{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"The DOC Podcast","title":"Do Kids Outgrow Their Airway Issues? An ENT's Perspective (w/Dr. David McIntosh) [Ep.155]","html":"","width":"100%","height":180,"duration":4901,"description":"In this episode, I sit down again with Dr. David McIntosh, an ENT surgeon from Australia and one of the sharpest medical minds I know when it comes to pediatric airway and sleep-disordered breathing. We dig deep into the recently updated AAO white paper, including what it got right, what it got dangerously wrong, and why publishing a document about interdisciplinary care without a single interdisciplinary author is a problem we can't ignore. Dr. McIntosh also walks me through one of the most eye-opening breakdowns I've ever heard about Scammon's curve, and what orthodontists were never actually taught about what that data really shows. This episode is a must-listen for any dental or medical professional who works with children and cares about more than just straight teeth.Timestamps:0:02:40 — Welcome & introducing Dr. David McIntosh back to the show0:04:35 — The AAO white paper update: eight orthodontists, one librarian, and zero medical or myofunctional colleagues0:09:51 — The quote that stopped Dr. McIntosh cold: \"Pre-pubertal OSA tends to resolve naturally\"0:11:34 — Dissecting the flaws in reference #17: small sample sizes, changing scoring rules & selection bias0:13:01 — Reference #18 from a 2010 Journal of Pediatrics paper that actually contradicts the white paper's own conclusion0:22:59 — Why the CHAT study should have been their starting point0:23:09 — The Karen Bonuck study: 12,000 children, 7 years of data, and what early SDB really does to development0:27:54 — Christian Guilleminault and why he wished he'd never invented the AHI0:38:16 — Breaking down Scammon's curve: what it actually measures (and what it doesn't)0:40:25 — The original data came from the spleen and thymus — not tonsils or adenoids0:53:30 — \"I don't care about teeth\" — Dr. McIntosh on why craniofacial outcomes are the wrong finish line0:55:34 — Straight teeth bias: why orthodontists need to think like dentofacial orthopedists1:04:08 — Mouth breathing and craniofacial growth: why the...","thumbnail_url":"https://img.transistorcdn.com/Wf6VIMhB_ulpfJzsJlix0BOF0i4W9yk8xxJ6-5X1Y6E/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9zaG93/LzQxOTI3LzE2OTg2/MzExNDktYXJ0d29y/ay5qcGc.webp","thumbnail_width":300,"thumbnail_height":300}