Episodes

  • Ep. 198 Advanced Techniques in Facial Reanimation with Dr. Myriam Loyo Li and Guest Host with Dr. Shiayin Yang

    Ep. 198 Advanced Techniques in Facial Reanimation with Dr. Myriam Loyo Li and Guest Host with Dr. Shiayin Yang
    Nov 5 2024
    From cable grafts to free muscle transfer, surgical treatments for facial paralysis are evolving quickly. In this episode of the Backtable ENT Podcast, Dr. Myriam Loyo Li, facial plastic surgeon at OHSU, joins guest host Dr. Shiayin Yang of Vanderbilt to discuss dynamic procedures for facial paralysis. --- This podcast is supported by: BackTable + ENT https://www.backtable.com/shows/ent --- SYNPOSIS First, the surgeons review workup of flaccid and non-flaccid (synkinetic) facial paralysis. Then, they review the principles of facial reanimation. Topics such as nerve graft selection and staged surgery are covered. Dr. Loyo Li explains her timelines for staged surgery and how patient characteristics affect her decision planning. Finally, the surgeons discuss free muscle transfer – an exciting new technique in the world of facial plastic surgery – to treat facial paralysis. --- TIMESTAMPS 00:00 - Introduction 02:48 - Evaluating and Managing Flaccid Facial Palsy 05:18 - Imaging and Treatment Pathways 07:16 - Nerve Grafting Techniques and Preferences 10:08 - Challenges and Innovations in Facial Reanimation 25:50 - Patient-Centered Approaches and Decision Making 37:30 - Evaluating Facial Nerve Recovery 43:25 - Timing and Criteria for Nerve Transfers 46:41 - Free Muscle Transfer Techniques 49:47 - Innovations in Cross Facial Nerve Grafts 01:06:04 - Exploring Free Strap Muscle Transfers 01:14:05 - The Future of Facial Reanimation --- RESOURCES Dr. Loyo Li’s OHSU Profile: https://www.ohsu.edu/providers/myriam-loyoli-md-mcr Dr. Yang’s Vanderbilt Profile: https://www.vanderbilthealth.com/doctors/yang-shiayin
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    1 hr and 17 mins
  • Ep. 197 Trailblazers in ENT: Stories from House Clinic with Dr. John House

    Ep. 197 Trailblazers in ENT: Stories from House Clinic with Dr. John House
    Oct 29 2024
    It’s not an overstatement to say that surgeons from The House Clinic revolutionized otology / neurotology in the second half of the twentieth century. In this episode of the BackTable ENT podcast, Dr. John House, son of the clinic’s founder, Howard, discusses the clinic’s fabled history with guest host Dr. Walter Kutz (UT Southwestern). --- SYNPOSIS Dr. House recounts his father’s journey traveling the world to learn from renowned otolaryngologists, ultimately settling in Los Angeles where he established his practice. Working with his brother William, Howard started a clinic that popularized innovative treatments for otosclerosis, acoustic neuroma, and sensorineural hearing loss. While innovations like Howard’s cochlear implant and John’s House’s House-Brackmann Facial Nerve Grading Scale faced resistance at first, they eventually won widespread acceptance. The episode concludes with Dr. Kutz’s moving personal reflection on his time as a fellow at the House Clinic. --- TIMESTAMPS 00:00 - Introduction 05:41 - Dr. Howard House’s Path to Neurotology 17:14 - Dr. Bill House’s Passion Project: The Cochlear Implant 28:39 - Development of the House-Brackmann Facial Nerve Grading System 38:49 - The Evolution of Stapes Surgery 45:14 - House Alumnus Dr. Walter Kutz’s Journey --- RESOURCES Dr. John House’s House Clinic Profile: https://www.houseclinic.com/home/meet-the-team/profile/john-william-house-1/ Dr. Walter Kutz’s UT Southwestern Profile: https://utswmed.org/doctors/joe-kutz/
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    49 mins
  • Ep. 196 Revolución en Higiene Nasal con Dr. Luisam Tarrats

    Ep. 196 Revolución en Higiene Nasal con Dr. Luisam Tarrats
    Oct 22 2024
    En este episodio de Backable ENT, El Dr. Carlos Torre entrevista al Dr. Luisam Tarrats, un otorrinolaringólogo de Puerto Rico, sobre su práctica médica y su viaje empresarial para construir Burble, una empresa de enjuagues nasales. --- SYNPOSIS Primero, el episodio explora la trayectoria del Dr. Luisam Tarrats, quien decidió regresar a Puerto Rico para mejorar la oferta quirúrgica y enfrentar los desafíos tras el huracán María. Se destaca su innovación empresarial con Burble Inc., una empresa que desarrolló un sistema de irrigación nasal salina aprobado por la FDA. La conversación incluye temas como la importancia de la higiene nasal para la salud y el bienestar, estrategias para emprender en el campo médico, y el balance entre la vida profesional y personal. Se subraya la importancia de educar a médicos y pacientes sobre el uso adecuado de productos de higiene nasal y el papel proactivo de la medicina preventiva. --- TIMESTAMPS 00:00 - Trayectoria profesional del Dr. Luisam Tarrats 03:45 - Fundación y desarrollo de Burble 16:51 - Innovaciones y beneficios del producto Burble 37:40 - Educación y concienciación sobre la higiene nasal 48:03 - Equilibrio entre la vida profesional y personal 58:39 - Consideraciones legales y estructurales 01:16:54 - Consejos para emprendedores aspirantes --- RESOURCES Burble https://letsburble.com/
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    1 hr and 24 mins
  • Ep. 195 Financial Literacy in ENT: Diversifying Your Learnings and Earnings with Dr. Robert Puchalski

    Ep. 195 Financial Literacy in ENT: Diversifying Your Learnings and Earnings with Dr. Robert Puchalski
    Oct 15 2024
    Surgeons are fortunate that their work is both fulfilling and well compensated. When this earning potential meets solid financial planning, personal and material satisfaction results. In this episode of BackTable ENT, Dr. Robert Puchalski (South Carolina ENT) discusses financial wellness with guest host Dr. Ayesha Khalid (Cambridge Health Alliance). --- SYNPOSIS First, Dr. Puchalski describes the benefits and challenges of different private practice models, emphasizing the importance of market share. Then, he explores income generation beyond clinical work, including ancillary services and investment. Transitioning to personal finance, he shares financial planning strategies so that practicing medicine is a choice rather than a necessity. The episode wraps with Dr. Puchalski’s thoughts on practicing medicine. --- TIMESTAMPS 00:00 - Introduction 06:56 - Market Share: Why it Matters 10:16 - The Importance of Passive Income & Ancillaries 21:47 - Personal Finance for Physicians 28:13 - Supporting Wellness Through Financial Planning 43:11 - Final Thoughts --- RESOURCES Dr. Robert Puchalski’s SC ENT Profile: https://www.southcarolinaent.com/providers/robert-puchalski Dr. Ayesha Khalid’s Cambridge Health Alliance Profile: https://www.challiance.org/doctors/profile?n=899
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    46 mins
  • Ep. 194 Tinnitus and Migraine: Expert Insight with Dr. Hamid Djalilian

    Ep. 194 Tinnitus and Migraine: Expert Insight with Dr. Hamid Djalilian
    Oct 8 2024
    Tinnitus remains one of otology’s greatest, most challenging, and unsolved clinical problems. In this episode of the BackTable ENT Podcast, Dr. Hamid Djalilian, chair of otolaryngology at University of California Irvine (UCI), joins guest host and fellow otologist Dr. Walter Kutz (UT Southwestern) to discuss contemporary tinnitus therapy. --- This podcast is supported by: PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. Djalilian shares how he got interested in tinnitus. After observing how migraines and tinnitus share many similar triggers, he hypothesized that increased central sensitivity underlies both diseases. He successfully adopted migraine management strategies for his tinnitus patients and found great clinical success. After sharing pathophysiologic similarities between the two diseases, Dr. Djalilian expounds on how he evaluates and treats tinnitus. His discussion includes lifestyle modifications, medication, and emerging surgical therapies. Finally, he advises listeners to think of tinnitus as a manageable condition, rather than a poorly-understood phenomenon. --- TIMESTAMPS 00:00 - Introduction 02:34 - The Challenge of Treating Tinnitus 07:19 - Connecting Tinnitus & Migraine 15:59 - Atypical (Otologic) Migraine & Diagnostic Challenges 19:59 - Managing Tinnitus Triggers 26:27 - Dietary Triggers of Tinnitus 28:44 - The Role of Sleep Quality in Tinnitus 33:04 - Caring for Older Patients with Tinnitus 37:59 - New Therapies for Tinnitus: Sound & Cognitive Behavioral Therapy 44:08 - Neuromodulation: The Future of Tinnitus Therapy? 51:34 - Final Thoughts on Tinnitus Treatment --- RESOURCES BackTable ENT Episode 60 Otologic Manifestations of Migraine with Dr. Hamid Djalilian https://www.backtable.com/shows/ent/podcasts/60/otologic-manifestations-of-migraine Dr. Hamid Djalilian University of California, Irvine Profile: https://www.ent.uci.edu/faculty/hamid-djalilian-md.asp Dr. Hamid Djalilian’s Website: https://hamiddjalilianmd.com/ Fan-Gang Zeng (Hearing and Speech) Lab at UCI: https://faculty.sites.uci.edu/hesplab/ PearsonRavitz: https://pearsonravitz.com/
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    55 mins
  • Ep. 193 Revolutionizing ENT with Artificial Intelligence with Dr. Mas Takashima

    Ep. 193 Revolutionizing ENT with Artificial Intelligence with Dr. Mas Takashima
    Oct 1 2024
    Many of us continue to associate “Artificial Intelligence” (AI) with the worst moments in The Terminator, Ex Machina, or The Matrix. Others think first of the known ethical challenges of AI and the potential workforce disruption of widespread AI implementation in healthcare and beyond. Dr. Mas Takashima, AI expert and chair of Houston Methodist’s Otolaryngology Department, wants to change our lingering apprehensions around AI. In this episode, Dr. Takashima interviews his Houston Methodist colleague and guest host Dr. Omar Ahmed. --- SYNPOSIS First, Dr. Takashima shares his journey from video gamer to sinus surgeon and advocate for AI in medicine. He explains relevant concepts such as Generative Preformed Transformer (GPT) and neural network. Then, he and Dr. Ahmed dive into applications of AI to ENT, which include (but aren’t limited to) analysis of CT images, prediction of surgical success, and screening of residency applications. They review the unique challenges of applying this powerful technology to healthcare and emphasize the importance of safeguarding patient privacy in the era of Big Data. Finally, Dr. Takashima challenges his fellow otolaryngologists and researchers to embrace this transformative technology. --- TIMESTAMPS 00:00 - Introduction 11:43 - AI 101 23:26 - Applications of AI in Medicine 31:21 - Current & Emerging Applications of AI in ENT 33:44 - Using AI to Improve Surgical Robotics 39:09 - AI in Personalized Medicine 46:41 - AI in Medical Education 57:23 - Ethics & AI: The Need for an Updated HIPAA 01:02:20 - The Future of AI in ENT --- RESOURCES Dr. Mas Takashima’s Houston Methodist profile: https://www.houstonmethodist.org/doctor/masayoshi-takashima/ Dr. Omar Ahmed’s Houston Methodist profile: https://www.houstonmethodist.org/doctor/omar-g-ahmed/
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    1 hr and 10 mins
  • Ep. 192 Safeguarding Physician Wellbeing: Julie Wei’s Journey

    Ep. 192 Safeguarding Physician Wellbeing: Julie Wei’s Journey
    Sep 24 2024
    Many doctors enjoy writing, but how does a meaningful idea become a published book? Just ask Dr. Julie Wei, director of pediatric otolaryngology at Akron Children’s Hospital and author of two books. In this episode of the BackTable ENT podcast, Dr. Wei discusses her third book “Safeguarding Physician Wellbeing” with podcast host Dr. Gopi Shah. --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. Wei shares her journey to authorship, which grew out of her efforts as an advocate for physician wellness. Then, she delves into topics covered in her book, including personal relationships, finances, fertility, and career growth. Much like operating room time-outs, “Safeguarding Physician Wellbeing” uses checklists at the end of each chapter to provide action items for readers. Drawing from her own experience as a surgeon and writer, Dr. Wei offers practical advice for prospective authors. The podcast wraps with thoughts on the need to prioritize physician wellness in an increasingly productivity-focused healthcare system. --- TIMESTAMPS 00:00 - Introduction 02:28 - Dr. Julie Wei’s Journey to Authorship 08:17 - The Concept of Well-being 16:10 - Checklists: A Tool for Patient Safety & Surgeon Well-Being 30:59 - Empowering Trainees to Speak Up 33:41 - The Importance of Taking Time Off 39:54 - Physician Well-being in the U.S. Healthcare System 44:06 - The Process of Writing A Book 52:45 - Final Thoughts & Encouragement for Aspiring Authors --- RESOURCES Dr. Julie Wei’s Akron Children’s Hospital Profile: https://www.akronchildrens.org/people/Julie-Wei.html “Safeguarding Physician Wellbeing,” Dr. Julie Wei: https://www.amazon.com/Safeguarding-Physician-Wellbeing-Julie-Wei/dp/1032589892
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    57 mins
  • Ep. 191 AI in Laryngology: Enhancing Patient Diagnosis with Dr. Anthony Law

    Ep. 191 AI in Laryngology: Enhancing Patient Diagnosis with Dr. Anthony Law
    Sep 17 2024
    Artificial Intelligence (AI) already powers search results and chat bots, but what if it could help physicians diagnose cancer? In this episode of the BackTable ENT podcast, laryngologist Dr. Anthony Law of Emory University discusses applications of AI to laryngology with host Dr. Ashley Agan and guest host Dr. Mihir Patel, also of Emory. --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. Law discusses how he connects his passions for laryngology and machine learning as a surgeon-scientist. Before opening the conversation, he defines terms needed to understand AI in medicine. Then, he discusses his work using deep learning models to identify laryngeal cancer patients based on voice recordings. Ideally, he envisions deploying his model (which is over 90% accurate) to help primary care physicians make timely ENT referrals. Mindful of the impact technology has, Dr. Law reviews technical and ethical concerns accompanying use of AI in medicine, which include underrepresented patient groups in research, patient privacy, and safe use of technology. Finally, he offers insight into the future of AI research more broadly. --- TIMESTAMPS 00:00 - Introduction 04:18 - Understanding Deep Neural Networks 07:13 - Applications of AI in Clinical Practice 15:08 - Data Security and Privacy Concerns 25:09 - Collecting Representative Data 31:13 - Biometrics: The Future of Medicine? 39:12 - Challenges & Costs of AI 42:26 - Final Thoughts & Future Directions --- RESOURCES Pearson Ravitz https://pearsonravitz.com/ Dr. Anthony Law’s Emory University Profile: https://winshipcancer.emory.edu/profiles/law-anthony.php Dr. Anthony Law Lab: https://anthonylaw2.wixsite.com/website “What Our Voice Reveals About Our Health,” Dr. Anthony Law at TedxAtlanta: https://www.youtube.com/watch?v=-J2W5IVCECE
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    48 mins