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