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Updated: May 4, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Correlation between subjective and objective results in nasal surgery.
1Dr Murrell is a facial plastic surgeon at the Uniformed Services University of the Health Sciences in Bethesda, Maryland; he is also Clinical Assistant Professor of Surgery at The School of Medicine and Health Sciences, George Washington University, Washington, DC.
Functional nasal surgery significantly improves nasal obstruction, with high rates of both subjective and objective patient-reported outcomes. This study confirms a strong correlation between patient experience and objective measurements after surgery.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Outcomes
Background:
- Limited literature correlates subjective and objective outcomes in functional nasal surgery.
- Nasal obstruction significantly impacts quality of life.
Purpose of the Study:
- To evaluate subjective and objective outcomes after functional nasal surgery.
- To establish a correlation between patient-reported and measured nasal function.
Main Methods:
- Prospective study of 119 patients undergoing septorhinoplasty for nasal obstruction (March 2011-June 2012).
- Pre- and postoperative rhinomanometry measurements were compared with validated patient questionnaires.
- 90 patients with complete data were included in the final analysis.
Main Results:
- 98.9% of patients reported significant subjective improvement in nasal function.
- 95.6% of patients demonstrated significant objective improvement via rhinomanometry.
- 94.4% of patients showed statistically significant improvement in both subjective and objective measures, with a noted correlation.
Conclusions:
- Functional nasal surgery provides statistically significant improvements in nasal obstruction.
- Evidence supports surgical intervention for nasal obstruction based on correlated subjective and objective outcomes.
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