We’re keeping the chronic rhinitis conversation going in this week’s episode of BackTable ENT. Otolaryngologist Dr. Greg Davis joins Dr. Ashley Agan and Dr. Gopi Shah to break down his approach to posterior nasal nerve (PNN) ablation with the NeuroMark Gen 3, including patient prep, anesthesia, technique, and postoperative care.
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This podcast is supported by:
Neurent Medical
http://neuromark.com/
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SYNPOSIS
Beyond his posterior nasal nerve ablation technique, Dr. Davis shares his experiences with the various generations of the NeuroMark device, and also discusses the insurance and billing side of its use. The conversation also touches on topics like eustachian tube dysfunction, chronic cough, and the future of chronic rhinitis treatment.
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TIMESTAMPS
00:00 - Introduction
03:04 - NeuroMark Device Trials
04:15 - Patient Presentation and Diagnosis
11:50 - Medical Management and Treatment Options
21:44 - Procedure Setup and Anesthesia Protocol
30:49 - Understanding RF Devices and Their Usage
31:13 - Deploying the Device for Turbinate Treatment
31:52 - Tips and Tricks for Difficult Anatomy
33:58 - Posterior Nasal Nerve Ablation in the OR
34:40 - Addressing Posterior Nasal Drainage and Chronic Cough
36:51 - Impedance Control vs. Temperature Control RF
38:02 - Choosing the Right Device for Patients
40:52 - Managing Post-Procedure Care and Risks
53:18 - Insurance and Billing
56:13 - Final Thoughts and Future Directions
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RESOURCES
Dr. Greg Davis
https://www.gregdavismd.com/
10th International Otolaryngology Underwater Update Course
https://ssf.cloud-cme.com/course/courseoverview?P=0&EID=1254