PDF herunterladen
Facial Plast Surg 2013; 29(02): 093-098
DOI: 10.1055/s-0033-1341591
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Evaluation of the Intranasal Flow Field through Computational Fluid Dynamics

Thomas Hildebrandt
1   Private practice of otorhinolaryngology in association with the Limmatklinik, Zurich, Switzerland
,
Leonid Goubergrits
2   Biofluid Mechanics Lab, Institute of Laboratory Medicine, Charité, Berlin, Germany
,
Werner Johannes Heppt
3   Department of Otorhinolaryngology, Head and Neck Surgery, Staedtisches Klinikum Karlsruhe, Karlsruhe, Germany
,
Stephan Bessler
4   Private practice of otorhinolaryngology, Zurich, Switzerland
,
Stefan Zachow
5   Department of Scientific Visualization and Data Analysis, Zuse Institute, Berlin, Germany
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
05. April 2013 (online)

    Lizenzen und Reprints

Abstract

A reliable and comprehensive assessment of nasal breathing is problematic and still a common issue in rhinosurgery. Impairments of nasal breathing need an objective approach. In this regard, currently rhinomanometry is the only standard diagnostic tool available but has various limitations. However, in the last decade, computational fluid dynamics (CFD) has become a promising method in facing the challenge of qualifying nasal breathing. This article presents use of CFD with a symptom-free subject and a symptomatic patient. Thereby, certain flow field features and changes before and after surgery were investigated. Moreover, the study outlines suggestions for concrete rhinologic CFD applications.

Keywords

nasal resistance - pressure drop - nasal breathing - flow field - wall shear stress
 

  • References

  • 1 Bermüller C, Kirsche H, Rettinger G, Riechelmann H. Diagnostic accuracy of peak nasal inspiratory flow and rhinomanometry in functional rhinosurgery. Laryngoscope 2008; 118: 605-610
    CrossrefPubMedGoogle Scholar
  • 2 Mlynski G, Beule A. Diagnostik der respiratorischen Funktion der Nase [Diagnostic methods of nasal respiratory function]. HNO 2008; 56: 81-99
    CrossrefPubMedGoogle Scholar
  • 3 Kimbell JS, Garcia GJM, Frank DO, Cannon DE, Pawar SS, Rhee JS. Computed nasal resistance compared with patient-reported symptoms in surgically treated nasal airway passages: a preliminary report. Am J Rhinol Allergy 2012; 26: e94-e98
    PubMedGoogle Scholar
  • 4 Doorly DJ, Taylor DJ, Gambaruto AM, Schroter RC, Tolley N. Nasal architecture: form and flow. Philos Transact A Math Phys Eng Sci 2008; 366: 3225-3246
    CrossrefPubMedGoogle Scholar
  • 5 Doorly DJ, Taylor DJ, Schroter RC. Mechanics of airflow in the human nasal airways. Respir Physiol Neurobiol 2008; 163: 100-110
    CrossrefPubMedGoogle Scholar
  • 6 Elad D, Naftali S, Rosenfeld M, Wolf M. Physical stresses at the air-wall interface of the human nasal cavity during breathing. J Appl Physiol 2006; 100: 1003-1010
    PubMedGoogle Scholar
  • 7 Goubergrits L, Schaller L, Kertzscher U , et al. Statistically wall shear stress maps of ruptured and unruptured middle cerebral artery aneurysms. J R Soc Interface 2012; 69: 677-688
    PubMedGoogle Scholar
  • 8 Goubergrits L, Wellnhofer E, Kertzscher U, Affeld K, Petz C, Hege H-C. Coronary artery WSS profiling using a geometry reconstruction based on biplane angiography. Ann Biomed Eng 2009; 37: 682-691
    CrossrefPubMedGoogle Scholar
  • 9 Zachow S, Steinmann A, Hildebrandt T, Weber R, Heppt W. CFD simulation of nasal airflow: towards treatment planning for functional rhinosurgery. Int J Comput Assist Radiol Surg 2006; 1 (S1) 165-167
    PubMedGoogle Scholar
  • 10 Zachow S, Muigg P, Hildebrandt T, Doleisch H, Hege H-C. Visual exploration of nasal airflow. IEEE Trans Vis Comput Graph 2009; 15: 1407-1414
    CrossrefPubMedGoogle Scholar
  • 11 Zachow S, Steinmann A, Hildebrandt T, Heppt W. Understanding nasal airflow via CFD simulation and visualization. In: Proc Computer Aided Surgery around the Head. Berlin: Pro Business Verlag; 2007: 173-176
    Google Scholar
  • 12 Gubisch W. Twenty-five years experience with extracorporeal septoplasty. Facial Plast Surg 2006; 22: 230-239
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 13 Zhu JH, Lee HP, Lim KM, Lee SJ, Teo Li San L, Wang DY. Inspirational airflow patterns in deviated noses: a numerical study. Comput Methods Biomech Biomed Engin 2012;
    PubMedGoogle Scholar
  • 14 Doorly DJ, Taylor DJ, Gambaruto AM, Schroter RC, Tolley N. Nasal architecture: form and flow. Philos Transact A Math Phys Eng Sci 2008; 366: 3225-3246
    CrossrefPubMedGoogle Scholar
  • 15 Taylor DJ, Doorly DJ, Schroter RC. Inflow boundary profile prescription for numerical simulation of nasal airflow. J R Soc Interface 2010; 7: 515-527
    CrossrefPubMedGoogle Scholar
  • 16 Sommer F, Kröger R, Lindemann J. Numerical simulation of humidification and heating during inspiration within an adult nose. Rhinology 2012; 50: 157-164
    PubMedGoogle Scholar
  • 17 Delank KW. Aerodynamik im Bereich des Riechorgans. In: Stoll W, , ed. Klinik der menschlichen Sinne. Wien, Austria: Springer Verlag; 2008: 50-58
    CrossrefGoogle Scholar
  • 18 Keyhani K, Scherer PW, Mozell MM. Numerical simulation of airflow in the human nasal cavity. J Biomech Eng 1995; 117: 429-441
    CrossrefPubMedGoogle Scholar
  • 19 Hahn I, Scherer PW, Mozell MM. Velocity profiles measured for airflow through a large-scale model of the human nasal cavity. J Appl Physiol 1993; 75: 2273-2287
    PubMedGoogle Scholar
  • 20 Proctor DF. The upper airway. In: Proctor DF, Anderson IB, , eds. The Nose. Upper Airway Physiology and the Atmospheric Environment. New York, NY: Elsevier, Urban & Fischer; 1982: 23-43
    Google Scholar
  • 21 Wen J, Inthavong K, Tian ZF, Tu JY, Xue CL, Li CG. Airflow Patterns in Both Sides of a Realistic Human Nasal Cavity for Laminar and Turbulent Conditions. Paper presented at: 16th Australasian Fluid Mechanics Conference; December 3–7, 2007; Gold Coast, Australia
    PubMedGoogle Scholar
  • 22 Wexler DB, Davidson TM. The nasal valve: a review of the anatomy, imaging, and physiology. Am J Rhinol 2004; 18: 143-150
    PubMedGoogle Scholar
  • 23 Huizing EH, De Groot JAM. Functional Reconstructive Nasal Surgery. 1st ed. Stuttgart, Germany: Thieme; 2003: 47-50
    Google Scholar
  • 24 Bloching MB. Disorders of the nasal valve area. GMS Curr Top Otorhinolaryngol Head Neck Surg 2007; 6: Doc07
    PubMedGoogle Scholar
  • 25 Tesla N. Valvular Conduid. US-Patent 1329559 (1920)
    PubMedGoogle Scholar
  • 26 Hildebrandt T. Das Konzept der Rhinorespiratorischen Homöostase—ein neuer theoretischer Ansatz für die Diskussion physiologischer und physikalischer Zusammenhänge bei der Nasenatmung [PhD dissertation]. Freiburg im Breisgau, Germany: Albert-Ludwigs-Universität; 2011
    Google Scholar
  • 27 Fiedler G. Retrospektive Analyse sinunasaler Erkrankungen bei 104 Patienten nach Laryngektomie [PhD dissertation]. Marburg, Germany: Phillips-Universität; 2008
    Google Scholar
  • 28 Maniscalo M, Lundberg JO. Nasal nitric oxide. Eur Respir Mon 2010; 49: 71-81
    PubMedGoogle Scholar
  • 29 Heppt W, Gubisch W. Septal surgery in rhinoplasty. Facial Plast Surg 2011; 27: 167-178
    Artikel in Thieme ConnectPubMedGoogle Scholar