Ep. 28: "Your ENT Questions Answered with Dr. David McIntosh, MD"

Airway Answers with Nicole Goldfarb: Expanding Your Breath of Knowledge

⚠️ 𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.

_______________

Welcome to the "Airway Answers with Nicole Goldfarb: Expanding your Breath of Knowledge". In this episode, Nicole Goldfarb, M.A. CCC, SLP- COM® interviews the pediatric ENT, Dr. David McIntosh, and Dr. McIntosh answers your ENT questions!" 🤧 👂 👄This is Part 4 of a multiple-part ENT series.
Here are some of the questions answered in "Your ENT Questions Answered with Dr. David McIntosh"🎙:
❓Venus Pooling
✅ Can venous pooling be a sign of fatigue, even without allergies?
❓Nasal Steroid Sprays
✅ Should you use a nasal irrigant before applying a nasal steroid spray?
✅ Is there an ideal time of day to use a nasal steroid spray?
✅ Do nasal steroid sprays help with itchy eyes and throat?
✅ How do you know if a patient should use a nasal steroid spray once or twice a day?
✅ Should someone with frequent bloody noses use a nasal steroid spray?
✅ What is the best technique for applying a nasal steroid spray?
❓Deviated Septum
✅ Is it safe to tape a child's mouth shut if they have a deviated septum and are a mouth breather?
✅ At what age can a deviated septum be surgically corrected?
❓ENT Assessments
✅ When does an ENT choose to perform a nasoendoscopy versus an X-ray?
✅ Why is it inadequate to only visualize the tonsils during an ENT assessment?
✅ Can an otoscope be used to visualize the adenoids in children?
✅ Will ENTs acknowledge home sleep studies and recommend treatment based on patient report paired with the results?
❓Lateral Cephalometric X-rays
✅ How do you measure airway size on a lateral cephalometric X-ray?
✅ Can you draw conclusions from an X-ray where the child is not in the proper "flower sniffing" position?
❓Tonsillectomy
✅ When should a tonsillectomy be considered for a child who is not progressing with eating?
❓Inflammatory Foods
✅ Do you recommend cutting out inflammatory foods like dairy and gluten in children with nasal congestion, reflux, enlarged tonsils, or adenoids before recommending surgery?
✅ Does food quality play a role in inflammatory responses to dairy and gluten?
❓Myofunctional Therapy
✅ Should all patients be cleared by an ENT before beginning myofunctional therapy?
✅ What is your recommendation for myofunctional therapists to check for nasal patency?
❓Allergies
✅ If an ENT screen determines inflammation in the nose, is there a protocol to address this initially or is it a recommendation to look at a surgical approach?
✅ In what ways are allergies addressed prior to a surgical approach?
❓Laser Treatment
✅ Why is laser treatment not as readily used by ENTs instead of surgical procedures?
❓Tongue Tie and Jaw Size
✅ Do you look at tongue tie and jaw size when evaluating pediatric patients for sleep-disordered breathing?
✅ What are your thoughts on expansion of the maxilla to increase nasal cavity volume?
❓CPAP
✅ How does CPAP pressure affect the carbon dioxide-oxygen relationship