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Copyright © 2019 Ya Zhang et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. http://creativecommons.org/licenses/by/4.0/

Abstract

Purpose. To use computational fluid dynamics (CFD) technology to fundamentally understand (1) the effect of surgical treatments on nasal physiology for secondary atrophic rhinitis and (2) the priority of operations. Subjects and Methods: With the aid of medical imaging and CFD modeling, three virtual operations (nasoseptal perforation repair, cavity narrowing, and a combination of both) were performed to analyze airflow, nasal resistance, and wall shear stress. Results. Compared with the cavity-narrowing virtual operation, nasal resistance was not significantly altered by septal perforation repair virtual operation. Airflow allocation changed with more air flowing through the olfactory area and less though the nasal floor after all operations, especially the cavity-narrowing operation. Wall shear stress at the original epistaxis area and the nasal floor was reduced after the cavity-narrowing operation. Conclusions. Simulation results suggest that the cavity-narrowing operation takes priority over septal perforation repair if a staged surgery approach is adopted. If only one operation can be chosen, the cavity-narrowing operation is better than the septal perforation repair. This work shows that CFD-based modeling may aid precision medicine.

Details

Title
Computational Fluid Dynamics (CFD) Investigation of Aerodynamic Characters inside Nasal Cavity towards Surgical Treatments for Secondary Atrophic Rhinitis
Author
Zhang, Ya 1 ; Zhou, Xudong 2 ; Miao, Lou 1 ; Gong, Minjie 1 ; Zhang, Jingbin 3 ; Ma, Ruiping 1 ; Zhang, Luyao 1 ; Huang, Fen 2 ; Sun, Bin 1 ; Zhu, Kang 1 ; Tong, Zhenbo 2 ; Zheng, Guoxi 1   VIAFID ORCID Logo 

 Department of Otolaryngology Head and Neck Surgery, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an, Shaanxi, 710004, China 
 School of Energy and Environment, Southeast University, Nanjing, Jiangsu, 210096, China 
 Department of Imaging, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China 
Editor
Hao Zhang
Publication year
2019
Publication date
2019
Publisher
John Wiley & Sons, Inc.
ISSN
1024123X
e-ISSN
15635147
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2336158867
Copyright
Copyright © 2019 Ya Zhang et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. http://creativecommons.org/licenses/by/4.0/