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Facial Plast Surg 2024; 40(03): 331-335
DOI: 10.1055/s-0043-1777838
Original Article

Nasal Breathing Assessment Using Computational Fluid Dynamics: An Update from the Rhinologic Perspective

Thomas Hildebrandt
1   Independent Researcher, Zurich, Switzerland
,
Werner Johannes Heppt
2   Department of Otorhinolaryngology–Head and Neck Surgery, Facial Plastic Surgery, Academic Teaching Hospital, Staedtisches Klinikum, Karlsruhe, Germany
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Abstract

An objective assessment of nasal breathing is currently insufficiently achievable. The application of computational fluid dynamics for this purpose is increasingly gaining attention. However, the suggested specific frameworks can differ considerably. To the best of our knowledge, there is not yet a widely accepted clinical usage of computational fluid dynamics. In this article, selected aspects are addressed that might be crucial for future development and possible implementation of computational fluid dynamics in rhinology.

Keywords

computational fluid dynamics - statistical shape model - nasal breathing - flow field - wall shear stress - intranasal airflow


Publication History

Article published online:
10 January 2024

© 2024. Thieme. All rights reserved.

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  • References

  • 1 Bermüller C, Kirsche H, Rettinger G, Riechelmann H. Diagnostic accuracy of peak nasal inspiratory flow and rhinomanometry in functional rhinosurgery. Laryngoscope 2008; 118 (04) 605-610
    CrossrefPubMedSearch in Google Scholar
  • 2 Clement PA, Gordts F. Standardisation Committee on Objective Assessment of the Nasal Airway, IRS, and ERS. Consensus report on acoustic rhinometry and rhinomanometry. Rhinology 2005; 43 (03) 169-179
    PubMedSearch in Google Scholar
  • 3 Ta NH, Gao J, Philpott C. A systematic review to examine the relationship between objective and patient-reported outcome measures in sinonasal disorders: recommendations for use in research and clinical practice. Int Forum Allergy Rhinol 2021; 11 (05) 910-923
    CrossrefPubMedSearch in Google Scholar
  • 4 Mo S, Gupta SS, Stroud A. et al. Nasal peak inspiratory flow in healthy and obstructed patients: systematic review and meta-analysis. Laryngoscope 2021; 131 (02) 260-267
    CrossrefPubMedSearch in Google Scholar
  • 5 Burgos MA, Sanmiguel-Rojas E, Del Pino C, Sevilla-García MA, Esteban-Ortega F. New CFD tools to evaluate nasal airflow. Eur Arch Otorhinolaryngol 2017; 274 (08) 3121-3128
    CrossrefPubMedSearch in Google Scholar
  • 6 Flowgy. Accessed September 30, 2023 at: https://www.flowgy.com
    PubMed
  • 7 Zachow S, Muigg P, Hildebrandt T, Doleisch H, Hege HC. Visual exploration of nasal airflow. IEEE Trans Vis Comput Graph 2009; 15 (06) 1407-1414
    CrossrefPubMedSearch in Google Scholar
  • 8 Quadrio M, Pipolo C, Corti S. et al. Effects of CT resolution and radiodensity threshold on the CFD evaluation of nasal airflow. Med Biol Eng Comput 2016; 54 (2–3): 411-419
    CrossrefPubMedSearch in Google Scholar
  • 9 Hildebrandt T, Osman J, Goubergrits L. Numerical flow simulation: a new method for assessing nasal breathing. HNO 2016; 64 (08) 611-618
    PubMedSearch in Google Scholar
  • 10 Hildebrandt T, Goubergrits L, Heppt WJ, Bessler S, Zachow S. Evaluation of the intranasal flow field through computational fluid dynamics. Facial Plast Surg 2013; 29 (02) 93-98
    Thieme ConnectPubMedSearch in Google Scholar
  • 11 Hildebrandt T. Principles of modern septoplasty. In: Behrbohm H, Tardy EM. eds. Essentials of Septorhinoplasty. 2nd ed.. New York, NY: Thieme; 2016: 122-127
    Search in Google Scholar
  • 12 Hildebrandt T, Heppt WJ, Kertzscher U, Goubergrits L. The concept of rhinorespiratory homeostasis: a new approach to nasal breathing. Facial Plast Surg 2013; 29 (02) 85-92
    Thieme ConnectPubMedSearch in Google Scholar
  • 13 Hildebrandt T. Das Konzept der Rhinorespiratorischen Homöostase—ein neuer theoretischer Ansatz für die Diskussion physiologischer und physikalischer Zusammenhänge bei der Nasenatmung [dissertation in German]. Freiburg im Breisgau, Germany: Albert-Ludwigs-Universität; 2011
    Search in Google Scholar
  • 14 Brüning J, Hildebrandt T, Heppt W. et al. Characterization of the airflow within an average geometry of the healthy human nasal cavity. Sci Rep 2020; 10 (01) 3755
    CrossrefPubMedSearch in Google Scholar
  • 15 Hildebrandt T, Heppt W. A novel principle of nasal breathing assessment. 2023 Accessed September 23, 2023 at: https://figshare.com
    PubMedSearch in Google Scholar
  • 16 Bruintjes TD, van Olphen AF, Hillen B, Huizing EH. A functional anatomic study of the relationship of the nasal cartilages and muscles to the nasal valve area. Laryngoscope 1998; 108 (07) 1025-1032
    CrossrefPubMedSearch in Google Scholar
  • 17 Hildebrandt T, Brüning JJ, Schmidt NL. et al. The healthy nasal cavity-characteristics of morphology and related airflow based on a statistical shape model viewed from a surgeon's perspective. Facial Plast Surg 2019; 35 (01) 9-13
    Thieme ConnectPubMedSearch in Google Scholar
  • 18 Proctor DF. Form and function in the upper airways and larynx. In: Fishman AP. ed. The Handbook of Physiology. Section 3: The Respiratory System. Vol. 3: Mechanics of Breathing, Part 1. Bethesda, MD: The American Physiological Society; 1986: 63-73
    Search in Google Scholar
  • 19 Bridger GP, Proctor DF. Maximum nasal inspiratory flow and nasal resistance. Ann Otol Rhinol Laryngol 1970; 79 (03) 481-488
    CrossrefPubMedSearch in Google Scholar
  • 20 Zhao K, Jiang J, Blacker K. et al. Regional peak mucosal cooling predicts the perception of nasal patency. Laryngoscope 2014; 124 (03) 589-595
    CrossrefPubMedSearch in Google Scholar
  • 21 Elad D, Naftali S, Rosenfeld M, Wolf M. Physical stresses at the air-wall interface of the human nasal cavity during breathing. J Appl Physiol 2006; 100 (03) 1003-1010
    CrossrefPubMedSearch in Google Scholar
  • 22 Eccles R. The central rhythm of the nasal cycle. Acta Otolaryngol 1978; 86 (5–6): 464-468
    CrossrefPubMedSearch in Google Scholar
  • 23 Huizing EH, De Groot JAM. Functional Reconstructive Nasal Surgery. 1st ed.. Stuttgart: Thieme; 2003: 52
    Search in Google Scholar