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BackTable / ENT / Podcast / Episode #229
Sialendoscopy: Office-Based Techniques & Best Practices
with Dr. Wais Rahmati
The sour candy myth: why it’s not always the right Rx for salivary gland obstruction. In this episode, Dr. Wais Rahmati, a board-certified otolaryngologist at Mass Eye and Ear and Harvard Medical School, discusses the development of a comprehensive salivary gland center and the focus on office-based sialendoscopy with host Dr. Ashley Agan.
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BackTable, LLC (Producer). (2025, July 1). Ep. 229 – Sialendoscopy: Office-Based Techniques & Best Practices [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Wais Rahmati
Dr. Wais Rahmati is a head and neck surgeon and otolaryngologist practicing at Mass General Brigham in Boston. Massachusetts.
Dr. Ashley Agan
Dr. Ashley Agan is an otolaryngologist in Dallas, TX.
Synopsis
The doctors explore the benefits of incorporating salivary endoscopy in the office setting, including minimally invasive and gland-sparing approaches to treat obstructive salivary gland diseases. Dr. Rahmati shares the criteria for patient selection, techniques in the procedure, and post-operative care. They also touch upon the challenges and strategies for reimbursement and the significance of tracking codes to eventually establish dedicated CPT codes for sialendoscopy.
Timestamps
00:00 - Introduction
02:40 - History and Evolution of Office-Based Endoscopy
05:32 - Understanding Obstructive Salivary Gland Disease
09:36 - Patient Selection and Office-Based Procedures
14:45 -Imaging and Diagnostic Approaches
20:50 - Office Setup and Procedure Details
30:38 - Injecting Mucosa for Better Access
31:10 - Using Sour Candy to Stimulate Saliva
32:29 - Dilation and Anesthesia Techniques
37:05 - Handling Stones and Stents
40:44 - Treating Stenosis in the Office
47:16 - Post-Procedure Care and Instructions
49:42 - Billing and Reimbursement Challenges
54:43 - Future of Salivary Gland Endoscopy
Resources
Wais Rahmati MD:
https://doctors.masseyeandear.org/details/447/rahmatullah-wais_rahmati-rahmati-otolaryngology-head_and_neck_surgery-boston
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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