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To identify characteristics of patients presenting preoperatively for functional septorhinoplasty associated with increased Nasal Obstruction Symptom Evaluation (NOSE) scores.

Retrospective analysis of a prospective cohort at a tertiary medical center. Only baseline assessments were analyzed in this cross‐sectional study.

1,338 patients completed baseline nasal evaluation, resulting in 1,034 NOSE scores. Demographics, medical history, surgical history, and physical exam findings were recorded.

The average preoperative NOSE score was 59.8 out of 100 (standard deviation: 24.9). Fifty‐four percent (578 per 1,074) of respondents were female, although sex did not affect baseline NOSE score (P = 0.7). Forty‐five percent (404 per 896) reported prior nasal surgery. History of rhinoplasty was not associated with a difference in baseline NOSE score (P = 0.1924 …