Rhinology Roundtable

Induction chemotherapy for sinonasal malignancies is not just "chemo before surgery" - it's a test of tumor biology, a chance to preserve critical structures, reduce morbidity, and sometimes the decision that determines what treatment comes next. Dr. Ashleigh Halderman is joined by Dr. Mat Geltzeiler from Oregon Health Science University and Dr. Garret Choby from the University of Pittsburgh Medic...

In this episode of Rhinology Roundtable, Dr. Ashleigh Halderman talks with Dr. Greg Davis and Dr. Leah Hauser about the expanding role of awake, in-office procedures in rhinology and otolaryngology. They discuss how to decide which procedures belong in the clinic or operating room, how to identify patients who are likely to tolerate office treatment, and the importance of thoughtful anesthesia, tr...

Immunodeficiencies in Sinusitis On this episode of Rhinology Roundtable, host Dr. Ashleigh Halderman, and guests Dr. Angela Donaldson, and Dr. Sandra Lin discuss a topic where evidence-based guidance is sorely lacking. Topics covered include when to consider immune deficiency in a patient with either recurrent acute or chronic sinusitis, and why evaluating immunodeficiency requires more than check...

Let’s start with some numbers. Between 0.5-2% of upper respiratory viral illnesses convert to true acute bacterial rhinosinusitis. Only 3-6% of the general population is thought to have chronic rhinosinusitis. An astounding 34.6% of people have a primary headache disorder. That is 1 person in 3.    The “sinus headache” may be the most costly misdiagnosis rhinologists see. It is made by patients th...

Clear, watery runny nose is only the beginning. The real question in chronic rhinitis is what is actually driving the symptoms, and the answer changes everything from diagnosis to treatment to whether a patient should ever need a procedure. Host Dr. John Craig is joined by two experts in the field, fellow rhinologists and skull base surgeons Dr. Michael Chang from Stanford University and Dr. Omar...

This episode of Rhinology Roundtable, the podcast of the American Rhinologic Society, hosted by Dr. Ashleigh Halderman breaks down pediatric sinusitis from the first diagnostic crossroads to surgical decision-making. The conversation focuses on how children differ from adults, why adenoids matter so much, and how to sort out chronic symptoms, recurrent infections, and the cases where an immune or...

In this episode of Rhinology Roundtable, hosted by Dr. Ashleigh Halderman, we explore the complex relationship between allergy and chronic rhinosinusitis (CRS). Our expert guests, Dr. Elina Toskala and Dr. Stella Lee, discuss current evidence, testing strategies, and treatment approaches, emphasizing personalized care and the importance of understanding each patient's unique inflammatory profile....

Most clinicians rely heavily on CT scans for diagnosing and managing sinusitis — but when is the right time to order one, and when can it be safely skipped? In this episode of Rhinology Roundtable, Dr. Ashleigh Halderman hosts top experts Dr. Kevin Welch and Dr. Amber Luong challenge conventional wisdom around imaging, revealing how nuanced decision-making has become. Discover how to optimize CT t...

Most nasal perforations are caused by trauma, drug use, or prior surgery—yet many patients endure persistent symptoms and struggle to find effective treatment. In this episode, Dr. Amar Miglani from the Mayo Clinic shares pioneering techniques and strategic insights into repairing even the most challenging septal perforations. Discover how to assess perforation size, inflammation, and mucosal heal...

Many cases of unilateral maxillary sinusitis are caused by dental issues that often go unnoticed—until severe complications like brain abscesses occur. In this eye-opening episode, Dr. John Craig teams up with international experts Dr. Alberto Saibene – rhinologist from the University of Milan, and Dr. Rod Tataryn Endodontist in private practice from Spokane, WA to unravel the misunderstood world...

Understanding Post-Nasal Drainage: Insights from Rhinology and Laryngology Experts Most cases of post-nasal drainage are dismissed as benign or overlooked, but beneath the surface lies a complex, under-researched challenge affecting millions. In this eye-opening episode of Rhinology Roundtable, host Dr. Ashleigh Halderman pulls back the curtain on post-nasal drainage—a symptom that can feel like d...

Skull base osteomyelitis can humble even the most experienced clinicians. Unlike so many other disease processes, once the diagnosis is made, that’s when the real uncertainty begins. The lack of robust literature or clinical guidelines leaves treating physicians with few places to turn for answers. This episode sheds light on the complexities of diagnosing and managing skull-base osteomyelitis. Le...

In this episode of “Rhinology Roundtable,” host Dr. Ashleigh Halderman is joined by renowned rhinologists Dr. Roy Casiano from the University of Miami Department of Otolaryngology Head and Neck Surgery and Dr. Jim Palmer from the University of Pennsylvania Department of Otolaryngology Head and Neck Surgery.  They discuss the importance of complete sinus surgery exploring how geographic differences...

Unlock the secrets to proper medical billing in rhinology and safeguard your practice from costly mistakes. If you've ever felt overwhelmed by coding nuances, this episode will transform your understanding—saving you time, money, and compliance headaches. Most rhinologists underestimate how critical correct billing is. Dr. Ashleigh Halderman hosts Dr. Seth Brown, a leading ENT specialist and billi...