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/