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BackTable / ENT / Podcast / Episode #164
Chronic Invasive Fungal Sinusitis: Diagnosis & Management
with Dr. Ashleigh Halderman
In this episode, Dr. Ashleigh Halderman, Rhinologist and Associate Professor at the University of Texas Southwestern Medical Center, discusses chronic invasive fungal sinusitis with hosts Dr. Gopi Shah and Dr. Ashley Agan,
First, Dr. Halderman outlines her advocacy work as President of the Texas Association of Otolaryngology. Then, the discussion transitions to chronic invasive fungal sinusitis. Dr. Halderman defines the disease, describes typical patient presentation, and reviews concerning imaging findings. Until biopsy can clinch the diagnosis, she maintains a high index of suspicion in cases of bizarre clinical presentation or facial paresthesia. The surgeons then shift their attention to management, which consists of culture-directed antifungals and judicious surgical intervention. Dr. Halderman wraps up the episode by sharing her pearls for operative management and long-term surveillance.
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BackTable, LLC (Producer). (2024, March 26). Ep. 164 – Chronic Invasive Fungal Sinusitis: Diagnosis & Management [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Ashleigh Halderman
Dr. Ashleigh Halderman is an Assistant Professor and practicing ENT specializing in rhinology and skull base surgery in the Department of Otolaryngology at UT Southwestern in Texas.
Dr. Ashley Agan
Dr. Ashley Agan is a practicing ENT and assistant professor at UT Southwestern Medical Center in Dallas, TX.
Dr. Gopi Shah
Dr. Gopi Shah is a practicing ENT at UT Southwestern Medical Center in Dallas, TX.
Show Notes
00:00 - Introduction
02:10 - Exploring the Texas Association of Otolaryngology
05:58 - Understanding Chronic Invasive Fungal Sinusitis: Types & Treatments
20:25 - Diagnostic Challenges and Imaging Insights
27:07 - Navigating Diagnostic Challenges and Treatment Options
29:40 - The Role of Biopsy in Confirming Fungal Infections
30:52 - Surgical Considerations and Pre-Operative Strategies
40:29 - Surveillance Strategies: Managing Chronic Invasive Fungal Sinusitis
46:34 - The Future of Surgical & Antifungal Therapies for Chronic Invasive Fungal Sinusitis
Resources
Dr. Ashleigh Halderman’s UT Southwestern Profile:
https://utswmed.org/doctors/ashleigh-halderman/
BackTable ENT Episode 30, “Revision Endoscopic Sinus Surgery"
https://www.backtable.com/shows/ent/podcasts/30/revision-endoscopic-sinus-surgery
Texas Association of Otolarynogology:
https://www.taohns.org/
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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