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