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BackTable / ENT / Podcast / Episode #181
Localized Drug Delivery for CRS
with Dr. Rajiv Pandit
Before bringing a new device into your practice, it’s prudent to understand the science behind, indications for, and insurance coverage of that device. In this episode, Dr. Rajiv Pandit, comprehensive otolaryngologist at Dallas ENT Head & Neck Surgery Center, joins BackTable to discuss his success treating sinusitis with drug-eluting stents.
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BackTable, LLC (Producer). (2024, July 16). Ep. 181 – Localized Drug Delivery for CRS [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Rajiv Pandit
Dr. Rajiv Pandit is a clinical instructor and section chief of otolaryngology at Methodist Dallas Medical Center is Dallas, Texas.
Dr. Gopi Shah
Dr. Gopi Shah is a pediatric otolaryngologist and the co-host of BackTable ENT.
Synopsis
First, Dr. Pandit shares the benefits of localized drug delivery, including fewer systemic steroid effects and improved compliance. He shares his experience deploying Propel and SINUVA stents to treat sinusitis. Then, Dr. Pandit shares his workflow for treating sinusitis, including patient education, anesthesia protocols, stent placement, and billing. The episode wraps with his tips on incorporating a new device into your practice.
Timestamps
00:00 - Introduction
02:44 - Dr. Rajiv Pandit’s Path to Treating Sinusitis in Private Practice
04:31 - Understanding Local Drug Delivery for Sinus Disease
06:17 - The Evolution of Propel & Sinuva Sinus Stents
18:33 - Contraindications & Post-Op Protocols
32:35 - Understanding Insurance Coverage & Preauthorization
37:47 - Patient Education & Long-Term Treatment Plans
48:10 - Anesthetic Protocols for In-Office Sinonasal Procedures
54:48 - Bringing Drug-Eluting Sinus Stents to Your Practice
Resources
Dr. Pandit’s Dallas ENT Profile:
https://www.dallasent.com/providers/rajiv-pandit
Dallas ENT Instagram:
https://www.instagram.com/dallas.ent/embed/
Dr. Pandit’s Email:
drpandit@dallasent.com
Transcript Preview
[Dr. Rajiv Pandit]
We know that topical delivery of medication is better for the patient because you can get up to actually over 1,000 times the concentration of the drug to the mucosal surface or to the skin than you can from an oral medication. Even eardrops, eye drops, nasal irrigations, mouth rinses, it's the same. There's a huge pro with that because those high concentrations taken early would lead to organ toxicity. The con with localized drug delivery is the fact that you have to get it to that surface area. If you have any blockage, if you have cerumen in the ears, if you have debris or clots or scabbing in the nose, you're not going to get the drug there, and therefore it's completely useless.
What I would describe topicals as localized drug delivery, is it's either all or none. If you use it right, it's very powerful.
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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