BackTable ENT & Allergy

The go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Tune in every week for practical, physician-led conversations on common and complex clinical topics in allergy, immunology otolaryngology, rhinology, laryngology, otology, and head and neck surgery. Hear how experienced physicians approach real cases, and get practical advice from your peers in your field.

BackTable ENT & Allergy is a health podcast hosted by BackTable, with 190 episodes on record and a Required Pod Score of 80.

BackTable hosts BackTable ENT & Allergy, a health show with 190 episodes published.

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  BackTable ENT & Allergy

  Ep. 295 Pediatric Cancer: Managing Dysphonia, Dysphagia, & Airway with Dr. Anthony Sheyn and Amber Bonner SLP

  Sep 29, 202641 min

  When a child's cancer treatment threatens a child’s ability to speak, eat, or breath, how does a team decide what to address first? On this episode of BackTable ENT, host Dr. Gopi Shah welcomes Dr. Anthony Sheyn, pediatric otolaryngologist at Le Bonheur Children’s Hospital and St. Jude, and Amber Bonner, MS, CCC-SLP, acute care speech-language pathologist at Le Bonheur, to explore how a multidisciplinary team navigates the most challenging functional decisions in pediatric head and neck oncology. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction03:26 - Treatment Effects vs Tumor Effects06:30 - Swallow and Airway Evaluation Timing10:09 - Voice Assessment Protocols13:13 - Feeding Decisions and Vocal Fold Immobility17:23 - Vocal Fold Injection and Reinnervation21:36 - Tracheostomy Timing and Family Teaching26:08 - Complications and Swallowing Outcomes29:48 - FEES Collaboration and Voice Prognosis34:15 - Decannulation and Functional Outcomes37:40 - Closing Remarks --- More about this episode They discuss baseline preoperative evaluation, strategies to distinguish tumor effects from treatment complications, and the pivotal role of instrumental swallow studies. The discussion covers standardized voice assessments, decisions around feeding tubes and tracheostomy, early vocal fold interventions, and the realities of family education and post-op rehab. Through real-world examples and collaborative protocols, Dr. Sheyn and Amber Bonner share how teams can set children up for meaningful recovery and long-term survivorship, bringing hope to families facing the toughest cases. --- Resources Nagy P, Beckmann N, Cox S, Sheyn A. Management of Vocal Fold Paralysis and Dysphagia for Neurologic Malignancies in Children. Ann Otol Rhinol Laryngol. 2019 https://pubmed.ncbi.nlm.nih.gov/31215235/ ASHA Practice Portal: Flexible Endoscopic Evaluation of Swallowing (FEES)https://www.asha.org/practice-portal/resources/flexible-endoscopic-evaluation-of-swallowing/ ASHA Practice Portal: Videofluoroscopic Swallow Study (VFSS / modified barium swallow)https://www.asha.org/practice-portal/resources/videofluoroscopic-swallow-study/ Zur KB et al. Pediatric Voice Handicap Index (pVHI): a new tool for evaluating pediatric dysphonia. Int J Pediatr Otorhinolaryngol. 2007https://pubmed.ncbi.nlm.nih.gov/17046072/ Pediatric Auditory-Perceptual Evaluation of Voice, Part 2: A Protocol. J Speech Lang Hear Res. 2026 https://pubmed.ncbi.nlm.nih.gov/42600142/ Care of Infants and Children with Tracheostomies: An Official American Thoracic Society Clinical Practice Guidelinehttps://pmc.ncbi.nlm.nih.gov/articles/PMC12618984/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

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  BackTable ENT & Allergy

  Ep. 294 Role of APPs in Pediatric Head & Neck Cancer with Sara Meehan, PNP and Megan Murphy, FNP-C

  Sep 24, 202633 min

  Behind every complex pediatric cancer patient is a care team, and advanced practice providers are the key to keeping every moving piece connected. On this episode of BackTable ENT & Allergy, host Dr. Sara Helmig welcomes St. Jude APPs Sara Meehan (pediatric solid tumor oncology nurse practitioner) and Megan Murphy (ENT family nurse practitioner) to discuss the critical role APPs play across the full continuum of care. They walk through clinical responsibilities from pre-op to follow-up, the logistics of organizing multidisciplinary tumor boards, and the importance of care coordination across surgery, oncology, endocrinology, rehab, nutrition, and beyond. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction03:00 - APP Roles in Pediatric Oncology08:01 - Epic and Workflow Tools11:03 - Family Education and AI Support17:26 - Expanding the APP Scope22:08 - Telehealth and Remote Care24:47 - Vision for Program Growth27:31 - Closing Remarks --- More about this episode The conversation highlights the use of Epic tools and Abridge for documentation, patient education, and tumor board preparation, as well as the APP-family relationship, expectation setting, and early side effect management. Meehan and Murphy share opportunities for expanded APP scope, discuss telehealth and program growth, and reflect on challenges like cross-site communication and intake for out-of-state and international patients. The episode closes with insights on building well-rounded, family-centered care and strategies to strengthen the APP team’s impact. --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

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  BackTable ENT & Allergy

  Ep. 293 Innovations in Pediatric Head & Neck Oncology Care with Dr. Anthony Sheyn and Dr. Sara Helmig

  Sep 22, 202639 min

  Treating pediatric head and neck cancer means thinking far beyond the initial diagnosis to ensure healthy growth, function, and future quality of life. For Pediatric Cancer Awareness Month, BackTable ENT & Allergy spotlights the unique challenges and innovations in caring for children with head and neck cancer. Host Dr. Gopi Shah is joined by Dr. Anthony Sheyn, leader of the head and neck cancer program at St. Jude Children’s Research Hospital, and Dr. Sara Helmig, pediatric oncologist at St. Jude, to discuss how multidisciplinary teams, advanced diagnostics, and family-centered care are reshaping outcomes for young patients. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction 03:39 - Building a Multidisciplinary Program 06:54 - Patient Workup and Tumor Board Workflow 10:36 - Unique Considerations in Pediatric Head and Neck Cancer13:31 - Recent Advances in Diagnosis and Treatment16:42 - Balancing Margins, Function, and Protocols19:56 - Managing Treatment Side Effects23:35 - Endocrine and Craniofacial Development 27:30 - Fertility, Second Cancers, and Survivorship32:45 - Looking Ahead: Program Innovations 36:23 - Closing Remarks --- More about this episode The episode explores how pediatric head and neck cancers differ from adult disease, including the critical role of molecular and genomic profiling, targeted therapies, proton radiation, and 3D surgical planning. Drs. Sheyn and Helmig describe the development of a comprehensive care program involving ENT, oncology, endocrinology, genetics, nutrition, dental, speech, and psychology specialists. They discuss strategies for balancing surgical margins with preservation of function, monitoring for treatment toxicity, and supporting endocrine and craniofacial development. Additional topics include fertility preservation, survivorship clinic models, long-term monitoring for secondary malignancies, and the use of AI to streamline tumor board workflows. The episode closes with a look at the future of pediatric head and neck oncology, including efforts to standardize protocols and enhance multidisciplinary collaboration. --- Resources Episode on Pediatric Thyroid Nodules https://www.backtable.com/shows/ent/podcasts/274/pediatric-thyroid-nodules-clinical-insights-approaches Episode on Molecular Diagnostics for Thyroid Nodules https://www.backtable.com/shows/ent/podcasts/277/molecular-diagnostics-for-thyroid-nodules --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

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  BackTable ENT & Allergy

  Ep. 291 Integrating GLP-1s in Obesity & OSA Management with Dr. Shanail Berry, Dr. John Carter

  Sep 8, 202655 min

  Which patients with obstructive sleep apnea are candidates for a GLP-1, and how do you start, escalate, and monitor one safely? On this episode of BackTable ENT & Allergy, host Dr. Gopi Shah is joined by obesity medicine specialist Dr. Shanail Berry and sleep specialist Dr. John Carter to discuss the practical questions that arise when adding GLP-1 and GLP/GIP therapies in OSA management. They discuss drug mechanisms and formulations, patient selection, screening and referral, management of side effects and contraindications, adherence strategies, perioperative considerations, and nutritional issues. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:18 - The Overlap Between Obesity and Sleep Apnea04:02 - GLP-1 Medications: Basics and History05:52 - Dual and Triple Agonists in Development08:56 - Clinic Evaluation and Team-Based Referrals14:18 - Navigating Insurance Coverage17:28 - Key GLP-1 Trials in OSA18:25 - Results from SURMOUNT-OSA26:31 - Integrating CPAP and GLP-1 Therapy37:35 - Moving Beyond AHI: New Assessment Metrics40:40 - Safety, Perioperative Risks, and Sarcopenia50:16 - Wrap-Up --- More about this episode The discussion also addresses the challenges of long-term GLP-1 therapy, including insurance barriers, prior authorizations, dose escalation, and common side effects. The doctors review when to reassess OSA after starting treatment, the growing importance of hypoxic burden beyond AHI, and strategies to prevent sarcopenia during weight loss. Throughout, they emphasize a multidisciplinary approach and the evolving landscape of OSA care in the era of GLP-1 therapies. --- Resources SCALE Studyhttps://pubmed.ncbi.nlm.nih.gov/26132939/ SURMOUNT-OSA Trialhttps://pubmed.ncbi.nlm.nih.gov/38547961/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

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  BackTable ENT & Allergy

  Ep. 289 Pharmacist Impact on Asthma & COPD Care with Dr. Joelle Ayoub

  Aug 25, 202659 min

  What if your pharmacist could help optimize a patient’s asthma treatment before their next clinic visit? On this episode of the BackTable ENT & Allergy Podcast, Dr. Basil Kahwash welcomes clinical pharmacist Dr. Joelle Ayoub to discuss how ambulatory care pharmacists can partner with ENT and allergy clinics to optimize asthma management. Dr. Ayoub shares her experience working in a family medicine clinic, collaborating with providers through referrals, reviewing medications, and providing direct patient education on inhaler use and disease management. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:40 - The Role of the Clinic Pharmacist05:04 - Teaching Patients and Improving Inhaler Technique12:36 - Choosing Inhalers and Applying Guidelines18:51 - Comparing MDI, DPI, and SMI Devices28:15 - Tracking Asthma Control and Monitoring Adherence33:55 - Inhaler Education and Overcoming Barriers40:00 - Using Social Media for Patient and Provider Education44:16 - Pharmacist Collaboration and the Future of Team Care50:58 - Answering Biologics Patient Questions53:15 - SMART Therapy and Digital Inhaler Advances55:19 - Wrap Up --- More about this episode They discuss common gaps in asthma care, with a focus on inhaler technique and medication adherence. Dr. Ayoub explains how device complexity, cost, and a patient’s ability to use their inhaler can all affect treatment. She also reviews the major inhaler types, common technique errors, and what to consider when choosing the right device for each patient. With this, Dr. Ayoub shares practical approaches to adherence monitoring, asthma guideline updates, and biologic monitoring. Throughout, Dr. Ayoub emphasizes the benefits of multidisciplinary collaboration and how pharmacists can help bridge gaps in care for patients with asthma. --- Resources Joelle Ayoub, PharmD, BCACP, APh - https://www.westernu.edu/bios/?bio=jayoub --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

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