机构:[1]Capital Med Univ, Beijing Tongren Hosp, Dept Otolaryngol Head & Neck Surg, Beijing, Peoples R China临床科室耳鼻咽喉-头颈外科首都医科大学附属北京同仁医院首都医科大学附属同仁医院[2]Dalian Med Univ, Dept Otolaryngol Head & Neck Surg, Affiliated Hosp 2, Dalian, Peoples R China[3]Dalian Univ Technol, Dept Engn Mech, Dalian, Peoples R China
Draf III frontal sinus surgery is confirmed as an effective surgical treatment for refractory sinusitis and frontal sinus tumors, etc. Although it has been reported to improve symptoms and reduce the recurrence rate of polyps significantly, the study of airflow characteristics in frontal sinus after Draf III is still rare, especially compared with normal person. This study was designed to describe the airflow characteristics of frontal sinus after Draf III procedure and differences compared with normal subject. One patient with refractory sinusitis received Draf III procedure 15 months ago, and one normal person were selected retrospectively. The two subjects reported no discomfort and no abnormalities in their paranasal sinus within computed tomography scans. Computational fluid dynamics and numerical simulation calculation was performed with the finite volume method. The quantitative indexes of airflow in the frontal sinus of Draf III and normal subjects were achieved. Areas of relatively high-pressure and high wall shear stress located in a posterior part of frontal sinus ostium in both models. Inside frontal sinus, pressure and velocity of flow between Draf III and normal models were statistically significant differences (p < 0.01) after analyzed by Mann-Whitney U test. But airflow pattern of each section in frontal sinus was basically the same. Draf III sinus surgery is able to achieve nasal airflow patterns similar to those of normal person. Although values of airflow pressure and velocity were different from normal person, patients could have no subjective discomfort after surgery. "Frontal T" structure is a key anatomical site interacted with airflow to be an important cause of postoperative edema after Draf III procedure.
基金:
Clinical Medicine Development of Special Funding Support in Beijing Tongren Hospital, Capital Medical University; National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81770977]; Beijing Municipal Administration of Hospitals' Ascent Plan [DFL20150202]
第一作者机构:[1]Capital Med Univ, Beijing Tongren Hosp, Dept Otolaryngol Head & Neck Surg, Beijing, Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Li Cheng,Sung Xiuzhen,Zhao Ming,et al.Comparison of airflow characteristics after Draf III frontal sinus surgery and normal person by numerical simulation[J].MATHEMATICAL BIOSCIENCES AND ENGINEERING.2019,16(4):1750-1760.doi:10.3934/mbe.2019084.
APA:
Li, Cheng,Sung, Xiuzhen,Zhao, Ming,Yu, Shen,Huang, Qian...&Zhou, Bing.(2019).Comparison of airflow characteristics after Draf III frontal sinus surgery and normal person by numerical simulation.MATHEMATICAL BIOSCIENCES AND ENGINEERING,16,(4)
MLA:
Li, Cheng,et al."Comparison of airflow characteristics after Draf III frontal sinus surgery and normal person by numerical simulation".MATHEMATICAL BIOSCIENCES AND ENGINEERING 16..4(2019):1750-1760