Document Detail

Aerodynamic effects of inferior turbinate reduction: computational fluid dynamics simulation.
MedLine Citation:
PMID:  16365225     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To investigate the aerodynamic consequences of conservative unilateral inferior turbinate reduction using computational fluid dynamics methods to accomplish detailed nasal airflow simulations. DESIGN: A high-resolution, finite-element mesh of the nasal airway was constructed from magnetic resonance imaging data of a healthy man. Steady-state, inspiratory airflow simulations were conducted at 15 L/min using the techniques of computational fluid dynamics. INTERVENTION: Circumferential removal of 2 mm of soft tissue bulk along the length of the left inferior turbinate was modeled. MAIN OUTCOME MEASURES: Nasal airflow distribution and pressure profiles were computed before and after simulated left inferior turbinate reduction. RESULTS: Simulated inferior turbinate reduction resulted in a broad reduction of pressure along the nasal airway, including the regions distant from the inferior turbinate vicinity. In contrast, relative airflow changes were regional: airflow was minimally affected in the valve region, increased in the lower portion of the middle and posterior nose, and decreased dorsally. CONCLUSION: Use of computational fluid dynamics methods should help elucidate the aerodynamic significance of specific surgical interventions and refine surgical approaches to the nasal airway.
David Wexler; Rebecca Segal; Julia Kimbell
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of otolaryngology--head & neck surgery     Volume:  131     ISSN:  0886-4470     ISO Abbreviation:  Arch. Otolaryngol. Head Neck Surg.     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-12-20     Completed Date:  2006-01-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8603209     Medline TA:  Arch Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1102-7     Citation Subset:  AIM; IM    
Division of Otolaryngology, Fallon Clinic, Worcester, MA 01608, USA.
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MeSH Terms
Computer Simulation
Finite Element Analysis
Models, Biological*
Nasal Obstruction / physiopathology
Nose / physiology*
Otorhinolaryngologic Surgical Procedures
Turbinates / surgery*

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