The Concept of Rhinorespiratory Homeostasis—A New Approach to Nasal Breathing

Thomas Hildebrandt; Werner Johannes Heppt; Ulrich Kertzscher; Leonid Goubergrits

doi:10.1055/s-0033-1341590

Facial Plastic Surgery, Inhaltsverzeichnis

Facial Plast Surg 2013; 29(02): 085-092
DOI: 10.1055/s-0033-1341590

Original Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Concept of Rhinorespiratory Homeostasis—A New Approach to Nasal Breathing

Autor*innen

Thomas Hildebrandt

¹Private practice of otorhinolaryngology in association with the Limmatklinik, Zurich, Switzerland
Werner Johannes Heppt

²Department of Otorhinolaryngology, Head and Neck Surgery, Staedtisches Klinikum Karlsruhe, Karlsruhe, Germany
Ulrich Kertzscher

³Biofluid Mechanics Lab, Institute of Laboratory Medicine, Charité, Berlin, Germany
Leonid Goubergrits

³Biofluid Mechanics Lab, Institute of Laboratory Medicine, Charité, Berlin, Germany

Abstract

The suggested concept of rhinorespiratory homeostasis is a new theoretical model for the discussion of physiologic and physical principles of nasal breathing. This model is based on a comprehensive view of nasal functions that takes comparative animal physiology into account. Consequently, it has a universal cross-species character and emphasizes the central role of nasal secretion. In contrast to the established view, the focus is transferred from the inspired air to the nasal wall. This concept considers the parietal effect of airflow represented by wall shear stress with special regard to the epithelial lining fluid. It delivers one possible mechanism of an inherent triggering of the nasal cycle. Furthermore, the issue of biological fluid–structure interaction is introduced. This article presents a rethinking of nasal breathing that was inspired by clinical experience and results of flow field investigations through computational fluid dynamics.

Keywords

nasal airflow - wall shear stress - nasal functions - nasal cycle - rhinorespiratory homeostasis

Volltext

Referenzen

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