目的:许多鼻部解剖结构和功能正常的人在鼻翼和侧壁的交界处表现出明显的凹口凹陷,特别是在单侧鼻前庭的前上区域,直到内部鼻瓣。这项研究评估了前鼻气道各种尺寸的缺口对局部气流模式的影响。
方法:一项涉及25名健康个体的回顾性研究,每个显示至少一个单侧缺口压痕(共40个气道)。在根据放射摄影图像进行受试者特定的三维鼻气道重建后,对每个个体的缺口压痕进行量化。使用计算流体动力学建模来模拟15L/min的每个鼻气道中的鼻吸气气流。局部气流分布通过下,中间,在15个横截面上计算了上区。
结果:缺口压痕大小为1.75-86.84mm2(平均=22.37mm2)。在前气道,缺口尺寸与较差的空气流量(R=0.32,p=0.04)显着相关,但在中间(R=0.21,p=0.20)或较高(R=0.06,p=0.70)区域则不相关,而中等和上区域阻力值与缺口大小显着相关(中:R=0.54,p<0.001;上:R=0.41,p=0.009)。中介,中部区域的电阻与缺口大小显着相关(R=0.56,p<0.001)。在后气道,通过下层的气流分布,中间,和上级区域显示与缺口大小的弱相关性(下:R=0.24,p=0.14,中:R=0.24,p=0.13;上级:R=0.03,p=0.83),而电阻在中部和下部区域显着相关(中部:R=0.56,p<0.001;下部:R=0.43,p=0.006)。
结论:与鼻通道的其他区域相比,前鼻气道缺口大小对通过前下气道的局部气流体积的影响明显更强。
方法:N/A喉镜,2024.
OBJECTIVE: Many individuals with healthy normal nasal anatomy and function exhibit a prominent
notch indentation at the junction of the ala and sidewall, specifically around the anterior-superior region of the unilateral nasal vestibule up to the internal nasal valve. This study evaluates the influence of various sizes of notched indentations at the anterior nasal airway on local airflow pattern.
METHODS: A retrospective study involving 25 healthy individuals, each exhibiting at least one unilateral notched indentation (40 total airways). Each individual\'s notched indentation was quantified after subject-specific three-dimensional nasal airway reconstruction from radiographic images. Computational fluid dynamics modeling was used to simulate nasal inspiratory airflow in each nasal airway at 15 L/min. Localized airflow distributions passing through the inferior, middle, and superior regions were calculated at 15 cross sections.
RESULTS: Notched indentation size ranged 1.75-86.84 mm2 (average = 22.37 mm2). At the anterior airway, notched size significantly correlated with inferior airflow volume (R = 0.32, p = 0.04) but not in the middle (R = 0.21, p = 0.20) or superior (R = 0.06, p = 0.70) regions, whereas middle and superior regional resistance values were significantly correlated with notched size (middle: R = 0.54, p < 0.001; superior: R = 0.41, p = 0.009). Medially, resistance at the middle region significantly correlated with notched size (R = 0.56, p < 0.001). At the posterior airway, airflow distributions through the inferior, middle, and superior regions demonstrated weak correlation with notched size (inferior: R = 0.24, p = 0.14, middle: R = 0.24, p = 0.13; superior:R = 0.03, p = 0.83), whereas resistance was significantly correlated in the middle and inferior regions (middle: R = 0.56, p < 0.001;inferior: R = 0.43, p = 0.006).
CONCLUSIONS: Anterior nasal airway notched indentation size had significantly stronger influence on localized airflow volume through the anterior-inferior airway than other regions of the nasal passage.
METHODS: N/A Laryngoscope, 2024.