Evidence-Based Practice

Chronic nasal obstruction is common and is often attributable to nasal valve obstruction. Functional rhinoplasty consists of a group of techniques aimed to relieve nasal valve obstruction. Symptom improvement can be reliably achieved using traditional grafting techniques; however, symptoms persist in a subset of patients. Novel evaluation tools strive to improve patient selection for specific treatments. Concurrently, emerging techniques have built on the success of traditional functional rhinoplasty. The overlap between functional and aesthetic rhinoplasty continues to blur. With functional implications of aesthetic surgery now well established, the cosmetic impact of functionally oriented surgery is increasingly recognized.