Idiopathic Subglottic Stenosis Evaluation & Management w/ Dr. Stephen Schoeff | ENT Podcast Ep. 161

In this episode, hosts Dr. Gopi Shah and Dr. Ashley Agan talk to Dr. Stephen Schoeff, laryngologist at Kaiser Permanente (Tacoma, WA) about subglottic stenosis in adults. Dr. Schoeff introduces subglottic stenosis (SS) as a rare condition affecting adult women of all ages. Patients complain of progressive dyspnea, declining exercise tolerance, and mucus sensation. Sometimes confused for asthma, globus sensation, LPR, or paradoxical vocal fold motion, SS is diagnosed when airway scarring and narrowing is visible on laryngoscopy. After describing workup, Dr. Schoeff reviews etiologies of SS, including iatrogenic, idiopathic, and autoimmune. Treatment options for SS include cricotracheal resection, endoscopic dilation, and airway steroid injections. Dr. Schoeff concludes the episode by sharing his success using periodic airway steroid injections for treatment of SS. --- SHOW NOTES 00:00 - Introduction 01:28 - Dr. Schoeff’s Journey & Practice 08:35 - Symptoms & Differential Diagnosis 12:38 - Physical Examination & Diagnosis 27:30 - Introduction to Endoscopic Dilation 29:04 - Steroid Injections as a Management Option 31:31 - The Three Big Categories of Treatment 33:12 - How Steroids Address Disease Pathophysiology 39:05 - Technique for Airway Dilation 49:13 - Deciding on Cricotracheal Resection 51:21 - How Insurance Affects Treatment Options 55:12 - Final Thoughts & Pearls --- The BackTable ENT Podcast is a resource for otolaryngologists to learn tips, techniques, and practical advice on all things ear, nose, and throat. Tune in to the BackTable ENT Podcast every week for candid conversations about rhinology, laryngology, otology, and head and neck surgery. Get notified when new episodes drop! Subscribe to the BackTable ENT Podcast on your go-to podcast platform, and follow us on your social media platform of choice for regular otolaryngology updates. ► https://www.backtable.com/shows/ent/s... #subglotticstenosis #idopathicsubglotticstenosis