Dr. Metts is a proud provider of the following:

  • Aetna PPO
  • Baylor Scott & White
  • Blue Cross and Blue Shield PPO
  • Cigna PPO
  • Healthsmart PPO
  • Humana Choice Care PPO
  • United Healthcare/UMR/Golden Rule
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  • Medicare Part B


  • Amerigroup
  • Blue Cross and Blue Shield HMO
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  • Parkland and Parkland CHIPS
  • Aetna Leap Every Day
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  • Medicaid
  • Workman’s Compensation cases

Below are some frequently asked questions about ear, nose and throat conditions.

What are common causes of nasal obstruction?

Common causes of nasal obstruction include a deviated nasal septum, nasal turbinate enlargement and nasal polyps (benign growths).

Deviated nasal septum:

The midline of the nose consists of a cartilage and bony nasal septum that separates the two sides of the nasal cavity. A deviation or bend in this structure can be present at birth or can occur following a nasal fracture. The obstruction caused by such a deviation can be corrected by surgically straightening the septum, called a septoplasty. A septoplasty is a commonly performed outpatient surgery done through incisions within the nasal cavity, removing the obstructing portion of bone and cartilage.

Nasal turbinate enlargement:

The nasal turbinates are three bony and soft-tissue structures lining the sides of the nasal cavity. As part of the normal nasal cycle, the turbinates alternately swell and enlarge. In some persons, the turbinates can be excessively large, resulting in significant nasal obstruction. Allergy treatment, typically with nasal steroid sprays, may help to decrease this swelling. When allergy management does sufficiently relieve nasal obstruction, the inferior turbinates can be surgically reduced. In many cases this can be done as an office procedure.

Nasal polyps: 

Nasal polyps are a type of inflammatory tissue that can grow in the nasal cavity and sinuses. They occur more frequently in persons with allergies and/or asthma. Nasal obstruction is the most common symptom. The sinus drainage tracts may also be blocked, resulting in chronic sinus disease. Nasal polyps are controlled with steroid sprays as well as removal by endoscopic surgery. Persons whose polyps arise from asthma may have serious allergic reactions to aspirin.

What causes sinusitis and how is it treated?

Infection of the sinus cavities often occurs due to inflammation and obstruction of the sinus drainage pathways. Typical symptoms of a sinus infection include facial pain and pressure, nasal obstruction, yellow or green nasal drainage, fatigue and fever. Treatment of a sinus infection may include nasal decongestants and antibiotics. People with chronic sinus drainage may benefit from endoscopic sinus surgery.

At what point would my child benefit from a tonsillectomy and adenoidectomy?

Surgical removal of the tonsils and adenoids in children is performed for two primary reasons: recurrent tonsil/adenoid infections and snoring with associated sleep apnea.

Tonsil infections:

As a general guideline, a tonsillectomy is recommended in patients with seven or more tonsil infections in one year, five infections a year for two years, or three infections for three or more years.

Sleep apnea:

Enlargement of tonsil and adenoid tissue in children can obstruct airways during sleep. Children with sleep apnea typically are mouth breathers who snore loudly and can be heard to stop breathing or make gasping noises during sleep. Sleep apnea results in fragmented sleep that can lead to daytime fatigue or hyperactivity, failure to thrive, difficulties in concentrating, and occasional problems with bedwetting.

Surgical procedure:

Tonsils and adenoids are removed from the mouth with no external scars. In most children, this is outpatient surgery.

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