BackTable / ENT / Podcast / Episode #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.

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Rethinking OSA: Role of the Nose with Dr. Keith Matheny and Dr. Ashwin Ananth on the BackTable ENT Podcast)

Ep 210 Rethinking OSA: Role of the Nose with Dr. Keith Matheny and Dr. Ashwin Ananth

00:00 / 01:04

BackTable, LLC (Producer). (2025, February 11). Ep. 210 – Rethinking OSA: Role of the Nose [Audio podcast]. Retrieved from https://www.backtable.com

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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. Gopi Shah

Dr. Gopi Shah is a pediatric otolaryngologist and the co-host of BackTable ENT.

Synopsis

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

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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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