top of page

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.

Be part of the conversation. Put your sponsored messaging on this episode. Learn how.

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

Free CME

Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs. Follow the button below to claim your credits on CMEfy.

BackTable CMEfy button

Stay Up To Date

Follow:

Subscribe:

Sign Up:

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 an otolaryngologist 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 pediatric otolaryngologist and the co-host of BackTable ENT.

Synopsis

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.

Timestamps

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

Transcript Preview

[Dr. Stephen Schoeff]
The idiopathic patients tend to get shuffled around quite a bit. They often are otherwise pretty healthy. They're showing up with some mild stridor, potentially, but often not even stridor at their first presentation to someone where they're presenting, say, to their primary care provider with increasing mucus in the throat, which we all know is a super common complaint, or increased cough, maybe slightly shorter breath, but pretty gradual, pretty slow onset. That's part of what makes it such a challenging condition is that they oftentimes get managed with some OTC meds, or maybe acid reflux meds, and albuterol inhaler and they're not getting better. Oftentimes, they'll end up actually getting sent over to allergy or pulmonology first. Then finally, the stridor becomes more noticeable. That's oftentimes when they may either end up in an urgent care or emergency room setting or in the ENT clinic.

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.

backtable-earn-free-cme.jpg
backtable-plus-vi-cta.jpg
Become a BackTable Sponsor

Up Next

Localized Drug Delivery for CRS with Dr. Rajiv Pandit on the BackTable ENT Podcast)
Aural Rehabilitation After Pediatric Cochlear Implantation: Expert Insight from Audiology with Dr. Sarah Cordingley on the BackTable ENT Podcast)
Decision Fatigue in Medicine with Dr. Steven Goudy on the BackTable ENT Podcast)
Teaching Surgical Residents in the XXI Century: Beyond See One, Do One, Teach One with Dr. Oswaldo Henriquez on the BackTable ENT Podcast)
AI Scribes: Enhancing Patient & Physician Interaction with Elie Toubiana on the BackTable ENT Podcast)
Balloon Sinuplasty: Evolution, Efficacy & Expert Insights with Dr. Ayesha Khalid on the BackTable ENT Podcast)

Articles

Idiopathic Subglottic Stenosis Treatment: Steroids, Dilation or Surgery?

Idiopathic Subglottic Stenosis Treatment: Steroids, Dilation or Surgery?

Identifying Idiopathic Subglottic Stenosis: Signs & Symptoms

Identifying Idiopathic Subglottic Stenosis: Signs & Symptoms

Topics

Learn about Laryngology on BackTable ENT

Get in touch!

We want to hear from you. Let us know if you’re interested in partnering with BackTable as a Podcast guest, a sponsor, or as a member of the BackTable Team.

Select which show(s) you would like to subscribe to:

Thanks! Message sent.

bottom of page