Aug 18, 2026 · 25 min · 11 segments
How do private practice ENTs keep up with a rapidly evolving field and decide when a new technique or device is worth the investment? On this episode of BackTable Industry, host Anish Parikh…
Did you learn how to do all those in training? Have they changed much since you did them in training? Like how have you kept up with those?
All of these quicker cases are one, two-step cases, right? And so, you know, when you're doing a myriam-glottic mode tube placement, you're going to look under the microscope, you're going to clean out the ear, you're going to make your incision typically in the same spot, and you're going to use a tube.
And, you know, a lot of the technique depends on the utensils that you have available that day.
And a lot of it's driven, you know, we learn about it sometimes through the university, a lot of times through the industry guys and the device people.
And so you learn, you know, I haven't done too many, but how to do an in-office tube for children.
So it's much quicker and easier to do it in offices than in general anesthesia.
I know for tonsillectomies, you know, I've had done a thousand tonsillectomies the same way.
And now coagulational tonsillectomies, intracapsular tonsillectomies have become much larger.
And I think that's something that we're trying to slowly work into our repertoire.
It's hard, you know, especially when I've only been out for five years, but you get comfortable doing things a certain way and to take a... 15 minute case or a 10 minute case and turn it into a 20, 30 minute case for the next few, just so you can learn new skills.
It's a tough undertaking at this stage, but it's something that we end up doing.
I mean, it kind of, or help teach you the procedures, I guess, where else does education around these procedures or new procedures that you might do, like, where does that fit into your schedule? You know, and like, and like, what are the sources and where does it fit in? Yeah.
And so if it's a device for, you know, use Aaron Medical, for example, they have the Ryanair device.
Did you learn how to do all those in training? Have they changed much since you did them in training? Like how have you kept up with those?
All of these quicker cases are one, two-step cases, right? And so, you know, when you're doing a myriam-glottic mode tube placement, you're going to look under the microscope, you're going to clean out the ear, you're going to make your incision typically in the same spot, and you're going to use a tube.
And, you know, a lot of the technique depends on the utensils that you have available that day.
And a lot of it's driven, you know, we learn about it sometimes through the university, a lot of times through the industry guys and the device people.
And so you learn, you know, I haven't done too many, but how to do an in-office tube for children.
So it's much quicker and easier to do it in offices than in general anesthesia.
I know for tonsillectomies, you know, I've had done a thousand tonsillectomies the same way.
And now coagulational tonsillectomies, intracapsular tonsillectomies have become much larger.
And I think that's something that we're trying to slowly work into our repertoire.
It's hard, you know, especially when I've only been out for five years, but you get comfortable doing things a certain way and to take a... 15 minute case or a 10 minute case and turn it into a 20, 30 minute case for the next few, just so you can learn new skills.
It's a tough undertaking at this stage, but it's something that we end up doing.
I mean, it kind of, or help teach you the procedures, I guess, where else does education around these procedures or new procedures that you might do, like, where does that fit into your schedule? You know, and like, and like, what are the sources and where does it fit in? Yeah.
And so if it's a device for, you know, use Aaron Medical, for example, they have the Ryanair device.
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