Nasal obstruction symptom evaluation (NOSE) score outcomes after septorhinoplasty

Deniz Gerecci, Fernando J. Casanueva, Jess C. Mace, Alvin Annen, Dane M. Barrett, Michael M. Kim, Tom D. Wang, Timothy L. Smith, Myriam Loyo

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


Objectives/Hypothesis: The time interval at which Nasal Obstruction Symptom Evaluation (NOSE) scores stabilize after functional septorhinoplasty has not been determined. Our goal was to characterize longitudinal trends of patient-reported outcomes of nasal obstruction using the NOSE survey instrument following functional septorhinoplasty. Study Design: Prospective longitudinal cohort study. Methods: Adult patients (≥18 years) with nasal obstruction who underwent functional septorhinoplasty by three different surgeons at a single academic, tertiary referral center were identified. NOSE scores were obtained preoperatively and prospectively during three postoperative intervals defined as early (1–3 months), middle (4–6 months), and late (≥10 months.) Longitudinal analysis included repeated measures analysis of variance and adjustments for multiple comparisons. Results: A total of 49 patients met inclusion criteria. For the total cohort, mean NOSE scores significantly improved between preoperative and early postoperative evaluations (71.4, standard deviation [SD] ± 17.0 vs. 24.2, SD ± 19.5; P <.001) but did not significantly change between early and middle (20.6, SD ± 19.1; P =.543) or middle and late (23.1, SD ± 24.9; P >.999) time intervals. Conclusions: Patients with nasal obstruction who undergo functional septorhinoplasty can be expected to have significant improvement in self -reported nasal obstruction as early as 1 to 3 months postoperatively with a continued, durable, long-standing benefit lasting at least 10 months after surgery. Future studies can consider the 3-month time frame as a proxy for 1 year outcomes to help reduce survey burden. Level of Evidence: 2c Laryngoscope, 129:841–846, 2019.

Original languageEnglish (US)
Pages (from-to)841-846
Number of pages6
Issue number4
StatePublished - Apr 2019


  • Rhinoplasty
  • follow-up studies
  • longitudinal studies
  • nasal septum
  • patient outcome assessment

ASJC Scopus subject areas

  • Otorhinolaryngology


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