BackTable ENT

BackTable

The BackTable ENT Podcast is a resource for otolaryngologists to learn tips, techniques, and practical advice on all things ear, nose, and throat. Tune in to the BackTable ENT Podcast every week for candid conversations about rhinology, laryngology, otology, and head and neck surgery.

  1. 1 DAY AGO

    Ep. 241 Chronic Rhinitis: Emerging Approaches & Treatments with Dr. Dennis Tang

    So many patients deal with a runny, stuffy nose every day, and sprays only go so far. Let’s talk about what’s new for chronic rhinitis. In this episode of the BackTable ENT podcast, Dr. Dennis Tang, a Rhinologist at Cedars-Sinai Medical Center discusses chronic rhinitis and the latest treatment advancements with hosts Dr. Gopi Shah and Dr. Ashley Agan. ---This podcast is supported by:Aerin Medicalhttps://aerinmedical.com/---SYNPOSISDr. Tang discusses the benefits of posterior nasal nerve (PNN) ablation and the recent approval of the procedure by Cigna Insurance, which expands accessibility for patients. The conversation covers the typical presentation of chronic rhinitis, the procedural details, patient selection, preoperative and postoperative care, and billing considerations. Dr. Tang also touches on the anatomy involved and the technological innovations that are enabling contemporary rhinitis treatment.---TIMESTAMPS00:00 - Introduction03:01 - Insurance Coverage for Posterior Nasal Nerve Ablation04:23 - Patient Presentation, Diagnostic & Treatment Approaches11:07 - Posterior Nasal Nerve (PNN) Ablation Explained17:57 - Physical Examination and In-Office Procedure20:47 - Allergy Patients and Immunotherapy22:21 - Chronic Rhinosinusitis vs. Chronic Rhinitis32:33 - Radiofrequency Ablation Technology39:49 - Procedure Techniques and Anatomical Considerations46:42 - In-Office Procedure Logistics01:06:10 - Final Thoughts ---RESOURCESDr. Dennis Tanghttps://www.cedars-sinai.org/provider/dennis-tang-3316614.html

    1h 5m
  2. 23 SEPT

    Ep. 240 Intracapsular Tonsillectomy: Monopolar Technique & Applications with Dr. Evan Tobin

    Is there a different way to do an Intracapsular tonsillectomy without using a microdebrider or a Coblator? In this episode of the BackTable ENT Podcast, otolaryngologist Dr. Evan Tobin from Ohio ENT and Allergy Physicians sits down to discuss the intracapsular technique for tonsillectomy with hosts Dr. Gopi Shah and Dr. Ashley Agan. ---SYNPOSISDr. Tobin shares his journey and practice in Ohio, emphasizing his transition to using intracapsular tonsillectomy with monopolar electrocautery. The discussion covers the historical evolution of tonsillectomy techniques, the benefits of intracapsular tonsillectomy (such as reduced bleed rates and postoperative pain), as well as the practical aspects and indications for different methods. Dr. Tobin presents his technique in detail, supported by video demonstrations and highlights the significance of patient counseling in making surgical decisions.---TIMESTAMPS00:00 - Introduction 04:38 - Tonsillectomy Techniques07:20 - Evolution and Debate of Tonsillectomy Practices11:09 - Personal Experiences and Techniques in Tonsillectomy21:42 - Pain Management and Post-Operative Care29:51 - Shared Decision Making and Future of Tonsillectomy34:53 - Managing Bleeds: A Practical Approach37:51 - Cost Analysis of Tonsillectomy Techniques41:46 - Surgical Techniques and Settings53:06 - Post-Operative Considerations and Outcomes57:33 - Final Thoughts and Recommendations---RESOURCESDr. Evan Tobinhttps://www.ohioentandallergy.com/physicians/evan-tobin-md/

    1h 2m
  3. 2 SEPT

    Ep. 238 How to Perform Pediatric Otoplasty: Techniques & Tips with Dr. Charlotte Célérier

    How to help children with ear deformities look and feel their best. In this episode of the BackTable ENT Podcast, Dr. Jason Qian from Rady Children's in San Diego and special guest Dr. Charlotte Célérier, a pediatric otolaryngologist at Neckar-Enfants Malades Hospital in Paris, France discuss the technical aspects of pediatric otoplasty with Dr. Gopi Shah. ---SYNPOSISThe conversation covers surgical techniques, patient selection, procedural nuances, and post-operative care for various ear deformities including prominent ears, Stahl's ear, cauliflower ear, and cryptotia. Both experts share their insights on different methodologies, handling complications, and the importance of ensuring the child is motivated for surgery. Learn practical tips and evolving practices in the field of pediatric otoplasty.---TIMESTAMPS00:00 - Introduction 02:22 - Otoplasty Techniques and Patient Referrals05:35 - Terminology and Ear Abnormalities13:16 - Surgical Considerations20:04 - Prepping and Draping for Surgery30:22 - Suturing Techniques33:38 - Instrument Preferences35:12 - Repairing Stahls Ear Deformity37:16 - Cauliflower Ear Challenges38:46 - Cryptotia Repair Techniques40:59 - Post-Operative Care and Managing Complications52:30 - Final Thoughts and Innovations---RESOURCESJason Qian:https://www.rchsd.org/doctors/zhen-jason-qian-md/Charlotte Célérier:https://www.researchgate.net/profile/Charlotte-Celerier

    56 min
  4. Ep. 237 Approaches to Mandibular Osteo Radionecrosis Management with Dr. Eli Gordin and Dr. Ariel Frost

    26 AUG

    Ep. 237 Approaches to Mandibular Osteo Radionecrosis Management with Dr. Eli Gordin and Dr. Ariel Frost

    Hyperbaric oxygen is out and surgical innovation is in—here’s how the rescue flap is reshaping ORN care. Facial plastic and microvascular surgeons Dr. Ariel Frost and Dr. Eli Gordin join host Dr. Ashley Agan to discuss osteoradionecrosis (ORN) of the mandible.---SYNPOSISThe discussion begins with a detailed overview of the condition and patient presentation, and the impact of radiation therapy. The conversation then delves into historical and contemporary staging systems, highlighting the innovative 'rescue flap' technique developed by Cleveland Clinic. The episode emphasizes the ineffectiveness of hyperbaric oxygen therapy and showcases the superior outcomes and cost-effectiveness of the rescue flap procedure. Practical insights on surgical techniques, patient management, and future directions in treating ORN are also discussed.---TIMESTAMPS00:00 - Introduction 01:26 - Understanding Osteoradionecrosis (ORN)08:49 - Clinical Presentation of ORN13:56 - Diagnosis and Imaging16:58 - Staging and Treatment Options27:39 - Conservative Therapy for ORN37:19 - Understanding Disease Progression and Imaging39:46 - Exploring the Rescue Flap Technique52:46 - Post-Operative Care and Recovery59:20 - Advanced Stages and Bone Grafting01:13:38 - Cost Effectiveness and Referral Guidelines---RESOURCESDr. Ariel Frosthttps://utswmed.org/doctors/ariel-frost/Dr. Eli Gordin https://utswmed.org/doctors/eli-gordin/

    1h 19m
  5. 19 AUG

    Ep. 236 Career Transitions: Coaching and Mentorship in Academic Medicine with Dr. Stacey Ishman

    Is the advice you’re getting from your mentor really what you need, or is the real breakthrough hidden in your own answers? In this episode of the BackTable ENT podcast, Dr. Gopi Shah welcomes Dr. Stacey Ishman, a chief medical officer, pediatric ENT, real estate investor, syndicator, and career coach for physicians, to discuss transitioning from academic medicine to utilization management. ---SYNPOSISDr. Ishman emphasizes the significance of mentorship and coaching in academic medicine, the difference between the two, and how understanding one's values is crucial for career fulfillment. The conversation addresses common challenges faced by physicians such as setting boundaries, managing time effectively, and achieving work-life balance. Dr. Ishman also shares practical tips for personal and professional growth, encourages networking, and highlights how coaching can help physicians realign their careers with their values. The episode concludes with resources and strategies for physicians feeling burnt out and advice on navigating career transitions.---TIMESTAMPS00:00 - Introduction 03:56 - Mentoring vs. Coaching11:10 - Time Management and Setting Boundaries17:38 - Gender and Equity in Academic Medicine22:18 - Exploring Personal Values23:41 - Time Management Tips for Physicians26:17 - Mid-Career Physician Challenges28:28 - Networking and Self-Promotion30:12 - Translational Skills in Medicine32:04 - Knowing When to Make a Change39:02 - Coaching Programs and Resources---RESOURCESDr. Stacey Ishmanhttps://www.childrensdayton.org/doctors/stacey-ishman-md-mphhttps://www.medicalmentorcoaching.com/

    42 min
  6. Ep. 235 Biologics for Chronic Rhinosinusitis with Nasal Polyps with Dr. Reena Mehta

    12 AUG

    Ep. 235 Biologics for Chronic Rhinosinusitis with Nasal Polyps with Dr. Reena Mehta

    How do we integrate biologics into the existing stepwise treatment model for chronic rhinosinusitis with nasal polyps (CRSwNP)? In this episode, Dr. Reena Mehta, an allergist from Uptown Allergy and Asthma in New Orleans, discusses the use of biologics for treating chronic rhinosinusitis with nasal polyps. ---SYNPOSISDr. Mehta elaborates on the common presentations of patients, the role of biologics such as dupilumab and tezepelumab, and the nuances of patient management post-sinus surgery. Dr. Mehta also covers the workup process, the significance of patient comorbidities like asthma and allergies, and the future perspectives on biologic treatments. Practical aspects of biologic therapy, including insurance hurdles, patient compliance, and the effectiveness of various biologics are thoroughly examined.---TIMESTAMPS00:00 - Introduction 02:27 - Understanding Chronic Rhinosinusitis with Nasal Polyps & Presentation05:22 - Workup and Management of Nasal Polyps07:31 - Treatment Options: Steroids and Biologics15:28 - Tezepelumab: A New Tool in the Toolkit25:03 - Side Effects and Safety of Biologics28:59 - Insurance and Approval Challenges36:14 - Long-Term Safety and Efficacy38:47 - Pediatric Considerations and Future Directions41:37 - Collaboration Between ENT and Allergy Specialists45:07 - Conclusion and Final Thoughts---RESOURCESDr. Reena Mehtahttps://uptownallergyasthma.com/allergist-dr-reena-mehta/

    49 min
  7. 5 AUG

    Ep. 234 Navigating Midcareer Transitions & Finding Satisfaction in Healthcare with Dr. Tiffany Moon

    What happens when a high-achieving physician trades perfectionism for purpose? In this episode of the BackTable ENT podcast, Dr. Tiffany Moon, an anesthesiologist, mom, entrepreneur, former Real Housewives of Dallas cast member, and author of the book 'Joy Prescriptions' joins host Dr. Ashley Agan. --- SYNPOSIS Tiffany shares her journey from a driven, high-achieving academic physician to exploring new passions outside of medicine. She discusses her midlife crisis, the inspiration behind her book, and the importance of finding joy through gratitude and letting go of perfectionism. They delve into the challenges of balancing a medical career with motherhood, the decision to go part-time, and the impact of her social media presence. Also, Tiffany introduces her upcoming Lead Her Summit, aimed at empowering female entrepreneurs. The episode wraps up with practical insights on maintaining joy and navigating career transitions. --- TIMESTAMPS 00:00 - Introduction01:37 - Tiffany’s Journey in Medicine03:15 - Writing Joy Prescriptions05:32 - Balancing Medicine and Personal Life12:21 - The Decision to Go Part-Time17:34 - Navigating Career and Personal Goals20:42 - Understanding Joy Interrupted23:05 - Practicing Gratitude in Daily Life25:14 - The Struggle with Control29:57 - Navigating Social Media Fame34:57 - Upcoming Lead Her Summit37:48 - Final Thoughts and Farewell --- RESOURCES Tiffany Moonhttps://www.tiffanymoonmd.com/ LeadHer Summit 2025 (use code BACKTABLE300 for $300 off):https://www.leadhersummit.com/

    41 min

About

The BackTable ENT Podcast is a resource for otolaryngologists to learn tips, techniques, and practical advice on all things ear, nose, and throat. Tune in to the BackTable ENT Podcast every week for candid conversations about rhinology, laryngology, otology, and head and neck surgery.

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