Nasal obstruction is often multifactorial and knowledge of the contributing factors is critical to
appropriate evaluation, diagnosis, and execution of a treatment plan. Recognizing and
appropriately managing all components of nasal obstruction will increase the likelihood of
symptomatic improvement and patient satisfaction.

Patients often present with a complaint of nasal blockage, either primarily, or in conjunction
with aesthetic concerns. The evaluation of the patient with nasal obstruction involves a
comprehensive history and a detailed physical examination. The nose is an organ in which
form and function are inseparable, and as such, examination of the patient with nasal
obstruction must focus not only the internal structures that may cause obstruction of the
nasal airway, but also the external structure of the nose as it impacts nasal breathing …