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Subjective ratings on nasal patency and PROMs were not associated with olfaction nor with changes in olfactory scores. Olfactory function can decisively be impaired a priori not only in patients awaiting sinus surgery, but also in those assigned for functional septorhinoplasty. This impairment may not improve in the short term, which has to be taken into account in patient counseling. This study adds to the current literature on olfaction in rhinosurgery with the extension of retronasal testing. Olfactory function can decisively be impa