PMID- 14685886 OWN - NLM STAT- MEDLINE DCOM- 20050210 LR - 20181113 IS - 0937-4477 (Print) IS - 0937-4477 (Linking) VI - 261 IP - 9 DP - 2004 Oct TI - Alterations in rhinosinusal homeostasis in a sportive population: our experience with 106 athletes. PG - 502-6 AB - The aim of the present work was to analyse the alterations of rhino-sinusal physiology in 106 professional athletes (swimmers, skiers, boxers and runners) using objective rhinological methods. Every athlete underwent an accurate anamnesis, a complete objective ORL evaluation, an active anterior rhinomanometry, an acoustic rhinometry and an evaluation of mucociliary transport time (MCTt). Skiers were also submitted to a nasal decongestion test (NDT). In swimmers, the mean MCTt was 27.4+/-4.97 min (normal value: 13+/-3 min; P<0.0001). The average MCTt for the skier group was 19.58+/-1.92 min ( P<0.0001); the mean value of total basal nasal resistance was 0.37+/-0.05 Pa/ml per s (normal value =0.25 Pa/ml per s; P<0.001). After NDT, total nasal resistance was 0.18+/-0.02 Pa/ml per s. In the group of boxers, the total mean nasal resistance was 0.64+/-0.05 Pa/ml per s ( P<0.001); the mean cross-sectional area at the nasal valve level was 0.57+/-0.04 cm(2) (normal value =0.55+/-0.05 cm(2)) and at the inferior turbinate level 0.83+/-0.05 cm(2) (normal value =0.4+/-0.04 cm(2); P<0.001); the TMC average time was 27.35+/-2.21 min ( P<0.0001). Finally, for the runners, the mean MCT time was 20.56+/-2.35 min ( P<0.001). Knowing the alterations of the physiological nasal respiration is of extreme importance to develop a correct and timely therapeutic approach to be able to restore rhino-sinusal homeostasis. Athletes, in fact, need the earliest therapeutic aid in order to avoid the interference of prolonged rhino-sinusal alterations with their performance and also to avoid a more serious clinical situation concerning the inferior airways. FAU - Passali, Desiderio AU - Passali D AD - Department of Otorhinolaryngology, University of Sienna Medical School, V. le Bracci, 53100, Sienna, Italy. passali@unisi.it FAU - Damiani, Valerio AU - Damiani V FAU - Passali, Giulio Cesare AU - Passali GC FAU - Passali, Francesco Maria AU - Passali FM FAU - Bellussi, Luisa AU - Bellussi L LA - eng PT - Comparative Study PT - Journal Article DEP - 20031217 PL - Germany TA - Eur Arch Otorhinolaryngol JT - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery JID - 9002937 SB - IM MH - Adult MH - *Airway Resistance MH - Cohort Studies MH - Female MH - Homeostasis/*physiology MH - Humans MH - Incidence MH - Male MH - Mucociliary Clearance MH - Nasal Cavity/physiology MH - Nasal Mucosa/*pathology MH - Nasal Obstruction/*diagnosis/epidemiology MH - Probability MH - Rhinomanometry MH - Rhinometry, Acoustic/methods MH - Sensitivity and Specificity MH - Sports EDAT- 2003/12/20 05:00 MHDA- 2005/02/11 09:00 CRDT- 2003/12/20 05:00 PHST- 2003/10/30 00:00 [received] PHST- 2003/10/30 00:00 [accepted] PHST- 2003/12/20 05:00 [pubmed] PHST- 2005/02/11 09:00 [medline] PHST- 2003/12/20 05:00 [entrez] AID - 10.1007/s00405-003-0723-7 [doi] PST - ppublish SO - Eur Arch Otorhinolaryngol. 2004 Oct;261(9):502-6. doi: 10.1007/s00405-003-0723-7. Epub 2003 Dec 17.