Department of Otorhinolaryngology - Head and Neck Surgery

McGovern Medical School

Texas Sinus Institute™

Texas Sinus Institute physicians treat the most complex disorders and diseases of the nose and paranasal sinuses.

The fellowship-trained rhinologists at the Texas Sinus Institute provide comprehensive medical and surgical treatment of patients with diseases of the nose and paranasal sinuses. Our expertise includes a broad range of disorders from rhinosinusitis and sinonasal polyposis to complicated tumors of the nose, sinuses and anterior skull base.

We are clinicians within the Department of Otorhinolaryngology-Head and Neck Surgery at Memorial Hermann Hospital-Texas Medical Center and The University of Texas Medical School at Houston , and we also have an academic mission that includes education and research. Our medical team publishes and presents scholarly articles worldwide.

Our affiliation with the UT Medical School allows us to offer our patients immediate access to multidisciplinary management expertise, including allergy and immunology, neurosurgery, neuroradiology, infectious disease, plastic and reconstructive surgery, pulmonology, rheumatology and medical and radiation oncology.

Patients also have access to new medical therapies and innovative devices and technology very quickly after their introduction, and those who qualify have the opportunity to participate in clinical trials of treatments not otherwise available.

Our scope of expertise includes:

  • Revision functional endoscopic sinus surgery (revision FESS)
  • Frontal sinus surgery
  • Endoscopic orbital decompression
  • Endoscopic optic nerve decompression
  • Endoscopic dacryocystorhinostomy
  • Nasal and sinus polyposis
  • Allergic fungal rhinosinusitis
  • Inflammatory disease of the nose and sinuses
  • Drug-resistant bacterial rhinosinusitis
  • Nasal blockage or obstruction

We also offer comprehensive minimally invasive management of skull base lesions.

The Challenge of Revision Sinus Surgery

Patients with persistent symptoms after sinus surgery present a difficult treatment challenge. If a patient has recurrent chronic rhinosinusitis and/or sinonasal polyposis (with or without asthma) even after surgery and multiple rounds of antibiotics, topical and oral steroids, revision surgery may be necessary. However, this may be risky proposition due to the distortion in anatomy incurred as a result of the previous sinus surgery and extensive inflammatory disease.

If a patient experiences persistent symptoms after treatment, consultation with a TSI rhinologist may be the next step.

We offer unique services and expertise that may not be available in many communities. We specialize in revision image-guided functional endoscopic sinus surgery (revision IG-FESS) and other minimally invasive, computer-aided endoscopic procedures of the anterior, middle, and posterior skull base.

Endoscopic Skull Base Surgery

TSI physicians are skilled in the endoscopic repair of CSF leaks, an approach that is widely accepted as the optimal surgical technique. TSI physicians have also developed strategies for the minimally invasive, endoscopic management of both benign and malignant neoplasms of the paranasal sinuses and skull base. This work has gained world-wide recognition for TSI physicians.


We are committed to innovation in the treatment of difficult rhinological problems and to close collaboration with referring physicians. Once a diagnosis has been made, we have at our disposal the most advanced treatment options available, including state-of-the-art medical therapy and surgery using minimally invasive techniques whenever possible.

Patient-Centered Care

Our philosophy of patient-centered care includes respect for each patient’s values, preferences and expressed needs; the coordination and integration of care; communication and education; physical comfort and emotional support; and the involvement of family and friends.

Meet the Rhinology Team


To refer or schedule a patient, please call 713-486-5000.