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BackTable / ENT / Podcast / Episode #262

Systematic Approach to Pediatric OSA Management

with Dr. Tali Lando, Dr. Ashley Agan, Dr. Gopi Shah

Not every airway is a tonsil problem. Pediatric obstructive sleep apnea is often more nuanced than it appears, requiring thoughtful evaluation beyond routine surgery. In this episode of the BackTable ENT Podcast, pediatric otolaryngologist Dr. Tali Lando discusses managing pediatric obstructive sleep apnea (OSA) with hosts Dr. Gopi Shah and Dr. Ashley Agan.

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Systematic Approach to Pediatric OSA Management with Dr. Tali Lando, Dr. Ashley Agan, Dr. Gopi Shah on the BackTable ENT Podcast
Ep 262 Systematic Approach to Pediatric OSA Management with Dr. Tali Lando, Dr. Ashley Agan, Dr. Gopi Shah
00:00 / 01:04

BackTable, LLC (Producer). (2026, February 24). Ep. 262 – Systematic Approach to Pediatric OSA Management [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Ashley Agan on the BackTable ENT Podcast

Dr. Ashley Agan is an otolaryngologist in Dallas, TX.

Dr. Tali Lando on the BackTable ENT Podcast

Dr. Tali Lando is a pediatric otolaryngologist practicing at Westchester Medical Center in Ardsley, New York.

Dr. Gopi Shah on the BackTable ENT Podcast

Dr. Gopi Shah is a pediatric otolaryngologist and the co-host of BackTable ENT.

Synopsis

Dr. Lando shares insights into her clinical practice, outlining a systematic approach to diagnosing and treating pediatric OSA, and emphasizing the value of sleep endoscopy. She explores the spectrum of interventions from adenoidectomy and tonsillectomy to complex airway evaluations and surgical management, while highlighting the roles of sleep studies, obesity, and emerging therapies such as hypoglossal nerve stimulation. Dr. Lando also reflects on balancing a busy clinical career with family life and discusses her two books, Hell & Back: Wife & Mother, Doctor & Patient, Dragon Slayer and Breathless: Surgical Tales from the Brink (and Back).

Timestamps

00:00 - Introduction
06:21 - When Noisy Breathing Signals More Than Tonsils
10:01 - When to Add DISE: Combining T&A with Airway Evaluation
18:08 - Turbinates, Septum and Nasal Valve Matter
22:03 - Red Flags in Clinic
29:12 - When Surgery Helps and When It Doesn’t
41:33 - Sleep Studies
43:09 - Down Syndrome and OSA
55:19 - Finding Hidden Sites of Airway Collapse
01:06:13 - Hypoglossal Nerve Stimulation and Advanced Options

Resources

The Materials available on BackTable are provided for informational and educational purposes only and are not a substitute for the independent professional judgment of a qualified healthcare professional in diagnosing or treating patients. Any opinions, statements, or views expressed are those of the individual contributors and do not necessarily reflect those of the publisher, platform, or any affiliated organization.

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