Outcomes after nasal septoplasty: Results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study

Michael G. Stewart, Timothy L. Smith, Edward M. Weaver, David L. Witsell, Bevan Yueh, Maureen T. Hannley, Jonas T. Johnson, C. Ron Cannon, Joel Ernster, Bruce Gordon, Andrew Gould, James Hadley, Patty Huang, Barton Knox, Howard Levine, Vincent Nalbone, Mark Reinke, John S. Rhee, J. Lewis Romett, Richard ScherEdward L. Weaver, David L. Witsell

Research output: Contribution to journalArticle

276 Scopus citations


OBJECTIVE: Our goal was to assess disease-specific quality of life outcomes after nasal septoplasty in adults with nasal obstruction. DESIGN, SETTINGS, AND PATIENTS: We conducted a prospective observational outcomes multicenter study with 14 sites and 16 investigators, including private practice and academic settings. Patients had had septal deviation and symptomatic nasal obstruction for at least 3 months, and medical management had failed. METHODS: Patients with septal deviation completed a validated outcomes instrument (the Nasal Obstruction Septoplasty Effectiveness (NOSE) scale) before and 3 and 6 months after septoplasty, with or without partial turbinectomy. RESULTS: Fifty-nine patients underwent surgery; there was a significant improvement in mean NOSE score at 3 months after septoplasty (67.5 versus 23.1, P < 0.0001), and this improvement was unchanged at 6 months. Patient satisfaction was very high, and patients used significantly fewer nasal medications. CONCLUSIONS: In patients with septal deformity, nasal septoplasty results in significant improvement in disease-specific quality of life, high patient satisfaction, and decreased medication use.

Original languageEnglish (US)
Pages (from-to)283-290
Number of pages8
JournalOtolaryngology - Head and Neck Surgery
Issue number3
StatePublished - Mar 2004


ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

Stewart, M. G., Smith, T. L., Weaver, E. M., Witsell, D. L., Yueh, B., Hannley, M. T., Johnson, J. T., Cannon, C. R., Ernster, J., Gordon, B., Gould, A., Hadley, J., Huang, P., Knox, B., Levine, H., Nalbone, V., Reinke, M., Rhee, J. S., Romett, J. L., ... Witsell, D. L. (2004). Outcomes after nasal septoplasty: Results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study. Otolaryngology - Head and Neck Surgery, 130(3), 283-290. https://doi.org/10.1016/j.otohns.2003.12.004