughout the discussion, Dr. Singer emphasizes the importance of being honest with oneself as a surgeon in order to improve skills and provide the best care for patients.

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TIMESTAMPS

00:00 - Introduction

04:37 - Challenges in Identifying Parathyroid Glands

12:14 - Preoperative Workup and Imaging

16:41 - Understanding Hypoparathyroidism and Hypocalcemia

23:25 - Surgical Techniques and Identifying Parathyroid Glands

33:48 - New Technologies in Parathyroid Surgery

43:15 - Challenges and Benefits of New Surgical Technologies

44:49 - Practical Applications and Personal Experiences

59:33 - Impact of Technology on Surgical Practices

01:08:40 - Final Thoughts and Continuous Learning

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RESOURCES

BackTable+ for ENT

https://plus.backtable.com/pages/ent

Dr. Singer’s profile

https://www.henryford.com/physician-directory/s/singer-michael

Is a subtle voice change something to ignore? In this episode of the Backtable ENT podcast, hosts Gopi Shah and Dr. Ashley Agan speak with Dr. Bharat Panuganti, a laryngologist from Washington University in St. Louis, about the diagnosis, treatment, and management of early glottic cancer.

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SYNPOSIS

First, the doctors discuss the importance of not underestimating voice changes such as dysphonia. Then, they discuss the evolving demographics and risk factors of laryngeal cancers. Dr. Panuganti also explains his approach to using advanced imaging techniques and lasers in treatment. The conversation highlights the necessity of personalized and compassionate patient care, considering both surgical and radiation therapy options. The discussion concludes with advice on the importance of consistent patient follow-up for early detection and treatment of recurrences.

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TIMESTAMPS

00:00 - Introduction

03:09 - Understanding Early Glottic Cancer and Symptoms

08:09 - Physical Examination, FEES and Stroboscopy

14:19 - Intraoperative Imaging Techniques

31:33 - Radiation vs. Surgery: Predicting Outcomes

32:18 - Laser Surgery and Technologial Advances

42:51 - Robotic Surgery

47:13 - Postoperative Care and Patient Counseling

52:53 - Equitable Care and Treatment Choices

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RESOURCES

BackTable+ for ENT

https://plus.backtable.com/pages/ent

Dr. Bharat Panuganti’s WashU Profile:

https://oto.wustl.edu/people/bharat-panuganti-md/

From cable grafts to free muscle transfer, surgical treatments for facial paralysis are evolving quickly. In this episode of the Backtable ENT Podcast, Dr. Myriam Loyo Li, facial plastic surgeon at OHSU, joins guest host Dr. Shiayin Yang of Vanderbilt to discuss dynamic procedures for facial paralysis.

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This podcast is supported by:

BackTable + ENT

https://www.backtable.com/shows/ent

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SYNPOSIS

First, the surgeons review workup of flaccid and non-flaccid (synkinetic) facial paralysis. Then, they review the principles of facial reanimation. Topics such as nerve graft selection and staged surgery are covered. Dr. Loyo Li explains her timelines for staged surgery and how patient characteristics affect her decision planning. Finally, the surgeons discuss free muscle transfer – an exciting new technique in the world of facial plastic surgery – to treat facial paralysis.

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TIMESTAMPS

00:00 - Introduction

02:48 - Evaluating and Managing Flaccid Facial Palsy

05:18 - Imaging and Treatment Pathways

07:16 - Nerve Grafting Techniques and Preferences

10:08 - Challenges and Innovations in Facial Reanimation

25:50 - Patient-Centered Approaches and Decision Making

37:30 - Evaluating Facial Nerve Recovery

43:25 - Timing and Criteria for Nerve Transfers

46:41 - Free Muscle Transfer Techniques

49:47 - Innovations in Cross Facial Nerve Grafts

01:06:04 - Exploring Free Strap Muscle Transfers

01:14:05 - The Future of Facial Reanimation

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RESOURCES

Dr. Loyo Li’s OHSU Profile:

https://www.ohsu.edu/providers/myriam-loyoli-md-mcr

Dr. Yang’s Vanderbilt Profile:

https://www.vanderbilthealth.com/doctors/yang-shiayin