Nasal Obstruction Symptom Evaluation Scale

The Nasal Obstruction Symptom Evaluation (NOSE) Scale is a brief 5-item self-report questionnaire specifically designed to measure the severity of nasal obstruction and its impact on quality of life. Developed by Stewart and colleagues (2004), the NOSE is the most widely used nasal obstruction-specific outcome measure in otolaryngology, recommended for clinical practice and clinical trials. It is validated for baseline assessment, monitoring treatment response in medical and surgical rhinology, and outcome evaluation following septoplasty, rhinoplasty, endoscopic sinus surgery, or allergen immunotherapy.