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In a prospective study of 50 patients who underwent functional rhinoplasty for nasal obstruction, patient-reported obstruction and appearance scores improved at follow-up. Greater improvement in nasal obstruction was associated with less anxiety/depression and less pain/discomfort in the long term; improvement in appearance showed no such association.
Functional rhinoplasty is a surgery aimed at improving nasal breathing. It is known to improve quality of life related to nasal symptoms, but less is known about its relationship with overall quality of life. A prospective study published in The Laryngoscope, conducted at a tertiary medical center, followed 50 patients (58% women, mean age 38.5 years) who underwent surgery for nasal airway obstruction. Two questionnaires were collected before surgery and at follow-up beyond 6 months: the EQ-5D, which measures global health-related quality of life, and the SCHNOS, which measures nasal obstruction (SCHNOS-O) and the patient's perception of their nose's appearance (SCHNOS-C).
The mean obstruction score fell from 77.5 to 22.7, and the appearance-concern score from 44.9 to 13.9 (on both scales, a lower number is better). Greater improvement in nasal obstruction was associated with less anxiety/depression and less pain/discomfort at follow-up. In contrast, greater improvement in the appearance score was not significantly associated with those two dimensions. No relationship was found between the nasal scores and mobility, self-care, or usual activities. In addition, patients who reported anxiety or depression before surgery were more likely to report it afterward.
This is an association study of 50 patients without a comparison group, so it does not show that the surgery causes these changes. The authors conclude that patients with long-term improvement in nasal obstruction, but not in appearance, are less likely to report anxiety/depression and pain/discomfort after functional rhinoplasty.
If you are having nose surgery for breathing problems, you can ask your surgeon how the obstruction will be assessed before and after surgery and how the results will be followed up in the long term. If you already live with anxiety or depression, it is worth mentioning at the consultation: in this study, those who reported it before surgery tended to keep reporting it afterward.
This content summarizes scientific publications and professional-society guidelines; it does not replace your surgeon's or anesthesiologist's evaluation. Every item links its original source.