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Procedure Highlights


The tonsils are masses of lymphoid tissue in the back/sides of the oral cavity/mouth/throat. Tonsils can become painful and/or enlarged for a number of reasons. When they do become a problem, they can cause any of a variety of symptoms including sore throat, fever, sleep apnea, bad breath and difficulty swallowing or breathing. Sometimes the tonsils will need to be surgically removed to help with one of these situations.


The adenoids are masses of lymphoid tissue in the back of the nose. They are also prone to infection and enlargement. This can lead to sore throats, ear infections, nasal drainage and congestion, sinusitis, and breathing problems, including sleep apnea in children. If antibiotics or steroids fail to resolve the problem, the adenoids may be removed in a procedure called adenoidectomy.

Most of the time the two procedures are combined and performed at the same time to help reduce multiple visits to the OR.

Sleep Apnea Surgery

When tissues at the back of the throat collapse partly while sleeping, snoring results. When they collapse to the degree that airflow ceases, obstructive sleep apnea occurs. Patients with obstructive sleep apnea (OSA) suffer from poor sleep quality, fatigue and health risks including heart disease and high blood pressure. One of the problems associated with sleep apnea is that the mouth’s soft palate partially or totally blocks the patient’s airway. Dr. Byerly offers several different procedures to help with OSA, including tongue base reduction, minimally invasive tongue base advancement and UPPP (uvulopalatopharyngoplasty). He also offers Robotic tongue base reduction, known as TORS (transoral robotic surgery).

Pillar Procedure

There are many different causes of snoring. One of the more common reasons is because of vibration of the palate (the roof of the mouth) and typically does not improve without intervention. No over-the-counter treatments have proven effective. There are a wide variety of procedures available now to improve or eliminate snoring. One of the most popular (because it is very effective, minimally invasive and has a very short recovery time) is the Pillar Procedure. This is an in-office procedure, using only local anesthesia, and you can drive home or back to work within minutes.

Inferior Turbinate Reduction

The inferior turbinate (ITs) are mucosa covered bones in the nose that help warm and humidify the air we breathe. Sometimes they can become overgrown and actually cause blockage of the nasal air passage. We offer both in-office and OR procedures to reduce the size of the ITs in those cases.


The septum is a structure made of bone and cartilage that spans the nasal cavity from the tip of the nose to the back of the nasal cavity. In many people the septum has a slight bend, making one side of the nasal cavity smaller than the other. In some cases the deviation is significant enough to cause problems including congestion, sinusitis, nosebleeds and breathing difficulties. Septoplasty reshapes the cartilage and bone of the septum to improve air flow through the nose. It may be combined with a cosmetic procedure to improve the overall look of the nose (in which case it is called septorhinoplasty).

Balloon Sinuplasty

An in-office, minimally invasive procedure, providing lasting relief for chronic sinus problems (recurring sinus infections, facial pain or pressure, nasal congestion, headaches and interrupted sleep). It is quick and patients experience very little discomfort or downtime. To learn more, call for a consultation with Dr Byerly, the most experienced Balloon Sinuplasty Specialist in the Texas Hill Country.

Cochlear Implant Surgery

If a person has severe hearing loss, a cochlear implant may help. It is a small electronic device with two parts. One part sits behind the ear. It picks up sounds with a microphone. It then processes the sound and transmits it to the second part of the implant. The second part is put through the skin and implanted in the inner ear during a surgery. A thin wire and small electrodes leads to the cochlea, which is part of the inner ear. The wire sends signals to the auditory nerve. This is the nerve that sends sound impulses to the brain. A cochlear implant helps give a person a sense of sounds. It doesn't restore hearing to normal. But it can help a person understand speech without lip reading and perceive different sounds in the environment, understand voices over the phone, hear music and watch television.