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单侧上颌骨全切除术后上气道结构和气流动力学特性的数值模拟。

Numeric simulation of the upper airway structure and airflow dynamic characteristics after unilateral complete maxillary resection.

机构信息

Department of Prosthodontics, Shanghai Jiao Tong University, Shanghai, People's Republic of China.

出版信息

Int J Prosthodont. 2013 May-Jun;26(3):268-71. doi: 10.11607/ijp.2970.

DOI:10.11607/ijp.2970
PMID:23626982
Abstract

This study investigated upper airway aerodynamic characteristics of patients who underwent maxillectomy using three-dimensional reconstruction and computational fluid dynamics. The results revealed the generation of low-velocity vortices throughout the entire maxillary defect during respiration. The nasal structure on the nonsurgical side changed postsurgically, possibly due to the pressure gradient between the defective and healthy side. The bilateral disturbed airflow patterns are believed to be the cause of common symptoms. The numeric simulation technique could be used as a potential method to understand upper airway morphology changes and respiratory functions, thus guiding the fabrication of prostheses.

摘要

本研究采用三维重建和计算流体动力学技术,研究了上颌骨切除患者的上呼吸道空气动力学特性。结果显示,在呼吸过程中,整个上颌骨缺损处产生了低速涡流。非手术侧的鼻腔结构在手术后发生了变化,这可能是由于缺损侧和健康侧之间的压力梯度所致。双侧气流紊乱模式被认为是常见症状的原因。数值模拟技术可用作一种潜在的方法,以了解上呼吸道形态变化和呼吸功能,从而指导假体的制作。

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引用本文的文献

1
Evaluating the effect of midpalatal corticotomy-assisted rapid maxillary expansion on the upper airway in young adults using computational fluid dynamics.应用计算流体力学评价腭中缝骨皮质切开辅助快速扩弓对上气道的影响。
J Zhejiang Univ Sci B. 2021 Feb 15;22(2):146-155. doi: 10.1631/jzus.B2000090.
2
Computational fluid dynamics simulation of the upper airway of obstructive sleep apnea syndrome by Muller maneuver.通过米勒动作对阻塞性睡眠呼吸暂停低通气综合征上气道进行的计算流体动力学模拟
J Huazhong Univ Sci Technolog Med Sci. 2015 Jun;35(3):464-468. doi: 10.1007/s11596-015-1454-x. Epub 2015 Jun 14.
3
The influence of obturators on the respiration of patients with maxillary defects: a clinical study.
阻塞器对上颌骨缺损患者呼吸的影响:一项临床研究。
PLoS One. 2015 May 26;10(5):e0127597. doi: 10.1371/journal.pone.0127597. eCollection 2015.