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Exhibit 31.3

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CERTIFICATION OF PRINCIPAL EXECUTIVE OFFICER

PURSUANT TO SECTION 302 OF THE

SARBANES-OXLEY ACT OF 2002

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I, Ramy Mahmoud, certify that:

1.I have reviewed this Annual Report on Form 10-K/A of OptiNose, Inc.; and

2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report.

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Date: April 30, 2025

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/s/ Ramy Mahmoud

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Ramy Mahmoud

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Chief Executive Officer

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(Principal Executive Officer)

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