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BackTable / ENT / Podcast / Episode #199
Advances in Early Glottic Cancer Treatment Options
with Dr. Bharat Panuganti
Is a subtle voice change something to ignore? In this episode of the Backtable ENT podcast, hosts Gopi Shah and Dr. Ashley Agan speak with Dr. Bharat Panuganti, a laryngologist from Washington University in St. Louis, about the diagnosis, treatment, and management of early glottic cancer.
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BackTable, LLC (Producer). (2024, November 12). Ep. 199 – Advances in Early Glottic Cancer Treatment Options [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Bharat Panuganti
Dr. Bharat Panuganit is an otolaryngologist and airway surgeon at Washington University in St. Louis, Missouri.
Dr. Gopi Shah
Dr. Gopi Shah is a pediatric otolaryngologist and the co-host of BackTable ENT.
Dr. Ashley Agan
Dr. Ashley Agan is an otolaryngologist in Dallas, TX.
Synopsis
First, the doctors discuss the importance of not underestimating voice changes such as dysphonia. Then, they discuss the evolving demographics and risk factors of laryngeal cancers. Dr. Panuganti also explains his approach to using advanced imaging techniques and lasers in treatment. The conversation highlights the necessity of personalized and compassionate patient care, considering both surgical and radiation therapy options. The discussion concludes with advice on the importance of consistent patient follow-up for early detection and treatment of recurrences.
Timestamps
00:00 - Introduction
03:09 - Understanding Early Glottic Cancer and Symptoms
08:09 - Physical Examination, FEES and Stroboscopy
14:19 - Intraoperative Imaging Techniques
31:33 - Radiation vs. Surgery: Predicting Outcomes
32:18 - Laser Surgery and Technologial Advances
42:51 - Robotic Surgery
47:13 - Postoperative Care and Patient Counseling
52:53 - Equitable Care and Treatment Choices
Resources
BackTable+ for ENT
https://plus.backtable.com/pages/ent
Dr. Bharat Panuganti’s WashU Profile:
https://oto.wustl.edu/people/bharat-panuganti-md/
Transcript Preview
[Dr. Bharat Panuganti]
I think that's where it becomes really difficult for people without truly understanding the granularity of decision-making in this process to say that one modality is better than the other. Of course, how it's done makes a difference. Their radiation oncologists are not all the same. Surgeons are not all the same. Patients aren't all the same. I think that having all the information in hand so you can have a really educated and informed conversation with the patient about the possibilities so that they can make a decision on their own, that's really where I think early glottic cancer care becomes so interesting is it really is a sophisticated conversation.
You can't just look at proportions and numbers. You really have to talk to someone and have a really truly intimate conversation. I think as ENTs, we have this unique opportunity to affect people functionally in a way that I frankly don't think other specialties can. We're helping people smell, helping people hear, helping people voice, interact with the world in a meaningful way. Early glottic cancer, I think, is really emblematic of that.
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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