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BackTable / ENT / Podcast / Episode #161

Idiopathic Subglottic Stenosis Evaluation & Management

with Dr. Stephen Schoeff

In this episode, hosts Dr. Gopi Shah and Dr. Ashley Agan talk to Dr. Stephen Schoeff, laryngologist at Kaiser Permanente (Tacoma, WA), about subglottic stenosis in adults.

Dr. Schoeff introduces subglottic stenosis (SS) as a rare condition affecting adult women of all ages. Patients complain of progressive dyspnea, declining exercise tolerance, and mucus sensation. Sometimes confused for asthma, globus sensation, LPR, or paradoxical vocal fold motion, SS is diagnosed when airway scarring and narrowing is visible on laryngoscopy. After describing workup, Dr. Schoeff reviews etiologies of SS, including iatrogenic, idiopathic, and autoimmune. Treatment options for SS include cricotracheal resection, endoscopic dilation, and airway steroid injections. Dr. Schoeff concludes the episode by sharing his success using periodic airway steroid injections for treatment of SS.

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Idiopathic Subglottic Stenosis Evaluation & Management with Dr. Stephen Schoeff on the BackTable ENT Podcast)
Ep 161 Idiopathic Subglottic Stenosis Evaluation & Management with Dr. Stephen Schoeff
00:00 / 01:04

BackTable, LLC (Producer). (2024, March 5). Ep. 161 – Idiopathic Subglottic Stenosis Evaluation & Management [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Stephen Schoeff discusses Idiopathic Subglottic Stenosis Evaluation & Management on the BackTable 161 Podcast

Dr. Stephen Schoeff

Dr. Stephen Schoeff is a laryngologist at Kaiser Permanente in Tacoma, Washington.

Dr. Ashley Agan discusses Idiopathic Subglottic Stenosis Evaluation & Management on the BackTable 161 Podcast

Dr. Ashley Agan

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

Dr. Gopi Shah discusses Idiopathic Subglottic Stenosis Evaluation & Management on the BackTable 161 Podcast

Dr. Gopi Shah

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

Show Notes

00:00 - Introduction
01:21 - Dr. Schoeff’s Journey & Practice
08:28 - Symptoms & Differential Diagnosis
12:31 - Physical Examination & Diagnosis
27:23 - Introduction to Endoscopic Dilation
28:57 - Steroid Injections as a Management Option
31:24 - The Three Big Categories of Treatment
33:05 - How Steroids Address Disease Pathophysiology
38:58 - Technique for Airway Dilation
49:06 - Deciding on Cricotracheal Resection
51:14 - How Insurance Affects Treatment Options
55:05 - Final Thoughts & Pearls

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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