Advances in Posterior Nasal Nerve Ablation
October 9, 2025

Tackling Chronic Rhinitis: A Deep Dive into Posterior Nasal Nerve Ablation


If you’re an ENT specialist treating patients with chronic rhinitis, you know the frustration that can come when medical management isn't enough. The search for effective, in-office solutions is more relevant than ever.


In the latest episode of the BackTable ENT Podcast, we’re continuing the conversation on this very topic. We were thrilled to have Dr. Greg Davis, a renowned otolaryngologist and sinus surgeon, join our hosts Dr. Ashley Agan and Dr. Gopi Shah for a masterclass on posterior nasal nerve (PNN) ablation.


This isn't just a theoretical overview. Dr. Davis gets into the nitty-gritty of his clinical approach using the NeuroMark Gen 3 device, walking us through everything from patient selection and anesthesia to his precise technique and post-op care protocols.


What You'll Learn in This Episode


This episode is packed with practical insights you can apply in your practice. Here are some of the key topics covered:

  • The Evolution of Technology: Dr. Davis shares his firsthand experience with the different generations of the NeuroMark device and how the technology has improved.
  • The Perfect Candidate: How to identify which patients are ideal candidates for PNN ablation after failing medical management.
  • Inside the Procedure Room: A step-by-step breakdown of the setup, anesthesia protocol, and deployment technique for optimal results.
  • Pro Tips for Tricky Anatomy: Learn how Dr. Davis navigates challenging cases to ensure effective ablation.
  • Beyond the Nose: The discussion also explores the intriguing connections to eustachian tube dysfunction and chronic cough.
  • The Business Side: Get clarity on the often-confusing world of insurance and billing for this procedure.
  • The Future of Care: Thoughts on where the treatment of chronic rhinitis is headed.

Listen to the Full Episode


Dive into the full, unfiltered conversation with the audio player below.

Advances in Posterior Nasal Nerve Ablation with Dr. Greg Davis

Meet the Experts


Dr. Greg Davis is an otolaryngologist and sinus surgeon practicing at the Sinus Surgery Center in Puyallup, Washington. Learn more about Dr. Davis.


Dr. Ashley Agan is an otolaryngologist in Dallas, TX and a host of the BackTable ENT Podcast.


Dr. Gopi Shah is a pediatric otolaryngologist and a co-host of the BackTable ENT Podcast.


Episode Timestamps


For a quick guide to the conversation, use these timestamps:

  • 00:00  - Introduction
  • 03:04  - NeuroMark Device Trials
  • 04:15  - Patient Presentation and Diagnosis
  • 11:50  - Medical Management and Treatment Options
  • 21:44  - Procedure Setup and Anesthesia Protocol
  • 30:49  - Understanding RF Devices
  • 33:58  - Posterior Nasal Nerve Ablation in the OR
  • 34:40  - Addressing Chronic Cough
  • 40:52  - Managing Post-Procedure Care and Risks
  • 53:18  - Insurance and Billing (A must-listen section!)
  • 56:13  - Final Thoughts and Future Directions


10th International Otolaryngology Underwater Update Course

https://ssf.cloud-cme.com/course/courseoverview?P=0&EID=1254



This episode is supported by Neurent Medical.
The opinions expressed in this podcast are those of the participants and do not necessarily reflect the views of BackTable. The content is for informational purposes only and is not a substitute for professional medical advice.

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