Nasal obstruction is common in children associated with multifactorial etiologies including adenoid hypertrophy, septal deviation, rhinitis associated with other causes, congenital conditions, etc. Chronic nasal obstruction can negatively impact the child’s quality of life, as it can affect the quality of sleep and can predispose to serious cardiopulmonary complications. Additionally, it is extremely difficult to objectively quantify nasal blockage as a symptom in children, especially during their developmental period.

Child’s age is known to affect subjective perception and communication of symptoms. 1 Nasal endoscopy is the most widely accepted method to determine nasal and nasopharyngeal patency, which will understand the cause of nasal obstruction, and to provide medical and surgical treatment. However, certain limitations of nasal endoscopy include considerable user bias, and…