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