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/us-en/healthcare-professionals/medical-specialties/ear-nose-throat.html?cmpid=Vanity_URL_MIX_medtronicent-com_202212_US_EN_NS_ENT_FY23

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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

It’s not an overstatement to say that surgeons from The House Clinic revolutionized otology / neurotology in the second half of the twentieth century. In this episode of the BackTable ENT podcast, Dr. John House, son of the clinic’s founder, Howard, discusses the clinic’s fabled history with guest host Dr. Walter Kutz (UT Southwestern).

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SYNPOSIS

Dr. House recounts his father’s journey traveling the world to learn from renowned otolaryngologists, ultimately settling in Los Angeles where he established his practice. Working with his brother William, Howard started a clinic that popularized innovative treatments for otosclerosis, acoustic neuroma, and sensorineural hearing loss. While innovations like Howard’s cochlear implant and John’s House’s House-Brackmann Facial Nerve Grading Scale faced resistance at first, they eventually won widespread acceptance. The episode concludes with Dr. Kutz’s moving personal reflection on his time as a fellow at the House Clinic.

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TIMESTAMPS

00:00 - Introduction

05:41 - Dr. Howard House’s Path to Neurotology

17:14 - Dr. Bill House’s Passion Project: The Cochlear Implant

28:39 - Development of the House-Brackmann Facial Nerve Grading System

38:49 - The Evolution of Stapes Surgery

45:14 - House Alumnus Dr. Walter Kutz’s Journey

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RESOURCES

Dr. John House’s House Clinic Profile:

https://www.houseclinic.com/home/meet-the-team/profile/john-william-house-1/

Dr. Walter Kutz’s UT Southwestern Profile:

https://utswmed.org/doctors/joe-kutz/

En este episodio de Backable ENT, El Dr. Carlos Torre entrevista al Dr. Luisam Tarrats, un otorrinolaringólogo de Puerto Rico, sobre su práctica médica y su viaje empresarial para construir Burble, una empresa de enjuagues nasales.

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SYNPOSIS

Primero, el episodio explora la trayectoria del Dr. Luisam Tarrats, quien decidió regresar a Puerto Rico para mejorar la oferta quirúrgica y enfrentar los desafíos tras el huracán María. Se destaca su innovación empresarial con Burble Inc., una empresa que desarrolló un sistema de irrigación nasal salina aprobado por la FDA. La conversación incluye temas como la importancia de la higiene nasal para la salud y el bienestar, estrategias para emprender en el campo médico, y el balance entre la vida profesional y personal. Se subraya la importancia de educar a médicos y pacientes sobre el uso adecuado de productos de higiene nasal y el papel proactivo de la medicina preventiva.

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TIMESTAMPS

00:00 - Trayectoria profesional del Dr. Luisam Tarrats

03:45 - Fundación y desarrollo de Burble

16:51 - Innovaciones y beneficios del producto Burble

37:40 - Educación y concienciación sobre la higiene nasal

48:03 - Equilibrio entre la vida profesional y personal

58:39 - Consideraciones legales y estructurales

01:16:54 - Consejos para emprendedores aspirantes

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RESOURCES

Burble

https://letsburble.com/

Surgeons are fortunate that their work is both fulfilling and well compensated. When this earning potential meets solid financial planning, personal and material satisfaction results. In this episode of BackTable ENT, Dr. Robert Puchalski (South Carolina ENT) discusses financial wellness with guest host Dr. Ayesha Khalid (Cambridge Health Alliance).

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SYNPOSIS

First, Dr. Puchalski describes the benefits and challenges of different private practice models, emphasizing the importance of market share. Then, he explores income generation beyond clinical work, including ancillary services and investment. Transitioning to personal finance, he shares financial planning strategies so that practicing medicine is a choice rather than a necessity. The episode wraps with Dr. Puchalski’s thoughts on practicing medicine.

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TIMESTAMPS

00:00 - Introduction

06:56 - Market Share: Why it Matters

10:16 - The Importance of Passive Income & Ancillaries

21:47 - Personal Finance for Physicians

28:13 - Supporting Wellness Through Financial Planning

43:11 - Final Thoughts

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RESOURCES

Dr. Robert Puchalski’s SC ENT Profile: https://www.southcarolinaent.com/providers/robert-puchalski

Dr. Ayesha Khalid’s Cambridge Health Alliance Profile: https://www.challiance.org/doctors/profile?n=899

Tinnitus remains one of otology’s greatest, most challenging, and unsolved clinical problems. In this episode of the BackTable ENT Podcast, Dr. Hamid Djalilian, chair of otolaryngology at University of California Irvine (UCI), joins guest host and fellow otologist Dr. Walter Kutz (UT Southwestern) to discuss contemporary tinnitus therapy.

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This podcast is supported by:

PearsonRavitz

https://pearsonravitz.com/backtable

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SYNPOSIS

First, Dr. Djalilian shares how he got interested in tinnitus. After observing how migraines and tinnitus share many similar triggers, he hypothesized that increased central sensitivity underlies both diseases. He successfully adopted migraine management strategies for his tinnitus patients and found great clinical success. After sharing pathophysiologic similarities between the two diseases, Dr. Djalilian expounds on how he evaluates and treats tinnitus. His discussion includes lifestyle modifications, medication, and emerging surgical therapies. Finally, he advises listeners to think of tinnitus as a manageable condition, rather than a poorly-understood phenomenon.

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TIMESTAMPS

00:00 - Introduction

02:34 - The Challenge of Treating Tinnitus

07:19 - Connecting Tinnitus & Migraine

15:59 - Atypical (Otologic) Migraine & Diagnostic Challenges

19:59 - Managing Tinnitus Triggers

26:27 - Dietary Triggers of Tinnitus

28:44 - The Role of Sleep Quality in Tinnitus

33:04 - Caring for Older Patients with Tinnitus

37:59 - New Therapies for Tinnitus: Sound & Cognitive Behavioral Therapy

44:08 - Neuromodulation: The Future of Tinnitus Therapy?

51:34 - Final Thoughts on Tinnitus Treatment

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RESOURCES

BackTable ENT Episode 60 Otologic Manifestations of Migraine with Dr. Hamid Djalilian

https://www.backtable.com/shows/ent/podcasts/60/otologic-manifestations-of-migraine

Dr. Hamid Djalilian University of California, Irvine Profile: https://www.ent.uci.edu/faculty/hamid-djalilian-md.asp

Dr. Hamid Djalilian’s Website:

https://hamiddjalilianmd.com/

Fan-Gang Zeng (Hearing and Speech) Lab at UCI:

https://faculty.sites.uci.edu/hesplab/

PearsonRavitz:

https://pearsonravitz.com/