{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T17:48:15Z","timestamp":1786470495553,"version":"build-2736575974"},"reference-count":38,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T00:00:00Z","timestamp":1774742400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T00:00:00Z","timestamp":1774742400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100010485","name":"American Rhinologic Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010485","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We seek to examine the effects of septoplasty with inferior turbinate reduction (ITR) on objective measurements of exercise physiology and how they may correlate with subjective measures such as patient\u2010perceived improvement and disease\u2010specific quality of life (DSQOL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Thirteen subjects with deviated nasal septum and inferior turbinate hypertrophy limiting exercise tolerance underwent pre and 3\u2010month postoperative exercise testing. Measurements included heart rate (HR), tidal volume (\n                      <jats:italic>V<\/jats:italic>\n                      <jats:sub>t<\/jats:sub>\n                      ), maximum oxygen consumption relative to body weight (VO\n                      <jats:sub>2<\/jats:sub>\n                      ), lactate, and rating of perceived exertion (RPE), and peak nasal inspiratory flow (PNIF) testing, in addition to two validated surveys including the NOSE instrument and SNOT\u201022 questionnaire.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The population included 54% women with an average age of 33.8\u2009years. Postoperative improvement was shown in PNIF (99.6 vs. 146.7\u2009L\/min,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002) NOSE scale (13.2 vs. 2.1,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), total SNOT\u201022 score (29.1 vs. 11.4,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003), and subjective improvement at Stages 3, 4, and 6 of exercise testing. There was improvement at Stage 6 in HR (177.3 vs. 171.7\u2009bpm,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.046) and lactate (lactate 5.84 vs. 4.71\u2009mmol\/L,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004). There was no change in relative VO\n                      <jats:sub>2<\/jats:sub>\n                      or\n                      <jats:italic>V<\/jats:italic>\n                      <jats:sub>t<\/jats:sub>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This is the first study to directly assess the role of septoplasty\/ITR in relation to exercise performance. Participants did not show improvement in cardiovascular fitness but did have subjective improvements in performance and DSQOL. These findings support the effectiveness of septoplasty\/ITR in improving tolerance to exercise independent of cardiovascular fitness level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>3.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70532","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T04:17:34Z","timestamp":1774844254000},"page":"3737-3743","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Effect of Septoplasty and Inferior Turbinate Reduction on Measures of Exercise Capacity"],"prefix":"10.1002","volume":"136","author":[{"given":"Aaron N.","family":"Pearlman","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Weill Cornell Medical College  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sei","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Weill Cornell Medical College  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian F.","family":"Caplan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Weill Cornell Medical College  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Polly","family":"de Mille","sequence":"additional","affiliation":[{"name":"Tisch Sports Performance Center, Hospital for Special Surgery  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,29]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/S40463\u2010018\u20100293\u20108"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989210700116"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/BMJ\u20102023\u2010075445"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/S12070\u2010020\u201002311\u2010Z"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.22038\/ijorl.2025.83789.3825"},{"key":"e_1_2_10_7_1","volume-title":"American College of Sports Medicine (ACSM) Risk Factor Screening","author":"Ryg J.","year":"2015"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31827ee100"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/COA.12662"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2003.09.016"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/J.1365\u20102273.2003.00663.X"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/COA.13329"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/OCCMED\/KQX063"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537\u2010199704000\u201000009"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/00034894780873S201"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537\u2010199709000\u201000014"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.ANL.2017.01.006"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.21053\/CEO.2016.9.1.51"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.2165\/00007256\u2010200939060\u201000003\/FIGURES\/TAB6"},{"issue":"1","key":"e_1_2_10_20_1","first-page":"24","article-title":"Anaerobic Threshold: Its Concept and Role in Endurance Sport","volume":"11","author":"Ghosh A. 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