Ep. 164 Chronic Invasive Fungal Sinusitis: Diagnosis and Management with Dr. Ashleigh Halderman

In this episode, Dr. Ashleigh Halderman, Rhinologist and Associate Professor at the University of Texas Southwestern Medical Center, discusses chronic invasive fungal sinusitis with hosts Dr. Gopi Shah and Dr. Ashley Agan,

First, Dr. Halderman outlines her advocacy work as President of the Texas Association of Otolaryngology. Then, the discussion transitions to chronic invasive fungal sinusitis. Dr. Halderman defines the disease, describes typical patient presentation, and reviews concerning imaging findings. Until biopsy can clinch the diagnosis, she maintains a high index of suspicion in cases of bizarre clinical presentation or facial paresthesia. The surgeons then shift their attention to management, which consists of culture-directed antifungals and judicious surgical intervention. Dr. Halderman wraps up the episode by sharing her pearls for operative management and long-term surveillance.

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SHOW NOTES

00:00 - Introduction

02:10 - Exploring the Texas Association of Otolaryngology

05:58 - Understanding Chronic Invasive Fungal Sinusitis: Types & Treatments

20:25 - Diagnostic Challenges and Imaging Insights

27:07 - Navigating Diagnostic Challenges and Treatment Options

29:40 - The Role of Biopsy in Confirming Fungal Infections

30:52 - Surgical Considerations and Pre-Operative Strategies

40:29 - Surveillance Strategies: Managing Chronic Invasive Fungal Sinusitis

46:34 - The Future of Surgical & Antifungal Therapies for Chronic Invasive Fungal Sinusitis

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RESOURCES

Dr. Ashleigh Halderman’s UT Southwestern Profile:

https://utswmed.org/doctors/ashleigh-halderman/

BackTable ENT Episode 30, “Revision Endoscopic Sinus Surgery"

https://www.backtable.com/shows/ent/podcasts/30/revision-endoscopic-sinus-surgery

Texas Association of Otolarynogology:

https://www.taohns.org/