Ep. 146 In-Office Laryngology Procedures: A Deep Dive with Dr. Lesley Childs

In this episode, Dr. Ashley Agan and Dr. Gopi Shah cover in-office laryngology procedures with Dr. Lesley Childs, Associate Professor of Laryngology, Neuro-Laryngology, and Professional Voice at the University of Texas Southwestern Medical Center. The surgeons cover laryngologic diseases commonly treated in the clinic. Dr. Childs describes procedures she performs, including video stroboscopy for mucosal wave assessment, steroid injections for subglottic stenosis, and Botox injections for neurologic voice disorders. She also speaks to the benefits of treating patients in-office, anesthesia for in-office procedures, and the role her medical assistants play during various in-office procedures. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/GrOWrn --- SHOW NOTES 00:00 Introduction 02:58 In-Office Laryngology Procedures Overview 03:49 Understanding Video Stroboscopy 05:27 Preparing for In-Office Procedures 08:09 Procedure Techniques and Patient Positioning 13:40 Anesthetic Protocol for Different Procedures 15:11 Handling Patient Reactions and Complications 26:11 Botox Injections and Anesthetic Considerations 29:08 Understanding False Vocal Folds and Abraham Cannula 35:01 Understanding the Process of Vocal Fold Botox Injections 36:06 The Risks and Challenges of Vocal Fold Injections 40:41 The Process of Vocal Fold Augmentation 52:33 The Use of Lasers in Vocal Fold Procedures 53:40 The Evolution of Vocal Fold Procedures Over Time