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BackTable / ENT / Podcast / Episode #242
Advances in Posterior Nasal Nerve Ablation
with Dr. Greg Davis
We’re keeping the chronic rhinitis conversation going in this week’s episode of BackTable ENT. Otolaryngologist Dr. Greg Davis joins Dr. Ashley Agan and Dr. Gopi Shah to break down his approach to posterior nasal nerve (PNN) ablation with the NeuroMark Gen 3, including patient prep, anesthesia, technique, and postoperative care.
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BackTable, LLC (Producer). (2025, October 7). Ep. 242 – Advances in Posterior Nasal Nerve Ablation [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Greg Davis
Dr. Greg Davis is an otolaryngologist and sinus surgeon practicing at Sinus Surgery Center in Puyallup, Washington.
Dr. Ashley Agan
Dr. Ashley Agan is an otolaryngologist in Dallas, TX.
Dr. Gopi Shah
Dr. Gopi Shah is a pediatric otolaryngologist and the co-host of BackTable ENT.
Synopsis
Beyond his posterior nasal nerve ablation technique, Dr. Davis shares his experiences with the various generations of the NeuroMark device, and also discusses the insurance and billing side of its use. The conversation also touches on topics like eustachian tube dysfunction, chronic cough, and the future of chronic rhinitis treatment.
Timestamps
00:00 - Introduction
03:04 - NeuroMark Device Trials
04:15 - Patient Presentation and Diagnosis
11:50 - Medical Management and Treatment Options
21:44 - Procedure Setup and Anesthesia Protocol
30:49 - Understanding RF Devices and Their Usage
31:13 - Deploying the Device for Turbinate Treatment
31:52 - Tips and Tricks for Difficult Anatomy
33:58 - Posterior Nasal Nerve Ablation in the OR
34:40 - Addressing Posterior Nasal Drainage and Chronic Cough
36:51 - Impedance Control vs. Temperature Control RF
38:02 - Choosing the Right Device for Patients
40:52 - Managing Post-Procedure Care and Risks
53:18 - Insurance and Billing
56:13 - Final Thoughts and Future Directions
Resources
Dr. Greg Davis
https://www.gregdavismd.com/
10th International Otolaryngology Underwater Update Course
https://ssf.cloud-cme.com/course/courseoverview?P=0&EID=1254
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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