Numerical flow simulation in the post-endoscopic sinus surgery nasal cavity

In this study we utilized computational fluid dynamic (CFD) techniques to construct a numerical simulation of nasal cavity airflow pre and post virtual functional endoscopic surgery (FESS). A healthy subject was selected, and CFD techniques were then applied to construct an anatomically and proporti...

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Veröffentlicht in:	Medical & biological engineering & computing Jg. 46; H. 11; S. 1161 - 1167
Hauptverfasser:	Xiong, Guanxia, Zhan, Jiemin, Zuo, Kejun, Li, Jianfeng, Rong, Liangwan, Xu, Geng
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	Berlin/Heidelberg Springer-Verlag 01.11.2008 Springer Nature B.V
Schlagworte:	Adult Airway management Airway Resistance Biomedical and Life Sciences Biomedical Engineering and Bioengineering Biomedicine CAS Computer Applications Computer assisted surgery Computer Simulation Endoscopy Human Physiology Humans Image Processing, Computer-Assisted - methods Imaging Middle Aged Models, Anatomic Nasal Cavity - diagnostic imaging Nasal Cavity - physiopathology Otolaryngology Paranasal Sinuses - surgery Postoperative Period Radiology Simulation Sinuses Software Special Issue - Original Article Studies Surgery Tomography, X-Ray Computed Ultrasonography - methods Young Adult Three dimensional reconstruction Nasal cavity Computational fluid dynamics Functional endoscopic sinus surgery Laminar nasal airflow
ISSN:	0140-0118, 1741-0444, 1741-0444
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Abstract	In this study we utilized computational fluid dynamic (CFD) techniques to construct a numerical simulation of nasal cavity airflow pre and post virtual functional endoscopic surgery (FESS). A healthy subject was selected, and CFD techniques were then applied to construct an anatomically and proportionally accurate three-dimensional nasal model based on nasal CT scans. A virtual FESS intervention was performed numerically on the normal nasal model using Fluent software. Navier-Stokes and continuity equations were used to calculate and compare airflow, velocity, distribution and pressure in both the pre and post FESS models. In the post-FESS model, there was an increase in airflow distribution in the maxillary, ethmoid and sphenoid sinuses, and a 13% increase through the area connecting the middle meatus and the surgically opened ethmoid. There was a gradual decrease in nasal resistance in the posterior ethmoid sinus region following FESS. These findings highlight the potential of this technique as a powerful preoperative assessment tool to aid clinical decision-making.
AbstractList	In this study we utilized computational fluid dynamic (CFD) techniques to construct a numerical simulation of nasal cavity airflow pre and post virtual functional endoscopic surgery (FESS). A healthy subject was selected, and CFD techniques were then applied to construct an anatomically and proportionally accurate three-dimensional nasal model based on nasal CT scans. A virtual FESS intervention was performed numerically on the normal nasal model using Fluent software. Navier-Stokes and continuity equations were used to calculate and compare airflow, velocity, distribution and pressure in both the pre and post FESS models. In the post-FESS model, there was an increase in airflow distribution in the maxillary, ethmoid and sphenoid sinuses, and a 13% increase through the area connecting the middle meatus and the surgically opened ethmoid. There was a gradual decrease in nasal resistance in the posterior ethmoid sinus region following FESS. These findings highlight the potential of this technique as a powerful preoperative assessment tool to aid clinical decision-making.In this study we utilized computational fluid dynamic (CFD) techniques to construct a numerical simulation of nasal cavity airflow pre and post virtual functional endoscopic surgery (FESS). A healthy subject was selected, and CFD techniques were then applied to construct an anatomically and proportionally accurate three-dimensional nasal model based on nasal CT scans. A virtual FESS intervention was performed numerically on the normal nasal model using Fluent software. Navier-Stokes and continuity equations were used to calculate and compare airflow, velocity, distribution and pressure in both the pre and post FESS models. In the post-FESS model, there was an increase in airflow distribution in the maxillary, ethmoid and sphenoid sinuses, and a 13% increase through the area connecting the middle meatus and the surgically opened ethmoid. There was a gradual decrease in nasal resistance in the posterior ethmoid sinus region following FESS. These findings highlight the potential of this technique as a powerful preoperative assessment tool to aid clinical decision-making. In this study we utilized computational fluid dynamic (CFD) techniques to construct a numerical simulation of nasal cavity airflow pre and post virtual functional endoscopic surgery (FESS). A healthy subject was selected, and CFD techniques were then applied to construct an anatomically and proportionally accurate three-dimensional nasal model based on nasal CT scans. A virtual FESS intervention was performed numerically on the normal nasal model using Fluent software. Navier-Stokes and continuity equations were used to calculate and compare airflow, velocity, distribution and pressure in both the pre and post FESS models. In the post-FESS model, there was an increase in airflow distribution in the maxillary, ethmoid and sphenoid sinuses, and a 13% increase through the area connecting the middle meatus and the surgically opened ethmoid. There was a gradual decrease in nasal resistance in the posterior ethmoid sinus region following FESS. These findings highlight the potential of this technique as a powerful preoperative assessment tool to aid clinical decision-making. Issue Title: Special issue on patient specific hemodynamic modelling In this study we utilized computational fluid dynamic (CFD) techniques to construct a numerical simulation of nasal cavity airflow pre and post virtual functional endoscopic surgery (FESS). A healthy subject was selected, and CFD techniques were then applied to construct an anatomically and proportionally accurate three-dimensional nasal model based on nasal CT scans. A virtual FESS intervention was performed numerically on the normal nasal model using Fluent software. Navier-Stokes and continuity equations were used to calculate and compare airflow, velocity, distribution and pressure in both the pre and post FESS models. In the post-FESS model, there was an increase in airflow distribution in the maxillary, ethmoid and sphenoid sinuses, and a 13% increase through the area connecting the middle meatus and the surgically opened ethmoid. There was a gradual decrease in nasal resistance in the posterior ethmoid sinus region following FESS. These findings highlight the potential of this technique as a powerful preoperative assessment tool to aid clinical decision-making. [PUBLICATION ABSTRACT]
Author	Zuo, Kejun Xu, Geng Zhan, Jiemin Li, Jianfeng Rong, Liangwan Xiong, Guanxia
Author_xml	– sequence: 1 givenname: Guanxia surname: Xiong fullname: Xiong, Guanxia organization: Otolaryngology Hospital of the First Affiliated Hospital of Sun Yat-sen University, Otolaryngology Institute of Sun Yat-sen University – sequence: 2 givenname: Jiemin surname: Zhan fullname: Zhan, Jiemin organization: Department of Applied Mechanics and Engineering, Sun Yat-Sen University – sequence: 3 givenname: Kejun surname: Zuo fullname: Zuo, Kejun organization: Otolaryngology Hospital of the First Affiliated Hospital of Sun Yat-sen University, Otolaryngology Institute of Sun Yat-sen University – sequence: 4 givenname: Jianfeng surname: Li fullname: Li, Jianfeng organization: Department of Applied Mechanics and Engineering, Sun Yat-Sen University – sequence: 5 givenname: Liangwan surname: Rong fullname: Rong, Liangwan organization: Department of Applied Mechanics and Engineering, Sun Yat-Sen University – sequence: 6 givenname: Geng surname: Xu fullname: Xu, Geng email: entxgfess@163.com organization: Otolaryngology Hospital of the First Affiliated Hospital of Sun Yat-sen University, Otolaryngology Institute of Sun Yat-sen University
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/18726628$$D View this record in MEDLINE/PubMed
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Keywords	Three dimensional reconstruction Nasal cavity Computational fluid dynamics Functional endoscopic sinus surgery Laminar nasal airflow
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Snippet	In this study we utilized computational fluid dynamic (CFD) techniques to construct a numerical simulation of nasal cavity airflow pre and post virtual... Issue Title: Special issue on patient specific hemodynamic modelling In this study we utilized computational fluid dynamic (CFD) techniques to construct a...
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SubjectTerms	Adult Airway management Airway Resistance Biomedical and Life Sciences Biomedical Engineering and Bioengineering Biomedicine CAS Computer Applications Computer assisted surgery Computer Simulation Endoscopy Human Physiology Humans Image Processing, Computer-Assisted - methods Imaging Middle Aged Models, Anatomic Nasal Cavity - diagnostic imaging Nasal Cavity - physiopathology Otolaryngology Paranasal Sinuses - surgery Postoperative Period Radiology Simulation Sinuses Software Special Issue - Original Article Studies Surgery Tomography, X-Ray Computed Ultrasonography - methods Young Adult
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Title	Numerical flow simulation in the post-endoscopic sinus surgery nasal cavity
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