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BackTable / ENT / Article
The Critical Role of ENTs in Effective Sleep Apnea Treatment
Lilyrose Bahrabadi • Updated Apr 17, 2025 • 35 hits
Obstructive sleep apnea (OSA) is fundamentally an upper airway disorder, involving the pharynx and larynx – regions that are central to otolaryngology. Yet, the majority of OSA cases are referred to pulmonologists and neurologists, where treatment heavily relies on CPAP as the primary solution. This one dimensional approach often leads to poor patient adherence, with many discontinuing therapy within 90 days. Why are the current practice patterns falling short? Are critical diagnostic and treatment processes being overlooked, and should ENTs play a larger role in the management of OSA?
This article explores the evolving role of otolaryngologists in OSA care, highlighting how a multi level, anatomically driven approach can improve patient outcomes. Dr. Keith Matheny and Dr. Ashwin Ananth share insights into how emerging technologies, such as the Inspire implant, and refined clinical practices, including thorough nasal examinations, are driving better long term success. By moving beyond the CPAP centric model, ENT specialists are demonstrating their capacity to deliver more effective, tailored solutions for OSA patients.
This article features excerpts from the BackTable ENT Podcast. We’ve provided the highlight reel in this article, and you can listen to the full podcast below.
The BackTable ENT Brief
• Incorporating home sleep testing (HST) into ENT practices has created a streamlined, “one-stop-shop” model that has shown increased patient compliance and continuity of care.
• Increased awareness of surgical alternatives, such as the Inspire implant, has provided effective solutions for CPAP intolerant patients and has helped reduce the cycle of untreated OSA.
• OSA, despite being an upper airway disorder, is often managed by pulmonologists or neurologists with a sole reliance on CPAP. This reliance on CPAP treatment has resulted in decreased patient compliance to treatment, emphasizing the need for a multi leveled approach that includes nasal intervention, oral appliances, and surgical alternatives in congruence to CPAP usage.
• Nasal obstruction, beyond the commonly recognized deviated septum, is often overlooked as a contributing factor to sleep apnea, despite data indicating that up to 70% of OSA patients experience it. Nasal obstruction increases airflow resistance, forcing patients to increase their CPAP pressures. This ultimately causes patient discomfort that then reduces adherence to CPAP therapy. Addressing these blockages improves CPAP tolerance, and may improve overall compliance.
• Thorough nasal examination is critical, particularly in CPAP intolerant patients, and should become part of a standard practice. Dr. Ananth and Dr. Matheny both emphasize the benefits behind treating nasal obstruction before initiating OSA therapy, claiming it improves diagnostic accuracy and long-term treatment adherence.
• Nasal blockage forces mouth breathing by altering jaw and tongue positioning. This increases the likelihood of an airway collapse, exacerbating OSA severity. Addressing nasal obstruction encourages mouth closure during sleep, restoring normal aerodynamics and reducing pharyngeal collapse.
Table of Contents
(1) Addressing Obstacles in Sleep Apnea Treatment
(2) The Burden of OSA & Challenges with the Routine CPAP Approach
(3) The Role of Nasal Obstruction in OSA & the Importance of Nasal Examination
(4) The Adverse Effects of Mouth Breathing on OSA & How ENTs Can Help
Addressing Obstacles in Sleep Apnea Treatment
As medicine continues to evolve, so does the field of otolaryngology, particularly in sleep apnea management and treatment. Traditionally, ENT specialists referred patients to external sleep labs or other specialties, often resulting in fragmented care and lower patient follow-through. However, the integration of home sleep testing (HST) systems, such as WatchPAT, into ENT practices has created a more seamless diagnostic and treatment experience. Physicians like Dr. Matheny have observed that offering a “one-stop shop,” where patients remain with the same physician throughout their care, significantly enhances compliance and strengthens the doctor-patient relationship. This comprehensive model also enables more treatments to be billed through medical insurance rather than as out-of-pocket expenses, making care more accessible. As a result, the number of eligible patients receiving oral appliances has risen dramatically from approximately 10% to 60-70%.
In addition to these practice changes, Dr. Matheny and Dr. Ananth highlight the growing impact of surgical alternatives, such as the Inspire implant, for CPAP intolerant patients. The increasing awareness of these options has allowed more individuals to seek treatment, helping to break the cycle of CPAP aversion and untreated obstructive sleep apnea (OSA). This conversation reveals a broader shift in the evaluation and treatment of OSA, revealing the overall benefits in otolaryngologists positioning themselves as central providers in sleep apnea cases. By addressing both the anatomical and functional contributors to OSA with greater precision, ENT specialists are delivering more effective and personalized care. This integrated, patient-centered approach not only improves clinical outcomes but also makes sleep apnea treatment more accessible and economically viable.
[Dr. Ashley Agan]
What we want to talk about today is the patient who is snoring or has obstructive sleep apnea, or hates their CPAP, or refuses to ever be tested because they know they don't want a CPAP. They'd rather die than have a CPAP, so they're not even going to get a sleep study. Let's talk about that patient. How do you guys think about these patients when they're presenting in your office? How does that look?
[Dr. Keith Matheny]
I've been at it a little bit longer and so I think back, if we had recorded this, if there was such a thing as podcast 10 or 15 years ago, I guess they were just starting, and you asked me, do you do sleep in your practice? I would have said absolutely. What I meant back then is I saw snoring patients and I triaged them. Usually those patients are dragged in by their bed partner, by their ear or their collar and thrown into my chair and I'm told to fix them. What we would do is send them elsewhere for a sleep study. Many times we would never see them again, or perhaps we would get them back to discuss the sleep study, but that was interpreted by somebody else.
Then maybe we would write a CPAP prescription or discuss other treatment options. Over that 10 or 15 years, that's completely changed in my practice at least, where we first brought the diagnostics in-house and began doing home sleep testing. We in my practice currently use the WatchPAT test from ZOLL Itamar and we've used that for eight or nine years. There are many other good ones on the market. We went along well for a couple years and noticed that patients love that. They love being able to stay with their initial physician for the diagnosis and the discussion of treatment options.
Even then, I would either write a CPAP prescription or discuss an oral appliance. These were in the days where Inspire was really just coming to market and other surgical options were real desirable for patients. Admittedly, Ashwin, we were not thinking about the nose with regards to sleep. At least I wasn't. We weren't having the discussions that thankfully we do now. That next step was bringing the oral appliance program into our office. What I mean by that is here in Dallas, we had for decades referred to a sleep dentist in our geographic area.
Just that drive from my office to the dentist completely changed the economics for the patient. Once I was able to bring the dentist into my office, I was able to run those appliances through the patient's health insurance. Maybe if I had 10 patients before that I thought an oral appliance might be a good alternative to CPAP, maybe one of them would actually follow through because it was quite expensive. It was out of network or completely cash pay. Just having the dentist in my office, we've moved that up to maybe 6 or 7 out of 10 that I feel are good candidates for oral appliances or actually receiving them.
Oh, by the way, saving a lot of money in doing so. That was really step two. Relatively recently for me, Ashwin, I do hope you talk a lot about your Inspire experience as well, two of my younger associates are doing the Inspire implant. As people told me for a while, we've been amazed at how many candidates there are, but also how much interest there is. I would say kudos to Inspire for raising so much awareness that there are alternatives to CPAP. If that's just not for you, you don't have to just live/die from untreated obstructive sleep apnea. You actually have other options.
[Dr. Ashwin Ananth]
I totally agree with everything you said. I have much more limited experience in practice than you, so I haven't seen the evolution, but I've seen everything you said come true. If you can bring some of the diagnostics in-house and as many treatment options as you can offer in-house, then that patient will stay with you and you'll be able to follow them along as a journey to take care of their sleep and their health, really.
[Dr. Keith Matheny]
Patients love it. They love having a one-stop shop. You're really unique and great in that you know so much, you're boarded in so much about sleep. Patients, no matter what, they can stay with you for their entire treatment. I just think it's important to say, I know that we have a variety of listeners, but a lot are otolaryngologists, and all three of us are. It's always amazed me, even as a resident, that we aren't the primary specialty that treats sleep apnea.
This is a disease that occurs right here, and yet it's treated by the doctors of the brain and the doctors of the lungs. They do a wonderful job. That's not a knock on the pulmonologist and the neurologist, it's a knock on our society that we didn't take this by the reins and really drive therapy and treatment. I'm glad to see that there is much more interest amongst our colleagues in doing so finally.
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The Burden of OSA & Challenges with the Routine CPAP Approach
Despite OSA being primarily an upper airway disorder affecting the pharynx and larynx, both regions central to otolaryngology, it is often managed by pulmonologists or neurologists with a singular reliance on CPAP therapy as the definitive solution. This narrowed approach results in patient dissatisfaction, causing many to abandon CPAP due to discomfort and creating the belief that no other viable alternatives are available. Dr. Matheny emphasizes the magnitude of this outcome, stating that only 1% of OSA patients receive ongoing treatment beyond 90 days, despite the condition’s significant long term morbidity when left untreated.
Dr. Ananth shares his point of view on the critical need for a broader, multi-level treatment approach to OSA, moving away from the perception that CPAP is the only solution. He advocates for a persistent and adaptive treatment philosophy towards OSA, resembling those used to treat head and neck cancers. Rather than offering a single solution, clinicians must introduce multi-level therapy, combining nasal interventions, CPAP solutions, oral appliances, and surgical alternatives, such as hypoglossal nerve stimulation. This layered approach not only addresses anatomical contributors to OSA but also improves treatment adherence by tailoring interventions to patient specific needs.
Dr. Ananth further argues that improving nasal airflow is critical for patients with nasal obstruction as a barrier to successful OSA management. Resolving nasal obstruction improves the efficacy of CPAP and provides a bridge to alternative therapies. This shift in mindset from a one size fits all model to a comprehensive, multi-level, adaptive strategy represents a necessary evolution in OSA management.
[Dr. Ashwin Ananth]
I think that OSA is a field with a fellowship behind it that's a sleep fellowship. Even with the sleep fellowship, OSA is going to be 90%-plus of what a sleep physician is treating. OSA is an upper airway disorder. Your brain is telling you to breathe, your diaphragm is trying to bring air into your lungs and there's obstruction in the upper airway. We're biased, we're all biased. Nobody knows that better than us, than knows the pharynx, the larynx, and the upper airway. It's our wheelhouse. Understanding that you can impact an OSA patient more meaningfully than a lot of physicians who do sleep medicine can is really important.
I feel that all otolaryngologists, whether they want to be or not, are probably really good sleep doctors for OSA. Another thing I'll say, and you highlighted it with the Inspire comment, is that when a patient sees a sleep physician who is not a surgeon, there's really only one answer. That answer is CPAP. A lot of patients will pick up on that. Eventually, the patient says, the CPAP's really bothering me, I don't like it, it's blowing in my face, it's waking me up, I hate it. The doctor says, you need to wear your CPAP, or we'll try on BiPAP, or we'll try a different mask.
Then the patient comes back and maybe it's a little better, maybe it's not. The doctor says, you really need to wear it, you're going to die if you don't wear it. At some point, that patient will become cognizant of the fact that there's only one tool in the toolbox there. That patient will put the CPAP under their bed, or they'll get rid of it, or their insurance will reclaim it because they're not using it. What I've seen in my couple years of practice is that there are so many of those people out there that have put OSA treatment, they've forgotten about it, and they're sleeping in a different room as their bed partner, or they're suffering a developed atrial fibrillation.
[Dr. Keith Matheny]
Drives me crazy, because I see this, snoring is a frequent topic of comedy routines. It's not funny. This is the most severe disease that an otolaryngologist takes care of, except for head and neck cancer. We're only really treating about 1% of patients longer than 90 days that have OSA.
[Dr. Ashley Agan]
1%? One?
[Dr. Keith Matheny]
A quarter of this planet, 25% of this planet is walking around with diagnosable OSA. I'm just talking about OSA here. Of that, even in the Western world, we have only diagnosed 10% of people that have OSA. Of that 10%, we're only treating 10% longer than 90 days. Yes, Ashley, if my math is right, it's 1%. Imagine if we were treating 1% of head and neck cancers. That's what we're doing with this, and it's just as morbid and it's just as fatal. Maybe not as quick as a bad laryngeal squamous cell, but just as fatal eventually.
[Dr. Ashwin Ananth]
What I've seen with the marketing campaign with hypoglossal nerve stimulation, namely Inspire, the patients see a commercial and they see, oh, some joke about snoring at the dinner table and then click a button, OSA is gone, no mask, no hose, just sleep. These people come out of the woodwork and I've been seeing patients who said, my last sleep study was 20 years ago. When's the last time you wore a CPAP? 19 years ago. What have you been doing since then? I've been sleeping in a recliner in a separate room and I'm miserable and I take a nap every day for four hours, and my boss is about to lay me off, or something like that.
The burden of untreated OSA, as Keith is referring to, is absolutely enormous. In a similar way to bariatric surgery, I heard a bariatric surgeon tell me one time, we're not going to operate our way out of the obesity epidemic. In the same way, I don't think we're going to operate ourselves out of the OSA epidemic, but this is where the role of the nose is huge because we can recognize that and that may be the barrier to treatment that can get a lot of patients back in the game of being treated with their OSA. Whether that be getting back on CPAP or whether that be a bridge to other CPAP alternatives, it's additive therapy and again, a perfect correlate with head and neck cancer.
I'm not trying to say that OSA is cancer, but the way that we learned how to treat head and neck cancer was if you have a head and neck cancer, we diagnose it and we treat it and if it recurs or you get a second one, then we don't say, hey, we gave it a shot, sorry, you're dead. We say, we'll do salvage therapy or let's do something else. That's the way and even it parallels on my notes. This is my treatment history for OSA with this patient. The way I say it is if you're going to be on CPAP, we can dial up the CPAP and we can blow it away. If we're going to do something else, then we're going to get it as best as we can and it might not be one thing. It might be a treatment course.
[Dr. Keith Matheny]
Multi-level, right?
[Dr. Ashwin Ananth]
Yes, multi-level. Then the nose will only help whatever else we decide to do, if anything.
The Role of Nasal Obstruction in OSA & the Importance of Nasal Examination
Nasal obstruction plays a significant role in obstructive sleep apnea, but it is often overlooked. 70% of patients that present with OSA have concomitant nasal obstruction, demonstrating that nasal obstruction is the rule rather than the exception. He also emphasizes the tendency for nasal obstruction to be dismissed, even by other otolaryngologists, and labeled as a secondary issue. Historically, nasal obstruction has been reduced down to a deviated septum diagnosis, despite the impact that broader nasal airway issues have on sleep quality and CPAP tolerance.
Regardless of these obstacles, Dr. Ananth emphasizes the importance of thorough nasal examinations, particularly in CPAP intolerant patients. Through practice, he has seen how nasal obstruction can significantly contribute to CPAP discomfort by increasing airflow resistance, leading patients to increase their pressure settings. Some symptoms they mention, such as nasal dryness, congestion, and discomfort, can indicate an underlying obstruction. By treating the nasal obstruction first, through medical therapy or surgery, patients are more likely to tolerate and benefit from CPAP or alternative OSA therapies. This highlights a broader shift in clinical practice that encourages otolaryngologists to incorporate nasal evaluations as a standard part of OSA assessment rather than reserving these exams strictly for difficult cases. This integrated approach would improve diagnostic accuracy, enhance treatment adherence, and ultimately offer more sustainable, patient centered OSA care.
[Dr. Keith Matheny]
The literature says that up to 70% of OSA patients have significant nasal obstruction. I find that certainly before we had some of the modern therapies, which we'll talk about over the next few minutes, I'm sure, we even as otolaryngologists ignored it other than looking at a deviated septum. I will pause here, our friends at the third-party payers, "friends" in air quotes, they love to dissociate certainly a deviated nasal septum, but really any nasal airway obstruction from OSA to the point that you have to be careful documenting those ICD-10s in the same note because one may deny care for the other.
Yet, as I always say on this topic, the nose is central literally and figuratively in sleep disorder breathing. I guess Ashwin, my question to you is, since you trained much more recently, how much were they hammering home nasal obstruction as you were looking at sleep disorders or I guess even more when you were training with the non-otolaryngologists, the psychiatrists and the pulmonologists? Did they pay any attention to nasal obstruction or was it a complete mystery to them?
[Dr. Ashwin Ananth]
Here we go with the bias. If you're looking at a nose with an otoscope, then you're not going to see it right. You got to look with the speculum and you got to have to look at a lot of noses. That's what we do best as otolaryngologists. We're able to look at our physical exam and understand what we're seeing and correlate that with what the patients are saying. In my fellowship, the neurologists and the psychiatrists and the pulmonologists that I trained with were much, much better at managing medications than I was. Even during my fellowship, they'd say, what do you think about that nose? Do you think that this is that?
I'd be like, no, that's not that. Anyway, I think that the emphasis has to come from us because any otolaryngologist has, in practice, been referred a patient for nasal polyps and it's the inferior turbinate. You have to be able to look at it and understand what's going on. Is their nose contributing to a patient's intolerance of CPAP? Is their nose contributing to mouth breathing? Is their nose contributing to arousal threshold where they're not breathing well through their nose? They choke and wake up and that's making them have a hard time getting into deep sleep. The nasal exam, there's no different nasal exam for sleep than there is for any other thing, I think. Just look in their nose and you'll know what to do.
[Dr. Keith Matheny]
True.
[Dr. Ashley Agan]
Keith, can we go back to your comment on third-party payers not, or disassociating a deviated septum or nasal obstruction with OSA? You're saying if someone had both diagnoses, then that could be problematic for coverage of certain procedures?
[Dr. Keith Matheny]
Yes. What I've noticed, it's anecdotal. I'm not claiming to be Karen Zupko here, but I know a little bit about reimbursement. If there's this patient that all I've really found of significance on their physical exam is a deviated nasal septum, perhaps some nasal valve collapse, but I also have the ICD-10 of OSA. Whether I made that diagnosis or they came in with it, I've had many septoplasties denied because that is not an accepted treatment for OSA. Even though I'm treating the deviated nasal septum, just having that ICD-10 in the list, I've had them denied. I've learned to be very careful and dissociate them at least by 90 days.
Again, it's a game. I try to always be real on these podcasts. That's what it's like to really practice medicine nowadays. It's a game and a frustrating game. The rules change every 90 days. What I do is usually I'll ask the patient, what do you want me to address first? If you want me to do a home sleep test and evaluate your sleep, let's do that first and we'll deal with your nose later. What I vote for is, especially now that we know so much about the contribution of nasal airway obstruction, I say let me treat your nose first, heal up from that, whatever we do, and then let's do the diagnostics because you're going to be better. Then we can make some good clinical decisions if we need to do anything in addition. That's at least how I handle it, Ashley.
[Dr. Ashley Agan]
That's helpful. When you have a patient coming in who does not have a diagnosis of OSA, let's say it is that classic patient that's coming in with their partner to fix their snoring and they're falling asleep in the afternoon, it seems like there may be an issue. Now that you're paying more attention to the nose, as we're unpacking this nasal obstruction part of it, are you asking more questions about nasal obstruction and allergies, and runny nose, and that sort of thing when you're taking that initial history?
[Dr. Keith Matheny]
I really am. Ashwin, your comment earlier was spot-on. This should be a part of every patient that we see, and it is to some extent, but I think, Ashely, I'm taking much more care to ask even about post-nasal drip rhinitis congestion, those may be traditional allergy symptoms because those also negatively affect sleep quality. Absolutely, I'm trying to, essentially as we should all do, ask all these quality of life questions and that helps us formulate our recommendation for the patient.
[Dr. Ashwin Ananth]
My initial sleep history on it, I see probably 10 patients per day who are new patients referred from primary care for sleep medicine, not necessarily for an ENT evaluation, just a new onset AFib or snoring, choking, gasping, or falling asleep at work, or department transportation, physical. My history is really just a sleep history. What time do you go to bed, how long does it take you to fall asleep, are you waking up a lot at night, what time do you wake up, any medications associated with that, are you falling asleep during the day? Then just when I'm examining the patient, I say, do you have trouble breathing through your nose?
Then I look in their nose. I guess unpacking that, my goal is not to do a septoplasty on every OSA patient. My goal is to get those people treated. The nose is super important. It's not a huge focus of my initial history, but it is a huge focus of my history on a CPAP-intolerant patient, especially when they say that the pressure was not-- they weren't tolerating the pressure. I think that pressure intolerance with the CPAP is a huge harbinger of nasal obstruction as the cause.
[Dr. Keith Matheny]
Absolutely.
[Dr. Ashley Agan]
If people say I can't tolerate my CPAP, can't handle it, we should be thinking, what's going on in your nose?
[Dr. Ashwin Ananth]
Why not? You have your patients who are like, I just can't have anything touching my face. I was a tanker in the army and everything bad happened. That's a special population, the veterans, and they deserve special consideration. Then you have other people who, it's inconvenient, my partner makes fun of me, I'm dating, I don't want to wear a CPAP, something like that. Then you have people who say, it's just blowing on my face.
It's blowing so hard and it makes my nose dry and it hurts, and it's just blowing so hard and that thing has to be so tight. That last one is the one who I'm really looking at their CPAP machines compliance report to see what type of pressure it is blowing. A lot of times those people aren't using it. They haven't used it for years. I don't have access to that. That's the one where I'm very aggressive in treating their nose.
[Dr. Ashley Agan]
Will they also report a lot? Will they also say, oh my nose is really stuffy, I can't breathe through my nose well? Or not necessarily.
The Adverse Effects of Mouth Breathing on OSA & How ENTs Can Help
Mouth breathing plays a significant yet underappreciated role in the pathophysiology and management of OSA. During sleep, nasal obstruction will frequently drive a patient to breath through their mouth, altering the positioning of their jaw, tongue, and pharynx, causing an airway collapse. While treating the nasal obstruction may not cure OSA on its own, it can help to reduce mouth breathing.
Improved nasal airflow promotes natural mouth closure, restoring normal sleep aerodynamics and reducing pharyngeal collapse. Dr. Ananth emphasizes that this is critical even with CPAP therapy in play. Nasal CPAP interfaces, compared to full face masks, are associated with lower pressure requirements, better adherence, and improved long term success. He goes on to challenge the common practice of equipping mouth breathing patients with full face masks, arguing that nasal obstruction is the common culprit causing mouth breathing to start with. By addressing the nasal obstruction and prioritizing nasal CPAP masks, clinicians can enhance the effectiveness of treatment and patient comfort. As we covered in the previous section, this demonstrates the vital need for thorough nasal evaluation in routine OSA management, even for patients who present as habitual mouth breathers.
[Dr. Ashwin Ananth]
I think so. Oh, there's this whole thing with nighttime nasal obstruction. I breathe okay during the day, but then when I lay down, I can't breathe through my nose. My nose gets stuffed up and there's certainly an association with that and mouth breathing. Mouth breathing changes the dynamics of the jaw and the tongue, and the pharynx. There's data that treating the nose alone will not cure OSA. However, in my practice, anecdotally, I find that treating the nose, especially in mild OSA, can allow people to keep their mouth shut. Keeping their mouth shut can make very big dynamic changes in the pharynx.
[Dr. Keith Matheny]
I concur. I think with mild OSA, it can be curative, but maybe that's what you're saying, Ashwin, because then they can shut their mouth and have the normal aerodynamics of sleep.
[Dr. Ashley Agan]
Is that a question you ask too, about mouth breathing? Are you mouth breathing during the day or when you're sleeping, or not necessarily?
[Dr. Ashwin Ananth]
I don't really care. This is my pet peeve. The patient, I'll set them up for CPAP and they'll go to the DME company, the Durable Medical Equipment company, to be set up. The DME company will ask them, are you a mouth breather? If they say yes, they'll set them up with a full-face interface rather than a nasal interface. The nasal interfaces have been shown to have lower pressure requirements, better adherence, and overall predict better long-term success than full-face interfaces.
My personal belief is that if you have sufficient airflow through your nose, that you'll shut your mouth. When your nose is obstructed, that's why you open your mouth. Even somebody with nasal obstruction who we haven't treated yet, some of those people, if you put the CPAP arm and it forces air through their nose, it's not great. The pressures are too high, dries out their nose and all that, but they'll shut their mouth even though they were a "mouth breather before", if you put them on a nasal CPAP, they'll shut their mouth.
[Dr. Keith Matheny]
Ashwin, I see a new t-shirt coming from the BackTable store, shut your mouth. How many times have we already said that?
[Dr. Ashwin Ananth]
It used to be an insult, you're a mouth breather.
[Dr. Keith Matheny]
Now everybody tapes their mouth shut. At least that's what TikTok says today, right? Tape your mouth shut.
Podcast Contributors
Dr. Keith Matheny
Dr. Keith Matheny is an otolaryngolgist entrepreneur in Dallas, Texas.
Dr. Ashwin Ananth
Dr. Ashwin Ananth is an otolaryngologist practicing in Baldwin County, Alabama.
Dr. Ashley Agan
Dr. Ashley Agan is an otolaryngologist in Dallas, TX.
Cite This Podcast
BackTable, LLC (Producer). (2025, February 11). Ep. 210 – Rethinking OSA: Role of the Nose [Audio podcast]. Retrieved from https://www.backtable.com
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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