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DOI: 10.1055/s-0042-1759764
Impact of the Location of Nasal Septal Deviation on the Nasal Airflow and Air Conditioning Characteristics
Funding Y.N. was supported by a National Research Foundation of Korea (NRF) grant funded by the Korean government (MSIT) (No. NRF-2020R1A2C1005128).Abstract
The location of nasal septal deviation (NSD) directly impacts nasal physiology. The objective is to examine, using computational fluid dynamics (CFD), the difference in the airflow and air conditioning characteristics according to the location of NSD. Twenty patients with septal deviation were divided into two: 10 caudal septal deviation (CSD) and 10 posterior septal deviation (PSD). Physiological variables were compared and numerical models for nasal cavity were created with CT scans. Cases with CSD had distinctive features including restricted airflow partition, larger nasal resistance, and decreased surface heat flux in the more obstructed side (MOS), and lower humidity and air temperature in the lesser obstructed side (LOS). Physiological differences were observed according to the location of septal deviation, CSD cases exhibit significantly more asymmetric airflow characteristics and air conditioning capacity between LOS and MOS.
Keywords
caudal area - posterior deviation - computational fluid dynamics - nasal resistance - air conditioning capacityAuthors' Contributions
Y.N. did the study design, CFD analysis, and original manuscript preparation. K.W.K. did the data collection, statistical analysis, and preparation of figure. Y.J.J. did the study design, data collection, and manuscript editing. All authors have reviewed and approved the article for submission and agreed upon the authorship order.
Publication History
Article published online:
23 December 2022
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References
- 1 Rohrich RJ, Gunter JP, Deuber MA, Adams Jr WP. The deviated nose: optimizing results using a simplified classification and algorithmic approach. Plast Reconstr Surg 2002; 110 (06) 1509-1523 , discussion 1524–1525
- 2 Cho GS, Kim JH, Jang YJ. Correlation of nasal obstruction with nasal cross-sectional area measured by computed tomography in patients with nasal septal deviation. Ann Otol Rhinol Laryngol 2012; 121 (04) 239-245
- 3 Teixeira J, Certal V, Chang ET. et al. Nasal septal deviations: a systematic review of classification systems. Plast Surg Int 2016; 2016: 7089123
- 4 Garcia GJM, Rhee JS, Senior BA, Kimbell JS. Septal deviation and nasal resistance: an investigation using virtual surgery and computational fluid dynamics. Am J Rhinol Allergy 2010; 24 (01) e46-e53
- 5 Doorly DJ, Taylor DJ, Schroter RC. Mechanics of airflow in the human nasal airways. Respir Physiol Neurobiol 2008; 163 (1-3): 100-110
- 6 Zhao K, Blacker K, Luo Y, Bryant B, Jiang J. Perceiving nasal patency through mucosal cooling rather than air temperature or nasal resistance. PLoS One 2011; 6 (10) e24618
- 7 Sullivan CD, Garcia GJ, Frank-Ito DO, Kimbell JS, Rhee JS. Perception of better nasal patency correlates with increased mucosal cooling after surgery for nasal obstruction. Otolaryngol Head Neck Surg 2014; 150 (01) 139-147
- 8 Malik J, Spector BM, Wu Z. et al. Evidence of nasal cooling and sensory impairments driving patient symptoms with septal deviation. Laryngoscope 2022; 132 (03) 509-517
- 9 Lindemann J, Keck T, Wiesmiller K. et al. A numerical simulation of intranasal air temperature during inspiration. Laryngoscope 2004; 114 (06) 1037-1041
- 10 Pless D, Keck T, Wiesmiller K. et al. Numerical simulation of air temperature and airflow patterns in the human nose during expiration. Clin Otolaryngol Allied Sci 2004; 29 (06) 642-647
- 11 Kim D-W, Chung S-K, Na Y. Numerical study on the air conditioning characteristics of the human nasal cavity. Comput Biol Med 2017; 86: 18-30
- 12 Inthavong K, Ma J, Shang Y. et al. Geometry and airflow dynamics analysis in the nasal cavity during inhalation. Clin Biomech (Bristol, Avon) 2019; 66: 97-106
- 13 Na Y, Chung SK, Byun S. Numerical study on the heat-recovery capacity of the human nasal cavity during expiration. Comput Biol Med 2020; 126: 103992
- 14 Chen XB, Lee HP, Chong VFH, Wang Y. Assessment of septal deviation effects on nasal air flow: a computational fluid dynamics model. Laryngoscope 2009; 119 (09) 1730-1736
- 15 Zhu JH, Lee HP, Lim KM, Lee SJ, San LT, Wang Y. Inspirational airflow patterns in deviated noses: a numerical study. Comput Methods Biomech Biomed Engin 2013; 16 (12) 1298-1306
- 16 Ozlugedik S, Nakiboglu G, Sert C. et al. Numerical study of the aerodynamic effects of septoplasty and partial lateral turbinectomy. Laryngoscope 2008; 118 (02) 330-334
- 17 Rhee JS, Pawar SS, Garcia GJM, Kimbell JS. Toward personalized nasal surgery using computational fluid dynamics. Arch Facial Plast Surg 2011; 13 (05) 305-310
- 18 Campbell DA, Moghaddam MG, Rhee JS, Garcia GJM. Narrowed posterior nasal airway limits efficacy of anterior septoplasty. Facial Plast Surg Aesthet Med 2021; 23 (01) 13-20
- 19 Zambetti G, Filiaci F, Romeo R, Soldo P, Filiaci F. Assessment of Cottle's areas through the application of a mathematical model deriving from acoustic rhinometry and rhinomanometric data. Clin Otolaryngol 2005; 30 (02) 128-134
- 20 Stewart MG, Witsell DL, Smith TL, Weaver EM, Yueh B, Hannley MT. Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol Head Neck Surg 2004; 130 (02) 157-163
- 21 Shang YD, Inthavong K, Tu JY. Detailed micro-particle deposition patterns in the human nasal cavity influenced by the breathing zone. Comput Fluids 2015; 114: 141-150
- 22 Chung S-K, Na Y. Dynamic characteristics of heat capacity of the human nasal cavity during a respiratory cycle. Respir Physiol Neurobiol 2021; 290: 103674
- 23 Annas of the ICRP 24. ICRP. (International Commission on Radiological Protection) Publication 66. Human Respiratory Tract Model for Radiological Protection. Oxford: Pergamon Press; 1994. :23
- 24 Wen J, Inthavong K, Tu J, Wang S. Numerical simulations for detailed airflow dynamics in a human nasal cavity. Respir Physiol Neurobiol 2008; 161 (02) 125-135
- 25 Xiong GX, Li JF, Zhuang HW, Zhou XH, Zhan JM, Xu G. A comparative study on numerical simulation of the normal nasal airflow during periodic breathing and steady-state breathing. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2010; 45 (09) 737-741
- 26 Burgos MA, Sanmiguel-Rojas E, Martín-Alcántara A, Hidalgo-Martínez M. Effects of the ambient temperature on the airflow across a Caucasian nasal cavity. Int J Numer Methods Biomed Eng 2014; 30 (03) 430-445
- 27 Schreck S, Sullivan KJ, Ho CM, Chang HK. Correlations between flow resistance and geometry in a model of the human nose. J Appl Physiol 1993; 75 (04) 1767-1775
- 28 Zhao K, Scherer PW, Hajiloo SA, Dalton P. Effect of anatomy on human nasal air flow and odorant transport patterns: implications for olfaction. Chem Senses 2004; 29 (05) 365-379
- 29 Dinis PB, Haider H. Septoplasty: long-term evaluation of results. Am J Otolaryngol 2002; 23 (02) 85-90
- 30 Konstantinidis I, Triaridis S, Triaridis A, Karagiannidis K, Kontzoglou G. Long term results following nasal septal surgery. Focus on patients' satisfaction. Auris Nasus Larynx 2005; 32 (04) 369-374
- 31 Proctor DF, Andersen I, Lundqvist GR. Human nasal mucosal function at controlled temperatures. Respir Physiol 1977; 30 (1-2): 109-124
- 32 Naftali S, Rosenfeld M, Wolf M, Elad D. The air-conditioning capacity of the human nose. Ann Biomed Eng 2005; 33 (04) 545-553
- 33 Elad D, Wolf M, Keck T. Air-conditioning in the human nasal cavity. Respir Physiol Neurobiol 2008; 163 (1-3): 121-127
- 34 Garcia GJM, Bailie N, Martins DA, Kimbell JS. Atrophic rhinitis: a CFD study of air conditioning in the nasal cavity. J Appl Physiol 2007; 103 (03) 1082-1092
- 35 Ingelstedt S, Ivstam B. Study in the humidifying capacity of the nose. Acta Otolaryngol 1951; 39 (04) 286-290
- 36 Rouadi P, Baroody FM, Abbott D, Naureckas E, Solway J, Naclerio RM. A technique to measure the ability of the human nose to warm and humidify air. J Appl Physiol 1999; 87 (01) 400-406
- 37 Keck T, Lindemann J. Numerical simulation and nasal air-conditioning. GMS Curr Top Otorhinolaryngol Head Neck Surg 2010; 9: Doc08
- 38 Eccles R, Morris S, Tolley NS. The effects of nasal anaesthesia upon nasal sensation of airflow. Acta Otolaryngol 1988; 106 (1-2): 152-155
- 39 Jones AS, Wight RG, Durham LH. The distribution of thermoreceptors within the nasal cavity. Clin Otolaryngol Allied Sci 1989; 14 (03) 235-239
- 40 Clarke RW, Jones AS, Charters P, Sherman I. The role of mucosal receptors in the nasal sensation of airflow. Clin Otolaryngol Allied Sci 1992; 17 (05) 383-387
- 41 Zhao K, Jiang J, Blacker K. et al. Regional peak mucosal cooling predicts the perception of nasal patency. Laryngoscope 2014; 124 (03) 589-595