BackTable ENT

• Backtable Brief: Diagnosing Sleep Apnea in Women

  What if the most common symptoms of obstructive sleep apnea in women aren’t the ones doctors are trained to recognize? In this episode, Dr. Megan Durr, an otolaryngologist from the University of California San Francisco, discusses obstructive sleep apnea in women with host Dr. Gopi Shah.  The doctors explore how symptoms in women differ from men, leading to missed diagnoses. They delve into the lack of literature on the topic and the potential for underrepresented groups to be overlooked. The conversation highlights the need for more inclusive screening tools and the long-term cardiovascular risks women face due to untreated sleep apnea. Dr. Durr emphasizes the importance of better diagnosing and treating sleep apnea in women.  TIMESTAMPS 00:00 - Introduction  00:18 - Recognizing Obstructive Sleep Apnea in Women  00:36 - Pregnancy and Obstructive Sleep Apnea  01:13 - Menopause and Sleep Disorders  01:59 - Underrepresented Groups and OSA 02:47 - Symptoms and Misdiagnosis in Women  04:40 - Screening Questionnaires and Gender Bias  05:59 - Clinical Observations and Gender Disparities  09:39 - Long-term Effects of OSA in Women  CHECK OUT THE FULL EPISODE BackTable ENT Podcast Episode #182 Understanding OSA in Women with Dr. Megan Durr https://www.backtable.com/shows/ent/podcasts/182/understanding-osa-in-women

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• Ep. 213 Ear Molding for Infants with Dr. Jason Qian

  What should parents and pediatricians know about early ear molding interventions? In this episode of the BackTable ENT podcast, pediatric otolaryngologist Dr. Jason Qian discusses the practice of ear molding in infants and new advancements in the field with host Dr. Gopi Shah. --- SYNPOSIS Dr. Qian, a surgeon scientist at the University of California, San Diego, shares his journey in integrating ear molding into his clinical practice, explaining the importance of early intervention and the process involved in molding infant ears. They delve into the challenges of billing, different molding techniques, and the growing demand for non-invasive ear correction methods. Dr. Qian also highlights the potential future developments in the field, including enhanced education and simulation models. --- TIMESTAMPS 00:00 - Introduction 01:13 - Understanding Ear Molding in Infants 03:49 - Training and Incorporating Ear Molding 06:06 - Challenges and Success Stories 10:13 - Clinical Workflow and Procedures 30:08 - Billing and Insurance Issues 32:13 - Collaborations and Advanced Techniques 37:42 - Future of Ear Molding and Final Thoughts --- RESOURCES Dr. Jason Qian https://health.usnews.com/doctors/zhen-jason-qian-1078594 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

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• Ep. 212 Allergy Immunotherapy and the Microbiome with Dr. Jennifer Villwock

  Could the key to more effective allergy therapies lie in the nasal microbiome? In this episode of BackTable ENT, Dr. Jennifer Villwock from Kansas University Medical Center discusses the intricacies of treating allergies and sinus issues with hosts Dr. Ashley Agan and Dr. Gopi Shah. --- SYNPOSIS Dr. Villwock begins by highlighting the importance of personalized medicine and the role of the microbiome in immunotherapy. Topics include topical and oral probiotics, the nasal microbiome, intralymphatic immunotherapy, and the significance of accurate allergy testing. Dr. Villwock also shares insights on sublingual and subcutaneous immunotherapy, the future of allergy treatments, and the impact of environmental factors on sinus health. --- TIMESTAMPS 00:00 - Introduction 01:53 - Understanding the Sinus Microbiome 04:34 - The Role of the Microbiome in Health 09:31 - Challenges in Microbiome Research 23:21 - Clinical Decision-Making in Antibiotic Use 25:07 - Exploring Probiotics & Dietary Factors for Sinus Health 30:12 - Immunotherapy and Microbiome 35:47 - Allergy Testing Methods 41:40 - Future Directions in Immunotherapy 44:18 - Conclusion and Final Thoughts --- RESOURCES Jennifer Villwock Profile https://www.kumc.edu/jvillwock.html AAOA 2025 Explorers Course in Allergy and Immunology, Vail, CO. March 27-29, 2025 https://www.aaoallergy.org/education/aaoa-explorers-course-2025/ 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

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• Ep. 211 Aging Voice: The Science and the Art with Dr. Neel Bhatt

  We often think about exercising to stay fit as we age–but what about keeping our voices in shape? In this episode of BackTable ENT, Dr. Neel Bhatt, a laryngologist from the University of Washington in Seattle, discusses the intricacies of the aging voice with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS Dr. Bhatt sheds light on the pathophysiology behind vocal fold atrophy, the role of glottic image capture, and the innovative use of the GlottIC (Glottal Image Capture) in measuring vocal fold bowing. They explore the impact of aging on the voice and swallowing, the relationship between vocal fold activity and overall health, and the benefits of voice therapy and procedural interventions in treating age-related voice changes. Overall, this episode summarizes valuable insights into maintaining vocal health as we age. --- TIMESTAMPS 00:00 - Introduction 01:33 - Understanding the Aging Voice and Clinical Presentations 10:41 - Impact of Aging Voice on Quality of Life 15:31 - Pathophysiology of Aging Voice 24:45 - Clinical Examination and Diagnosis 32:09 - Challenges in Scope Exams 39:33 - Swallow Studies: Fees vs. Video Fluoroscopy 41:16 - Management of Age-Related Voice Changes 58:27 - Maintaining Vocal Health with Age 01:01:01 - Conclusion and Contact Information --- RESOURCES Dr. Neel Bhatt https://otolaryngology.uw.edu/our-people/faculty/neel-k-bhatt-md 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

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• Ep. 210 Rethinking OSA: Role of the Nose with Dr. Keith Matheny and Dr. Ashwin Ananth

  Is nasal obstruction the hidden culprit behind CPAP failure in obstructive sleep apnea (OSA) patients? In this episode of BackTable ENT, host Dr. Ashley Agan discusses nasal airway obstruction’s impact on OSA with guests Dr. Keith Matheny and Dr. Ashwin Ananth. --- This podcast is supported by: Aerin Medical https://aerinmedical.com/ --- SYNPOSIS The doctors emphasize the crucial role otolaryngologists play in diagnosing and treating nasal obstruction to enhance sleep quality, particularly in patients who struggle with CPAP therapy. They share their approaches to the nasal exam, treatments like VivAer and RhinAer, the importance of sleep endoscopies for CPAP-intolerant patients, and they also debunk some common misconceptions around treating OSA. This is a must-listen for ENTs and clinicians engaged in sleep medicine. --- TIMESTAMPS 00:00 - Introduction 01:57 - Discussion on Nasal Airway Obstruction 06:11 - Evolution of Sleep Disorder Treatments 12:05 - Challenges with CPAP and Alternatives 16:39 - Importance of Nasal Examination 28:44 - Nasal Medication Practices 33:20 - Sleep Endoscopy and CPAP Alternatives 35:44 - Nasal Surgery and OSA Treatment 39:57 - Posterior Nasal Nerve Ablation 46:10 - Final Thoughts and Recommendations --- RESOURCES Dr. Ashwin Ananth https://www.esentc.com/dr-ashwin-ananth Dr. Keith Matheny https://collincountyent.com/bio/keith-e-matheny/ 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

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