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BackTable / ENT / Podcast / Episode #142

Evaluation and Management of Chronic Frontal Sinusitis in Sweden

with Dr. Jens Andersson

In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Jens Andersson, practicing ENT at Sweden’s Skåne University Hospital, tackle chronic frontal sinusitis.

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Evaluation and Management of Chronic Frontal Sinusitis in Sweden with Dr. Jens Andersson on the BackTable ENT Podcast)
Ep 142 Evaluation and Management of Chronic Frontal Sinusitis in Sweden with Dr. Jens Andersson
00:00 / 01:04

BackTable, LLC (Producer). (2023, November 14). Ep. 142 – Evaluation and Management of Chronic Frontal Sinusitis in Sweden [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Jens Andersson discusses Evaluation and Management of Chronic Frontal Sinusitis in Sweden on the BackTable 142 Podcast

Dr. Jens Andersson

Dr. Jens Andersson is a practicing ENT at Skåne University Hospital in Sweden.

Dr. Gopi Shah discusses Evaluation and Management of Chronic Frontal Sinusitis in Sweden on the BackTable 142 Podcast

Dr. Gopi Shah

Dr. Gopi Shah is a practicing ENT at UT Southwestern Medical Center in Dallas, TX.

Show Notes

First, Dr. Andersson talks about the Swedish healthcare systems, focusing on access to care and cost. The discussion then shifts to chronic frontal sinusitis. Symptoms associated with this disease include frontal headache, stuffiness, congestion, and low-grade fever. In cases of orbital involvement, patients may complain of proptosis or diplopia. Risk factors include frontal sinus fracture, barotrauma, an immunocompromised state, and dental infection. Most, but not all, patients have involvement of multiple sinuses.

Next, Dr. Andersson illuminates workup and treatment of chronic frontal sinusitis. His physical exam includes close inspection of the oral cavity, anterior rhinoscopy (performed with a microscope), and flexible fiberoptic laryngoscopy. When ordering imaging, he prefers cone-beam CT of the sinuses, though he orders MRI when bony invasion or extra-sinus disease are present.

Finally, the surgeons discuss operative management of chronic frontal sinusitis. Dr. Andersson talks listeners through his pre-operative planning, focusing on how he uses imaging. Moving to the OR, the surgeons share their techniques for operating on the frontal sinus. Dr. Andersson reviews strategies to avoid scarring, use of navigation systems, and post-operative management. Dr. Shah shares pearls from her pediatric sinus practice. The episode finishes with Dr. Andersson’s witty and high-yield advice for otolaryngologists.

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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