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Listen "Ep. 210 Rethinking OSA: Role of the Nose with Dr. Keith Matheny and Dr. Ashwin Ananth"
Episode Synopsis
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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This podcast is supported by:
Aerin Medical
https://aerinmedical.com/
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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.
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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
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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
---
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
More episodes of the podcast BackTable ENT
Ep. 248 Understanding Inducible Laryngeal Obstruction: Diagnosis & Management with Dr. Steven Sims
18/11/2025
Ep. 243 Parotid Malignancies: Diagnosis, Biopsy & Treatment Strategies with Dr. Mirabelle Sajisevi
14/10/2025
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