An evidence-based approach to the management of the adult with nasal obstruction.
BACKGROUND
Nasal obstruction is a common presenting symptom to the otolaryngology clinic. A variety of structural and mucosal abnormalities can interrupt the subjective sensation of nasal airflow.


METHODS
This review was based on a literature search last performed on 1 October 2008. Current texts and the MEDLINE, EMBASE and COCHRANE databases were searched using the subject heading nasal obstruction in combination with classification, diagnosis, therapy, drug therapy and surgery. Results were limited to include clinical trials, randomised controlled trials, meta-analyses, systematic reviews and review articles. Relevant references from selected articles were also reviewed.


CONCLUSIONS
We present an evidence-based approach to history-taking and clinical examination of an adult patient with nasal obstruction and provide an overview of management of the most common causative conditions.
Fraser
L
L
Department of Otolaryngology, Leeds General Infirmary, Leeds, UK.
Kelly
G
G
D003937:Diagnosis, Differential; D004724:Endoscopy; D019317:Evidence-Based Medicine; D006801:Humans; D008487:Medical History Taking; D015508:Nasal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D010348:Patient Care Team; D025363:Rhinomanometry; D023842:Rhinometry, Acoustic; D012307:Risk Factors