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Diagnosis & Management of Eustachian Tube Disorders w/ Dr. Dennis Poe | BackTable ENT Podcast Ep. 40

Dr. Ashley Agan sits down with the eustachian tube expert Dr. Dennis Poe to discuss his approach to management and treatment of eustachian tube dysfunction. In this episode of the Back Table ENT podcast, Dr. Dennis Poe, a professor specializing in neurotology and skull-based surgery at Harvard Medical School, shares insights into eustachian tube dysfunction. The discussions center around distinguishing obstructive dysfunction from the patulous condition, ways to help patients manage their symptoms, and various tests needed for a proper diagnosis. Dr. Poe also talks about the importance of understanding the history of the patients, observing symptoms closely, conducting an appropriate physical examination, and the need for continuous medical treatment even after a surgical intervention. He covers less common conditions such as semicircular canal disorder and temporomandibular disorder which contributes to eustachian tube disorders. The episode ends with a concise review of current treatment methods for these conditions, indicating the importance of customized care. 01:21 Sponsor Message and Introduction to the Hosts 02:48 Introduction to Guest Speaker Dr. Dennis Poe 03:38 Discussion on Eustachian Tube Disorders 05:03 Understanding Eustachian Tube Dysfunction 06:22 Discussion on Patulous and Obstructive Dysfunction 09:42 Discussion on Symptoms and Diagnosis of Eustachian Tube Dysfunction 19:54 Discussion on Physical Examination for Eustachian Tube Dysfunction 32:08 Discussion on Valsalva Technique and Nasal Examination 32:39 Examining the Eustachian Tubes 33:36 Understanding the Importance of the Lumen 34:49 Introducing the Meelo Assessment 35:27 Grading System for Treatment Algorithm 36:48 Understanding the Role of Mucosal Edema 38:06 Identifying Patulous Patients 46:26 Treatment Options for Obstructive Dysfunction 50:55 Considerations for Eustachian Tube Dilation 57:39 Treatment Options for Patulous Patients 01:03:18 Closing Remarks -------------------------------------------------- The BackTable ENT Podcast is a resource for otolaryngologists to learn tips, techniques, and practical advice on all things ear, nose, and throat. Tune in to the BackTable ENT Podcast every week for candid conversations about rhinology, laryngology, otology, and head and neck surgery. Listen here or on the streaming platform of your choice. WEBSITE & SOCIAL MEDIA Website ► https://www.backtable.com/shows/ent​ Twitter ►   / _backtableent​   Instagram ►   / ​   Disclaimer: The opinions expressed by participants of the BackTable ENT Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.