Nose & Sinus · Fort Worth & Cleburne
Breathing easier starts with understanding why.
Persistent congestion, drainage and sinus symptoms deserve a careful look. We connect what you feel with what the examination shows, then work through the options with you.
Find your starting point
What brings you here?
You don’t need to know the diagnosis. Start with the problem affecting your day.
A blocked nose
One side, both sides, or worse at night.
Nasal obstruction DrainageConstant drip
Runny nose or postnasal drainage despite treatment.
Rhinitis & PNN treatment Recurring episodesAnother sinus infection
Flares with periods of feeling well between them.
Recurring infections Persistent symptomsIt never fully clears
Congestion, drainage or reduced smell for months.
Chronic sinusitis Pressure & pain“Sinus headaches”
Understanding when the pain starts somewhere else.
Facial pain & headache Nasal polypsObstruction and lost smell
Medical treatment, surgery and long-term polyp care.
Focus on nasal polypsHow we approach care
Similar symptoms.
Different explanations.
Two people can both say, “I cannot breathe through my nose,” and need entirely different treatment. A deviated septum, enlarged turbinates, inflamed lining and sinus disease can overlap. The work is determining which findings actually explain your symptoms.
Some problems are primarily inflammatory, some are structural, and many are both. Treating only one part of a combined problem is a common reason relief does not hold.
Inside a nose & sinus evaluationA dramatic-looking deviation is not always the one causing your symptoms—and a subtle one sometimes is. What matters is whether the anatomy, the examination and what you feel all point to the same source.
Dr. John Fewins
Your history sets the direction.
We ask when symptoms happen, what has helped and what you want to improve.
The findings put it in focus.
Examination, endoscopy and selected testing answer specific questions.
The plan follows the problem.
Medical care, an office procedure or surgery each has a role. We explain the reason for the recommendation.
Treatment options
The procedure should fit you.
Explore what each treatment changes, what it leaves unchanged, and what recovery involves.
Septoplasty
Correct a septal deviation contributing to nasal obstruction.
Turbinate reduction
Reduce enlarged tissue while preserving the nose’s function.
Balloon sinuplasty
Dilate sinus openings in selected, documented sinus disease.
Endoscopic sinus surgery
Open affected pathways and remove disease that needs more than dilation.
Revision sinus surgery
Reassess persistent or recurring disease after an earlier operation.
Posterior nasal nerve treatment
An option for chronic rhinitis not sufficiently controlled with medication.
A fresh look
Questions about a
sinus surgery recommendation?
Understand the diagnosis, the proposed treatment and your alternatives. Records and images are reviewed before scheduling.
Explore a second opinion