BackTable / ENT / Podcast / Episode #220
Managing Nasal Polyps: Treatments & Insights
with Dr. Martin Citardi
Is the future of nasal polyp treatment right under our nose? In this episode of Backtable ENT, Dr. Martin Citardi, a world-renowned rhinologist and skull-based surgeon at UTHealth Houston, discusses the latest advancements in the management of nasal polyps with hosts Dr. Gopi Shah and Dr. Ashley Agan.
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BackTable, LLC (Producer). (2025, April 29). Ep. 220 – Managing Nasal Polyps: Treatments & Insights [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Synopsis
Dr. Citardi shares insights from his comprehensive career, spanning patient care, device, and drug development. The surgeons discuss the evolving treatment landscape, challenges in managing recurrent nasal polyps, the role of steroids and biologics, and the importance of correctly identifying the type of polyps. Additionally, Dr. Citardi emphasizes the need for a better understanding of healthcare economics, particularly concerning the high costs of new treatments. The discussion also touches on the future of research and the need for a system to deploy treatment options effectively.
Timestamps
00:00 - Introduction
04:39 - Nasal Polyps: Patient Presentation and Initial Examination
10:25 - Detailed Examination and Endoscopy Techniques
17:26 - Imaging and Lab Workup
20:11 - Treatment Strategies and Patient Management
31:08 - Managing Patients with Allergies, AERD, and Asthma
34:09 - Biologics vs. Surgery: A Comparative Discussion
42:50 - Steroid Delivery Methods and Their Effectiveness
52:24 - Follow-Up, Long-Term Management and Future Research
57:01 - Conclusion and Final Thoughts
Resources
Dr. Martin Citardi’s Profile:
https://www.utphysicians.com/provider/martin-j-citardi/
Medtronic ENT:
https://www.medtronic.com/en-us/healthcare-professionals/products/ear-nose-throat.html
Transcript Preview
Even though I'm in an academic practice, we see a full range of patients. For instance, all of our appointments are available online for open scheduling. I do see primary patients as well. Most patients with sinusitis with nasal polyps, they report congestion, obstruction, but they are not horribly vocal about their symptoms, which is interesting. The nose will be swollen shut with polyps, and they say, "Oh, I'm a little bit stuffy. I'm a little bit congested. I wheeze a little bit," but they're not vocal about it. To me, that's always been fascinating. Many of them have decreased sense of smell, but they usually don't lead with that symptom. You have to sort of elicit it from them.
The Materials available on BackTable 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.















