“…A wide constellation of secondary but prominent symptoms have been ascribed to patients afflicted with ENS, including dyspnea, nasal and pharyngeal dryness, facial and nasal pain, crusting, hyposmia, and depression . Evaluation of the ENS patient includes a comprehensive history and physical examination, rigid nasal endoscopy, and computed tomography (CT) imaging . Critical appraisal of the structures, contours, and tissue properties of the anterior nasal vestibule, external and internal nasal valves, septum, inferior and middle turbinates, and nasal floor and pyriform aperture is essential, and alternative fixed and dynamic sources of nasal obstruction (i.e., valve collapse, lateral nasal wall insufficiency, nasal vestibular body hypertrophy, polyps, neoplasm, etc.…”