Department of Otolaryngology, Medical University of Gdansk, Gdańsk, Poland.
Faculty of Mechanical Engineering and Ship Technology, Gdansk University of Technology, Gdańsk, Poland.
Sci Rep. 2023 Mar 9;13(1):3980. doi: 10.1038/s41598-023-31166-x.
We aimed to analyse ostiomeatal complex (OMC) aeration using the computational fluid dynamics (CFD) method of simulation based on human craniofacial computed tomography (CT) scans. The analysis was based on CT images of 2 patients: one with normal nose anatomy and one with nasal septal deviation (NSD). The Reynolds-Average Simulation approach and turbulence model based on linear eddy viscosity supplemented with the two-equation k-[Formula: see text] SST model were used for the CFD simulation. As a result, we found differences in airflow velocity through the ostiomeatal complex in patients with a normal nose and those with NSD. In a patient with NSD, the flow is turbulent in contrast to the normal nose (laminar flow). A faster (more intensive) airflow through the OMC was observed in the wider nasal cavity of the patient with NSD than on the narrower side. In addition, we want to emphasise the higher speed of airflow through the apex uncinate process area towards the ostiomeatal complex during exhalation, which, in the presence of secretions in the nose, predisposes to its easier penetration into the sinuses of the anterior group.
我们旨在使用基于人体头面部计算机断层扫描(CT)的计算流体动力学(CFD)模拟方法分析耳口鼻复合气道通气情况。该分析基于两名患者的 CT 图像:一名患者具有正常的鼻腔解剖结构,另一名患者存在鼻中隔偏曲(NSD)。CFD 模拟采用 Reynolds-Average Simulation 方法和基于线性涡粘性的湍流模型,并补充了双方程 k-[Formula: see text] SST 模型。结果,我们发现正常鼻气道和 NSD 患者的耳口鼻复合气道气流速度存在差异。在 NSD 患者中,气流是湍流的,而不是正常的鼻气道(层流)。在 NSD 患者较宽的鼻腔中,观察到通过 OMC 的气流速度更快(更剧烈)。此外,我们还强调了在呼气过程中,气流通过 apex uncinate 过程区域到达耳口鼻复合气道的速度更高,在鼻腔存在分泌物的情况下,这更容易使其渗透到前组鼻窦中。