Effects of surgical correction of nasal septal deviation on aerobic performance


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Melekoğlu T., Arslan B., Türk A., Bostancı Toptaş A., Turhan M.

Medicina Dello Sport, cilt.72, sa.4, ss.676-686, 2019 (SCI-Expanded)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 72 Sayı: 4
  • Basım Tarihi: 2019
  • Doi Numarası: 10.23736/s0025-7826.19.03384-2
  • Dergi Adı: Medicina Dello Sport
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.676-686
  • Akdeniz Üniversitesi Adresli: Evet

Özet

SUMMARY

Maximal oxygen consumption is an important determinant of aerobic performance. Decreasing nasal cross-sectional

area increases respiratory resistance and may result in respiratory fatigue so correction of posterior septal deformities

increases the cross-sectional area of the nasal cavity signi!cantly. Reducing nasal airway resistance may improve aerobic

exercise capacity. The aim of this case report was to examine the effects of surgical treatment of septal deviation in

aerobic performance and cardiopulmonary responses. A 25-year-old physically-active male with nasal septal deviation

performed the aerobic performance test one week before and two months after septoplasty. The running time, and cardiopulmonary

parameters recorded to assess and interpret aerobic exercise performance. Levels of daytime sleepiness and

perceived nasal obstruction were monitored via the Epworth Sleepiness Scale (ESS) and Nasal Obstruction Symptom

Evaluation (NOSE) Scale, respectively. Acoustic rhinometry was used to evaluate the cross-sectional areas, and volumes

of the nasal cavity. After septoplasty, ESS and NOSE scale points decreased (from 7 to 2 and 65 to 5, respectively) with

an increase in cross-sectional area of the nasal cavity. The maximal running time increased and the test stage was maintained

with decreased heart rate and oxygen consumption at all stages of the incremental aerobic test. The results suggest

that septoplasty may improve aerobic performance by increasing work economy. In our case, septoplasty reduced

the heart rate, ventilation, and maximal oxygen consumption during an incremental workload. Our results may be useful

for sports professionals with nasal obstruction to improve aerobic performance and decrease the cost of ventilation.

(Cite this article as: Meleko􀃷lu T, Arslan B, Türk A, Bostanci A, Turhan M. Effects of surgical correction of nasal septal

deviation on aerobic performance. Med Sport 2019;72:676-86. DOI: 10.23736/S0025-7826.19.03384-2)

KEY WORDS: Nasal surgical procedures; Athletic performance; Oxygen consumption; Respiratory mechanics.