The nasal breathing disorders is leading problem in otolaryngological practice. Despite the modern development of diagnostic methods of nasal breathing disorders and septum surgery, there are a number of patients who have violations of nasal breathing in the late period. The development of rhinomanometry methods and tomographic studies allow to improve the functional results of septoplasty. The aim of the study: Based on the data of anterior active rhinomanometry with a complex of functional samples, as well as data analysis of the anatomical correlation of the nasal cavity, to determine the main principles in planning and performing remodeling of the nasal septum, to evaluate their effectiveness. Materials and methods: In the results of a study of 64 patients who were previously questioned on the NOSE scale were examined in the article, they were examined rhinomanometrically (anterior active rhinomanometry in combination with functional samples) and an in-depth analysis of the correlation between the anatomical structures of the nasal cavity was carried out. Later, at the time of 2 months, 6 months and 12 months after surgical treatment, taking into account the survey data and the geometric analysis, they were re-examined. Results: In a primary rhinomanometric study, there are 38 (59.38%) patients with structural anatomical disorders accounted, 12 (18.75%) patients with edematous mucosal, 14 (21.88%) patients with a combination of structural and oedematous mucosal disorders accounted. A further study of rhinomanometric and anatomical correlation showed that, depending on the localization of the area of pathological nasal resistance, the front sections of the nasal cavity and the anterior nose valve region prevail making 37 (71.15%) people. Localization of pathological nasal resistance in the posterior sections of the nasal cavity 4 (7.69%), a combination of the anterior and posterior parts was noted in 11 (21.15%) people. At repeated examination at the time of 12 months, the number of unsatisfactory functional results was observed in 6.1% of cases. Conclusion: Anatomical correlation in the nasal cavity are key in ensuring normal aerodynamic processes in the nasal cavity. A comparative analysis of the indices of unsatisfactory functional results in terms of 12 months show, determined that after carrying out septoplasty, taking into account the rhinomanometry with functional tests in combination with the above analysis of the anatomical formations of the nasal cavity, this indicator is 6.1% and 8% if in the planning stage of surgery the results of these studies are not taken into account