Institute for Imaging Science and Computational Modelling in Cardiovascular Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Department of Otorhinolaryngology, Head and Neck Surgery, Städtisches Klinikum Karlsruhe, Karlsruhe, Germany.
Sci Rep. 2020 Feb 28;10(1):3755. doi: 10.1038/s41598-020-60755-3.
This study's objective was the generation of a standardized geometry of the healthy nasal cavity. An average geometry of the healthy nasal cavity was generated using a statistical shape model based on 25 symptom-free subjects. Airflow within the average geometry and these geometries was calculated using fluid simulations. Integral measures of the nasal resistance, wall shear stresses (WSS) and velocities were calculated as well as cross-sectional areas (CSA). Furthermore, individual WSS and static pressure distributions were mapped onto the average geometry. The average geometry featured an overall more regular shape that resulted in less resistance, reduced WSS and velocities compared to the median of the 25 geometries. Spatial distributions of WSS and pressure of the average geometry agreed well compared to the average distributions of all individual geometries. The minimal CSA of the average geometry was larger than the median of all individual geometries (83.4 vs. 74.7 mm²). The airflow observed within the average geometry of the healthy nasal cavity did not equal the average airflow of the individual geometries. While differences observed for integral measures were notable, the calculated values for the average geometry lay within the distributions of the individual parameters. Spatially resolved parameters differed less prominently.
本研究的目的是生成健康鼻腔的标准化几何形状。使用基于 25 名无症状受试者的统计形状模型生成健康鼻腔的平均几何形状。使用流体模拟计算平均几何形状和这些几何形状内的气流。计算了鼻腔阻力、壁面剪切应力 (WSS) 和速度的积分度量,以及横截面积 (CSA)。此外,还将个体 WSS 和静态压力分布映射到平均几何形状上。平均几何形状的整体形状更规则,导致阻力降低、WSS 和速度降低,与 25 个几何形状的中位数相比。与所有个体几何形状的平均分布相比,平均几何形状的 WSS 和压力的空间分布吻合较好。平均几何形状的最小 CSA 大于所有个体几何形状的中位数(83.4 与 74.7mm²)。在健康鼻腔的平均几何形状内观察到的气流不等于个体几何形状的平均气流。虽然观察到的整体测量值差异显著,但平均几何形状的计算值位于个体参数的分布范围内。空间分辨参数的差异不那么明显。