A Prospective Study Comparing VivAer to Alternative Surgical Procedures to Treat Nasal Airway Obstruction in Patients With Nasal Valve Dysfunction.

Inclusion Criteria:

• Age 22 to 85 years old (inclusively).

• Willing and able to provide consent.

• Willing and able to comply with the patient-specific requirements outlined in thestudy protocol.

• Has access to a mobile device, tablet, or computer with internet access and hasaccess to an email address.

• Seeking treatment for NAO

• Has a NOSE Score of ≥55 indicating severe to extreme NAO.

• Have a positive modified Cottle maneuver.

• Planning either to undergo an intervention for NAO that includes one of thefollowing as the primary approach:

1. VivAer procedure for repair of nasal valve dysfunction (may include inferiorturbinate and septal swell body as additional treated areas)

2. Functional rhinoplasty surgery addressing the nasal valve and/or lateral nasalwall (may be combined with septoplasty with/without turbinoplasty performedalone or in combination).

3. Septoplasty surgery with turbinate reduction.

Exclusion Criteria:

• Has had nasal surgery (including sinus surgery) within the last 3 months.

• Has had a previous rhinoplasty (functional or cosmetic), septoplasty, inferiorturbinate reduction, or VivAer procedure.

• Has extreme nasal pathology, a history of extreme nasal injuries, or an abnormalnasal condition (e.g. septal perforation or empty nose syndrome) that may beexacerbated by surgery.

• Has a medical condition(s) that may impair normal healing processes or beexacerbated by the stress of surgery.

• Has chronic rhinitis that is refractory to medications or rhinitis medicamentosa.

• Has poorly controlled chronic rhinosinusitis disease.

• Rhinoplasty is being performed primarily for cosmesis.

• Is receiving, planning to receive, or has received a Latera absorbable nasal implantat any time.

• Planning to have sinus or cosmetic surgery (e.g., functional endoscopic sinussurgery, cosmetic rhinoplasty) or a surgery involving the airway (e.g., hypoglossalnerve stimulation surgery, uvuloplasty, tonsillectomy, tongue base or soft palateinterventions) within 6 months following enrollment.

• Is having an adjunctive surgical procedure performed with the primary NAO procedure (e.g. functional rhinoplasty with concha bullosa reduction, septoplasty withturbinate reduction performed with functional endoscopic sinus surgery)