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BackTable / ENT / Podcast / Episode #154

Labyrinthitis Unpacked: Clinical Perspectives & Management

with Dr. Sujana Chandrasekhar

In this episode, Dr. Sujana Chandrashekar, neurotologist with New York City’s ENT and Allergy Associates, joins host Dr. Ashley Agan to discuss labyrinthitis.

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Labyrinthitis Unpacked: Clinical Perspectives & Management with Dr. Sujana Chandrasekhar on the BackTable ENT Podcast)
Ep 154 Labyrinthitis Unpacked: Clinical Perspectives & Management with Dr. Sujana Chandrasekhar
00:00 / 01:04

BackTable, LLC (Producer). (2024, January 16). Ep. 154 – Labyrinthitis Unpacked: Clinical Perspectives & Management [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Sujana Chandrasekhar discusses Labyrinthitis Unpacked: Clinical Perspectives & Management on the BackTable 154 Podcast

Dr. Sujana Chandrasekhar

Dr. Sujana Chandrasekhar is an otologist / neurotologist practicing at ENT and Allergy Associates in New York City.

Dr. Ashley Agan discusses Labyrinthitis Unpacked: Clinical Perspectives & Management on the BackTable 154 Podcast

Dr. Ashley Agan

Dr. Ashley Agan is a practicing ENT and assistant professor at UT Southwestern Medical Center in Dallas, TX.

Synopsis

The podcast begins by reviewing the clinical presentation of labyrinthitis, drawing on Dr. Agan’s personal experience with the condition. Then, Dr. Chandrashekar explains in-depth the physical exam of the dizzy patient, focusing on differentiating central vestibular lesions (such as strokes) from peripheral ones (such as labyrinthitis). While labyrinthitis is a self-limited condition, Dr. Chandrashekar shares strategies to mitigate the associated nausea, imbalance, and hearing loss patients find debilitating. Finally, the surgeons discuss how vestibular physical therapy and adequate rest enable prompt recovery.

Timestamps

00:00 - Introduction
01:22 - Discussion of and Personal Experience with Labyrinthitis
08:14 - Recovery and Treatment of Labyrinthitis
11:01 - Examination and Workup of Labyrinthitis
16:11 - Understanding Nystagmus in Labyrinthitis
20:29 - Further Testing and Examination for Labyrinthitis
33:49 - Treatment for Labyrinthitis
40:53 - The Role of Physical Therapy
43:12 - Follow-up and Recovery

Resources

Dr. Chandrashekar’s ENT and Allergy Associates Profile: https://www.entandallergy.com/find-a-doctor/sujana-s-chandrasekhar-md-facs/

Backtable ENT Ep. 87 – “Sudden Sensorineural Hearing Loss with Dr. Sujana Chandrashekar:” https://www.backtable.com/shows/ent/podcasts/87/sudden-sensorineural-hearing-loss

“The Ten-Minute Examination of the Dizzy Patient,” J.A. Goebel: https://pubmed.ncbi.nlm.nih.gov/11774054/

“She’s On Call” Podcast featuring Dr. Sujana Chandrashekar and Dr. Maurina Kurian: https://podcasts.apple.com/us/podcast/shes-on-call-weekly-medical-show/id1582727930

“Otolaryngologic Clinics” Podcast hosted by Consulting Editor Sujana S. Chandrasekhar, features in-depth discussions and commentary on the articles in each issue by the guest editors themselves.
Otolaryngologic Clinics (Elsevier) on Apple Podcasts

Transcript Preview

[Dr. Suana Chandrashekar] Luckily the vast majority, well over 90% of labyrinthitis [is viral], which is interchangeably used with vestibular neuritis or vestibular neuronitis, there's like, as you and I talked about in the past, it seems like everything in otology has at least three names, if not more. These are often interchangeable because we don't really, we cannot tell you the site of lesion is in the labyrinth or along the vestibular nerve or even along the superior or inferior vestibular nerve. We just know that it's a peripheral vestibular itis.

The vast majority are viral, which means that they don't demolish the ear and they are recoverable. We start to see recovery, initial recovery in about three weeks. Most people have a full recovery by three months, like the outside limit. If you're older, if you have some underlying balance disorder, if you have peripheral neuropathy, if you have cataracts, if you have glaucoma, if you have something else that's going to affect your balance system, it may take you longer to recover. In general, even though it's absolutely horrific, and you remember every minute of that episode, as if it happened yesterday, the full recovery happens pretty well in these patients.

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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Topics

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