BackTable ENT

BackTable

4.9 (37)
MEDICINE
UPDATED WEEKLY

BackTable ENT Podcast

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 DAY AGO

Ep. 190 Managing Retropharyngeal Abscesses in Children with Dr. John McClay

Nothing is more satisfying than draining an abscess, right? But when is medical management sufficient or even better? In this episode of the BackTable ENT Podcast, pediatric otolaryngologist Dr. John McClay joins host Dr. Gopi Shah to educate listeners on the diagnosis and management of pediatric retropharyngeal abscess (RPA). --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. McClay reviews the symptoms, pathophysiology, and workup of neck abscesses (including RPA) in children. When evaluating any suspected neck abscess, he uses CT results to evaluate its precise size and location. Then, he addresses the role of surgery in treatment of neck abscesses. While many patients will improve with IV antibiotics alone, he mentions that most abscesses lateral to the carotid sheath and greater than 2 cm in size require surgical drainage. Finally, the conversation shifts to cover important topics including antibiotic selection, the role of steroids, and cost-effective care. --- TIMESTAMPS 00:00 - Introduction 03:34 - Pathophysiology & Presentation of Retropharyngeal Abscess 09:54 - Physical Examination in the Child with Suspected Neck Abscess 17:43 - The Importance of CT Scans 31:40 - Treatment of Neck Abscesses: Antibiotics vs Surgery 37:56 - The Role of Steroids in Abscess Treatment 53:41 - Applying Value-Based Care as a Pediatric Otolaryngologist 55:44 - Recap & Final Pearls --- RESOURCES Dr. McClay’s website: https://www.johnmcclaymd.com/pediatric-sinus-center/ Pearson Ravitz https://pearsonravitz.com/ McClay JE, Murray AD, Booth T. Intravenous antibiotic therapy for deep neck abscesses defined by computed tomography. Arch Otolaryngol Head Neck Surg. 2003 Nov;129(11):1207-12. Johnson RF. Emergency department visits, hospitalizations, and readmissions of patients with a peritonsillar abscess. Laryngoscope. 2017 Oct;127 Suppl 5:S1-S9.

59 min
SEP 3

Ep. 189 Rhinoplasty Fundamentals and Beyond: In-Depth with Dr. Patrick Cleveland

Rhinoplasty stands out as one of the most transformative yet technically challenging procedures in facial plastic surgery. In this episode of the BackTable ENT Podcast, rhinoplasty expert Dr. Patrick Cleveland of West Palm Beach shares his approach to the procedure with host Dr. Gopi Shah. --- SYNPOSIS First, Dr. Cleveland addresses the initial rhinoplasty consultation, including patient history, physical exam, and photo documentation. Then, the surgeons delve into technical approaches to rhinoplasty. Tackling valuable topics including graft choices, cartilage sources for revision rhinoplasty, and tools used. Dr. Cleveland offers lessons to help any otolaryngologist improve their knowledge of this essential surgery. Finally, the episode concludes with a survey of contemporary trends in rhinoplasty. --- TIMESTAMPS 00:00 - Introduction 03:28 - Fundamentals of Rhinoplasty 04:19 - Interviewing Patients & Identifying Red Flags 10:25 - Physical Exam for Rhinoplasty 15:14 - The Importance of Photo Documentation 30:26 - Cephalic Trim & Turnover Flap Techniques 32:52 - Tip Supporting Grafts and Cartilage Harvesting 36:46 - Instruments for Rhinoplasty 39:42 - Sourcing Cartilage in Revision Rhinoplasty 49:20 - Post-operative Care & Complications 56:07 - Future Directions in Rhinoplasty --- RESOURCES Patrick Cleveland Facial Plastic Surgery: https://www.drpatrickcleveland.com/ Deformity, etiology, solution, sequence (DESS): Facial analysis in rhinoplasty: https://pubmed.ncbi.nlm.nih.gov/37952257/

1h 2m
AUG 27

Ep. 188 Surgical Management of Synkinesis and Static Procedures for Flaccid Facial Palsy with Dr. Shiayin Yang

Facial nerve injury affects each patient in a unique way. Accordingly, surgical treatment of facial paralysis must be meticulously planned and personalized. In this episode, Dr. Shiayin Yang, Associate Professor of Otolaryngology at Vanderbilt University, addresses management of synkinesis and static procedures for flaccid facial palsy with host Dr. Ashley Agan. --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. Yang reviews the difference between flaccid and non-flaccid (including synkinetic) facial paralysis. She describes her approach to facial paralysis, which includes clarifying the patient’s diagnosis and thoroughly examining the facial nerve function. Dr. Yang then transitions the conversation to surgical solutions, emphasizing dual goals of restoring symmetry and function. She divides her discussion to first tackle synkinesis and then static procedures for flaccid paralysis. Procedures discussed include Botox, brow lift, blepharoplasty, myectomy, and neurectomy as well as lower eyelid and midface procedures and temporalis tendon transfer. While surgical approaches to the two conditions differ, eye protection represents an important theme throughout. The episode concludes with Dr. Yang’s pearls for approaching these complex surgical problems and a reminder of how facial paralysis affects patients’ emotional health. --- TIMESTAMPS 00:00 - Introduction 02:36 - Understanding Flaccid & Non-Flaccid Facial Paralysis 07:13 - Botox for Facial Synkinesis 12:38 - History-Taking & Physical Exam in Facial Paralysis 15:07 - Surgical Management of Synkinesis 30:47 - Patient Counseling and Motivation 32:47 - Static Procedures for Flaccid Facial Palsy 37:26 - Nuances of Peri-Ocular Procedures 43:42 - Lower Eyelid & Midface Considerations 53:00 - Dynamic Surgery Options 56:56 - Final Surgical Pearls --- RESOURCES Dr. Shiayin Yang’s Vanderbilt University Profile: https://www.vanderbilthealth.com/doctors/yang-shiayin BackTable ENT Episode 151- Navigating Synkinesis: From Diagnosis to Comprehensive Care with Dr. Shiayin Yang https://open.spotify.com/episode/1JucnHB8tNC5qRW6u82ie8?si=ba729d3f3e164d6f

1h 1m
AUG 20

Ep. 187 Boosting Your ENT Practice with Allergy Services with Dr. Michelle Liu

Adding allergy services to your practice can improve your comprehensive ENT care. When otolaryngologists treat allergies, they more effectively address related conditions, such as sinusitis and otitis media. In this episode, Dr. Michelle Liu, general ENT in Fairfax, Virginia, shares her wisdom on starting an otolaryngologic allergy practice with host Dr. Ashley Agan. --- CHECK OUT OUR SPONSOR 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 --- SYNPOSIS First, Dr. Liu summarizes her journey to treating allergy as an otolaryngologist. She finds the continuity of care and personal connections that accompany allergy care fulfilling. Then, she describes the different testing and treatment modalities used in her clinic. While subcutaneous immunotherapy is more common, sublingual immunotherapy offers an appealing needle-free alternative for some patients. Finally, she explains the logistics of starting an allergy practice, including finances, continuing education, and safety considerations for immunotherapy initiation. --- TIMESTAMPS 00:00 - Introduction 03:36 - Dr. Liu’s Medical Journey: From Military Resident to Civilian Otolaryngologist 08:46 - Adding Allergy Testing to Your Practice 28:44 - Adding Immunotherapy to Your Practice 31:22 - Patient Selection & Financial Considerations 39:39 - Pediatric Allergy 45:09 - Emergency Preparedness in Allergy Clinics 49:15 - Sublingual Immunotherapy & Tablets 53:48 - Continuing Medical Education in Allergy --- RESOURCES Medtronic ENT https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat.html Dr. Michelle Liu’s Inova Profile: https://www.inova.org/doctors/michelle-f-liu-md Otolaryngology Associates’ Facebook Page: https://www.facebook.com/otoassoc/ American Academy of Otolaryngologic Allergy: https://www.aaoallergy.org/

58 min
AUG 13

Ep. 186 Improving Health Equity in Pediatric ENT Care with Dr. Jill D'Souza

In today’s complex healthcare landscape, how can pediatric otolaryngologists help more children access evidence-based, quality care? In this episode, Dr. Jill D’Souza, pediatric otolaryngologist at Children’s Hospital of New Orleans, discusses pediatric health equity in the Gulf South with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS First, Dr. D’Souza defines the “Gulf South” to include parts of Louisiana, Texas, Mississippi, Alabama, and the Florida panhandle. Challenges to healthcare delivery in this region include rural settings, high poverty rates, and difficulties funding out-of-state Medicaid patients. Then, using tonsillectomy and tracheostomy as examples, Dr. D’Souza explains how social factors complicate access to care. She shares her successes connecting underprivileged children to the care they need. Finally, the episode concludes with her thoughts on how interprofessional teamwork powers better pediatric ENT care. --- TIMESTAMPS 00:00 - Introduction 02:17 - Challenges in Pediatric ENT Care 05:43 - Healthcare Inequities in the Gulf South 10:38 - Tracheostomy Education in Rural, Resource-Limited Settings 21:33 - Helping Patients Tackle Financial Challenges 26:52 - Caring for All in Public Hospitals 37:57 - Keeping the Big Picture in Mind --- RESOURCES PearsonRavitz https://pearsonravitz.com/ Dr. Jill D’Souza’s LSU Health Profile: https://www.medschool.lsuhsc.edu/otorhinolaryngology/dsouza_jill.aspx

41 min
AUG 9

Ep. 185 Price Transparency in Healthcare with Dr. Keith Smith

BackTable ENT

38 min
AUG 6

Ep. 184 Thyroglossal Duct Cysts in Children: a Comprehensive Approach with Dr. Christopher Liu

What is the best way to manage an infected thyroglossal duct cyst? In this episode, hosts Dr. Gopi Shah and Dr. Ashley Agan welcome Dr. Christopher Liu, associate professor of pediatric otolaryngology at UT Southwestern, to learn about his vast experience with evaluation and management of thyroglossal duct cysts and the nuances of other congenital neck masses. --- CHECK OUT OUR SPONSOR 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 --- SYNPOSIS First, Dr. Liu describes how thyroglossal duct cysts present. Patients often become aware of their cyst when a parent palpates a midline neck mass or when the cyst gets infected. Then, Dr. Liu describes non-operative management of thyroglossal duct cysts, including antibiotics to treat infection and cases in which drainage is appropriate. The conversation proceeds to surgical strategy, with Dr. Liu describing how his approach to cyst excision evolved over the years. The episode concludes with pearls on post-operative management and potential surgical complications. --- TIMESTAMPS 00:00 - Introduction 02:53 - Understanding Thyroglossal Duct Cysts 11:48 - Managing Infected Thyroglossal Duct Cysts 14:02 - Antibiotic Choices & Drainage Techniques 21:05 - Imaging & Workup 25:39 - Surgical Approach and Techniques 27:29 - Koempel’s Technique for Thyroglossal Duct Cyst Surgery 39:04 - Surgical Complications, Risk of Recurrence, & Post-Operative Care 52:37 - Key Takeaways for Thyroglossal Duct Cyst Surgery --- RESOURCES Dr. Christopher Liu’s UT Southwestern Profile: https://utswmed.org/doctors/christopher-liu/ Jeffrey Koempel, “Thyroglossal Duct Remnant Surgery: A Reliable, Reproducible Approach to the Suprahyoid Region”: https://pubmed.ncbi.nlm.nih.gov/25193588/

58 min
JUL 30

Ep. 183 Office-Based Ear Tubes in Children with Dr. Shelagh Cofer

Given that recurrent otitis media can expose children to hearing loss, delayed speech development, and repeated antibiotic use, it is not at all surprising that ear tube insertion is the most common ambulatory procedure performed in the United States. But what if there was a way to insert ear tubes in children without going to the operating room? In this episode, host Dr. Ashley Agan speaks with Dr. Shelagh Cofer, pediatric otolaryngologist at the Mayo Clinic, about the Hummingbird Tympanostomy Tube insertion system. --- CHECK OUT OUR SPONSOR Hummingbird PE Ear Tubes https://www.hummingbirdeartubes.com/physicians/hummingbird-tts-device/ --- SYNPOSIS First, Dr. Cofer reviews the epidemiology of pediatric otitis media. When a child has 3 ear infections in three months or 5-7 in a year, tympanostomy tubes are indicated. Wanting to facilitate this procedure, Dr. Cofer brought the in-office Hummingbird tympanostomy tube system to her practice as one of the principal investigators in the clinical trials. After reviewing how the device was developed, she walks listeners through how she uses it, including how to avoid pitfalls such as “dunking” a tube. Finally, she shares feedback from parents whose children had ear tubes inserted using the Hummingbird system. --- TIMESTAMPS 00:00 - Introduction 02:25 - Ear Infections & Ear Tubes 09:34 - Selecting Patients for In-Office Ear Tube Placement 15:50 - Inserting Ear Tubes in the Office: A Step-by-Step Guide 34:33 - Benefits of In-Office Ear Tube Placement 42:35 - Avoiding & Mitigating Complications from Ear Tube Insertion 56:23 - Parent Feedback on the Hummingbird System --- RESOURCES Dr. Shelagh Cofer’s Mayo Clinic Profile: https://www.mayoclinic.org/biographies/cofer-shelagh-a-m-d/bio-20055176 Hummingbird TTS Website: https://www.hummingbirdeartubes.com/

1h 4m

4.9

out of 5

37 Ratings

Great show!

May 22

scy1201

Exceptionally helpful and informative for practicing ENTs. Keep up the good work!

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.

Creator

BackTable
Years Active

2020 - 2024
Episodes

191
Rating

Clean
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BackTable ENT