
Designing the Future: ORL’s New Office Space Features High-Tech Tools
The UT Department of Otorhinolaryngology now occupies new clinical space on the 27th floor of the Memorial Hermann Medical Plaza, offering patients an outstanding view that overlooks Rice University, Hermann Park, and, to the northeast, the Houston skyline. This office…

Welcome!
We’re pleased to present the first issue of ORL Progress Notes, a biannual update on the otorhinolaryngology service at Memorial Hermann-Texas Medical Center and the Department of Otorhinolaryngology-Head and Neck Surgery at The University of Texas Medical School at Houston….

Understanding the Mechanism of Allergen Immunotherapy
Amber Luong, MD, PhD Associate Professor Over 50 million of people suffer from allergies a year in the United States. Many control their symptoms with over-the-counter medications and avoidance measures. A subset of allergy sufferers, approximately 3 million, has…

Significance of Empty Sella in the Management of Spontaneous CSF Leaks
Samar Fakhri, MD Professor In the traditional classification of cerebrospinal fluid (CSF) leaks, spontaneous (or idiopathic) rhinorrhea is included under the “normal-pressure” category. As such, the absence of a recognizable etiology is axiomatic to the diagnosis of a spontaneous…

Radiesse®: A New Material for Vocal Fold Injection Augmentation
Ronda Alexander, MD Assistant Professor When considering vocal fold augmentation, the lynchpin of success is finding the perfect material for your patient’s indication. For those patients who are either unwilling or unsuitable for operative thyroplasty, injection medialization is an…

The Emerging Role for Intraoperative Imaging in Surgical Rhinology
Martin J. Citardi, MD Professor & Chair Over the past 12-15 years, rhinologists and general otolaryngologists have increasingly embraced the use of intraoperative surgical navigation in more complex endoscopic procedures of the paranasal sinuses. The lack of real-time imaging…

New Ethmoid Spacer For Drug Delivery
Martin J. Citardi, MD Professor & Chair Since its introduction more than 3 years ago, balloon catheter dilatation of sinus ostia has engendered considerable controversy. In 2008, a variety of publications have provided additional information about the technology and…

Vocal Fold Paresis: New Recognition for a Subtle, but Disabling Disorder
Ronda Alexander, MD Assistant Professor The past decade has seen vocal fold paresis gain a foothold in the diagnostic algorithm of otorhinolaryngologists. It is now accepted that neurologic impairments of vocal fold motion exist along a continuum and can…

Minimally Invasive Endoscopic Surgery for Malignant Tumors of the Skull Base
Samar Fakhri, MD Professor Over the last 3 decades, we have witnessed a tremendous expansion of the applications of the rigid endoscope as a surgical tool. Improved understanding of endoscopic sinonasal anatomy, technological advances in instrumentation and imaging protocols,…

New Horizons for Allergic Fungal Rhinosinusitis
Amber Luong, MD, PhD Associate Professor Chronic rhinosinusitis represents a syndrome characterized by nasal symptoms including discolored nasal drainage, nasal obstruction or congestion, and pain or tenderness over the sinuses; this syndrome resulting results from a number of possible…