Measurement of deformation rate in nasal septum deviation by three-dimensional computer tomography reconstruction and its application in nasal septoplasty endoscopic surgery
Nasal septum deviation (NSD) typically occurs following otorhinolaryngologic surgery. However, there is a lack of biomechanical parameters able to accurately evaluate the severity of NSD. The present study aimed to determine whether the deformation rate (DR) is associated with visual analogue scale...
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description | Nasal septum deviation (NSD) typically occurs following otorhinolaryngologic surgery. However, there is a lack of biomechanical parameters able to accurately evaluate the severity of NSD. The present study aimed to determine whether the deformation rate (DR) is associated with visual analogue scale (VAS) and nasal airway resistance (NAR), and to evaluate the application of DR measurements in nasal septoplasty endoscopic surgery. In the present clinical trial, a total of 30 patients with NSD were enrolled, and DRs were calculated prior to surgery by three dimensional computer tomography (3D-CT) reconstruction techniques combined with mechanical analysis. The distribution of stress lines at the nasal septum deviation site was evaluated prior to operation. Following nasal septoplasty endoscopic surgery, pre and postoperation scores for VAS and NAR were compared. The results demonstrated that DR was significantly correlated with preoperational NAR (r=0.534) and VAS scores (r=0.397). According to preoperative CT measurements of NSD, DR and biomechanical properties, selective excision was performed to remove core areas of stress. It was observed that postoperative DR, NAR and VAS scores were significantly lower (all P |
doi_str_mv | 10.3892/etm.2017.4644 |
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However, there is a lack of biomechanical parameters able to accurately evaluate the severity of NSD. The present study aimed to determine whether the deformation rate (DR) is associated with visual analogue scale (VAS) and nasal airway resistance (NAR), and to evaluate the application of DR measurements in nasal septoplasty endoscopic surgery. In the present clinical trial, a total of 30 patients with NSD were enrolled, and DRs were calculated prior to surgery by three dimensional computer tomography (3D-CT) reconstruction techniques combined with mechanical analysis. The distribution of stress lines at the nasal septum deviation site was evaluated prior to operation. Following nasal septoplasty endoscopic surgery, pre and postoperation scores for VAS and NAR were compared. The results demonstrated that DR was significantly correlated with preoperational NAR (r=0.534) and VAS scores (r=0.397). According to preoperative CT measurements of NSD, DR and biomechanical properties, selective excision was performed to remove core areas of stress. It was observed that postoperative DR, NAR and VAS scores were significantly lower (all P<0.01) than those measured preoperation. Furthermore, over a follow-up period of 3 months, 23 cases (73.1%) were cured and 7 cases (23.3%) exhibited improvements. These results indicate that preoperative measurement of septum DR by 3D-CT reconstruction techniques may be important in determining the specific surgical approach of nasal septoplasty required.</description><identifier>ISSN: 1792-0981</identifier><identifier>EISSN: 1792-1015</identifier><identifier>DOI: 10.3892/etm.2017.4644</identifier><identifier>PMID: 28781628</identifier><language>eng</language><publisher>Greece: D.A. Spandidos</publisher><subject>Biomechanics ; Bones ; CAT scans ; deformation rate ; endoscopic surgery ; Endoscopy ; Health aspects ; Image processing ; Methods ; Nasal septum ; nasal septum deviation ; Nose ; Septoplasty ; Surgery ; Technology application ; Work stations</subject><ispartof>Experimental and therapeutic medicine, 2017-08, Vol.14 (2), p.1519-1525</ispartof><rights>Copyright: © Yang et al.</rights><rights>COPYRIGHT 2017 Spandidos Publications</rights><rights>Copyright Spandidos Publications UK Ltd. 2017</rights><rights>Copyright: © Yang et al. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c578t-d1a795ef21abf26b81f4d87d2f5440f8de3af0f0148763a0b4b8ffc1a46eb06f3</citedby><cites>FETCH-LOGICAL-c578t-d1a795ef21abf26b81f4d87d2f5440f8de3af0f0148763a0b4b8ffc1a46eb06f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5526204/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5526204/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28781628$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Gui</creatorcontrib><creatorcontrib>Zhao, Hailiang</creatorcontrib><creatorcontrib>Wang, Peng</creatorcontrib><creatorcontrib>Han, Xiaodong</creatorcontrib><creatorcontrib>Zao, Xinyu</creatorcontrib><creatorcontrib>Liu, Zhixian</creatorcontrib><creatorcontrib>Qiu, Shuqi</creatorcontrib><creatorcontrib>Liu, Zhiqiang</creatorcontrib><title>Measurement of deformation rate in nasal septum deviation by three-dimensional computer tomography reconstruction and its application in nasal septoplasty endoscopic surgery</title><title>Experimental and therapeutic medicine</title><addtitle>Exp Ther Med</addtitle><description>Nasal septum deviation (NSD) typically occurs following otorhinolaryngologic surgery. However, there is a lack of biomechanical parameters able to accurately evaluate the severity of NSD. The present study aimed to determine whether the deformation rate (DR) is associated with visual analogue scale (VAS) and nasal airway resistance (NAR), and to evaluate the application of DR measurements in nasal septoplasty endoscopic surgery. In the present clinical trial, a total of 30 patients with NSD were enrolled, and DRs were calculated prior to surgery by three dimensional computer tomography (3D-CT) reconstruction techniques combined with mechanical analysis. The distribution of stress lines at the nasal septum deviation site was evaluated prior to operation. Following nasal septoplasty endoscopic surgery, pre and postoperation scores for VAS and NAR were compared. The results demonstrated that DR was significantly correlated with preoperational NAR (r=0.534) and VAS scores (r=0.397). According to preoperative CT measurements of NSD, DR and biomechanical properties, selective excision was performed to remove core areas of stress. It was observed that postoperative DR, NAR and VAS scores were significantly lower (all P<0.01) than those measured preoperation. Furthermore, over a follow-up period of 3 months, 23 cases (73.1%) were cured and 7 cases (23.3%) exhibited improvements. These results indicate that preoperative measurement of septum DR by 3D-CT reconstruction techniques may be important in determining the specific surgical approach of nasal septoplasty required.</description><subject>Biomechanics</subject><subject>Bones</subject><subject>CAT scans</subject><subject>deformation rate</subject><subject>endoscopic surgery</subject><subject>Endoscopy</subject><subject>Health aspects</subject><subject>Image processing</subject><subject>Methods</subject><subject>Nasal septum</subject><subject>nasal septum deviation</subject><subject>Nose</subject><subject>Septoplasty</subject><subject>Surgery</subject><subject>Technology application</subject><subject>Work stations</subject><issn>1792-0981</issn><issn>1792-1015</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNptkk1v3CAQhq2qVROlOfZaIVWVevEWMBh8qRRF6YeUqJf0jDAedols4wKOtD-q_7E43m67VeEAgmfegZm3KF4TvKlkQz9AGjYUE7FhNWPPinMiGloSTPjzwx43kpwVlzE-4Dx4TaTkL4szKoUkNZXnxc870HEOMMCYkLeoA-vDoJPzIwo6AXIjGnXUPYowpXnIwKNbr9s9SrsAUHYuR8d8lCnjh2lOEFDyg98GPe32KIDxY0xhNk9xeuyQSxHpaeqdWbVOsvip1zHtEYydj8ZPzqD8xC2E_avihdV9hMvDelF8_3Rzf_2lvP32-ev11W1puJCp7IgWDQdLiW4trVtJLOuk6KjljGErO6i0xRYTJkVdadyyVlpriGY1tLi21UXxcdWd5naAzuTiBN2rKbhBh73y2qnTm9Ht1NY_Ks5pTTHLAu8PAsH_mCEmNbhooO_1CH6OijS0bkTTcJzRt_-gD34OuZYL1bCGM8H5H2qre1ButD7nNYuouuKYESFERTK1-Q-VZweDy00A6_L5SUC5BpjgYwxgj38kWC0WU9liarGYWiyW-Td_F-ZI_zZUBt6tQJxyn11u4JG5ub8rcZ5PQr8AV_vecw</recordid><startdate>20170801</startdate><enddate>20170801</enddate><creator>Yang, Gui</creator><creator>Zhao, Hailiang</creator><creator>Wang, Peng</creator><creator>Han, Xiaodong</creator><creator>Zao, Xinyu</creator><creator>Liu, Zhixian</creator><creator>Qiu, Shuqi</creator><creator>Liu, Zhiqiang</creator><general>D.A. Spandidos</general><general>Spandidos Publications</general><general>Spandidos Publications UK Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170801</creationdate><title>Measurement of deformation rate in nasal septum deviation by three-dimensional computer tomography reconstruction and its application in nasal septoplasty endoscopic surgery</title><author>Yang, Gui ; Zhao, Hailiang ; Wang, Peng ; Han, Xiaodong ; Zao, Xinyu ; Liu, Zhixian ; Qiu, Shuqi ; Liu, Zhiqiang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c578t-d1a795ef21abf26b81f4d87d2f5440f8de3af0f0148763a0b4b8ffc1a46eb06f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Biomechanics</topic><topic>Bones</topic><topic>CAT scans</topic><topic>deformation rate</topic><topic>endoscopic surgery</topic><topic>Endoscopy</topic><topic>Health aspects</topic><topic>Image processing</topic><topic>Methods</topic><topic>Nasal septum</topic><topic>nasal septum deviation</topic><topic>Nose</topic><topic>Septoplasty</topic><topic>Surgery</topic><topic>Technology application</topic><topic>Work stations</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Gui</creatorcontrib><creatorcontrib>Zhao, Hailiang</creatorcontrib><creatorcontrib>Wang, Peng</creatorcontrib><creatorcontrib>Han, Xiaodong</creatorcontrib><creatorcontrib>Zao, Xinyu</creatorcontrib><creatorcontrib>Liu, Zhixian</creatorcontrib><creatorcontrib>Qiu, Shuqi</creatorcontrib><creatorcontrib>Liu, Zhiqiang</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Experimental and therapeutic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Gui</au><au>Zhao, Hailiang</au><au>Wang, Peng</au><au>Han, Xiaodong</au><au>Zao, Xinyu</au><au>Liu, Zhixian</au><au>Qiu, Shuqi</au><au>Liu, Zhiqiang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Measurement of deformation rate in nasal septum deviation by three-dimensional computer tomography reconstruction and its application in nasal septoplasty endoscopic surgery</atitle><jtitle>Experimental and therapeutic medicine</jtitle><addtitle>Exp Ther Med</addtitle><date>2017-08-01</date><risdate>2017</risdate><volume>14</volume><issue>2</issue><spage>1519</spage><epage>1525</epage><pages>1519-1525</pages><issn>1792-0981</issn><eissn>1792-1015</eissn><abstract>Nasal septum deviation (NSD) typically occurs following otorhinolaryngologic surgery. However, there is a lack of biomechanical parameters able to accurately evaluate the severity of NSD. The present study aimed to determine whether the deformation rate (DR) is associated with visual analogue scale (VAS) and nasal airway resistance (NAR), and to evaluate the application of DR measurements in nasal septoplasty endoscopic surgery. In the present clinical trial, a total of 30 patients with NSD were enrolled, and DRs were calculated prior to surgery by three dimensional computer tomography (3D-CT) reconstruction techniques combined with mechanical analysis. The distribution of stress lines at the nasal septum deviation site was evaluated prior to operation. Following nasal septoplasty endoscopic surgery, pre and postoperation scores for VAS and NAR were compared. The results demonstrated that DR was significantly correlated with preoperational NAR (r=0.534) and VAS scores (r=0.397). According to preoperative CT measurements of NSD, DR and biomechanical properties, selective excision was performed to remove core areas of stress. It was observed that postoperative DR, NAR and VAS scores were significantly lower (all P<0.01) than those measured preoperation. Furthermore, over a follow-up period of 3 months, 23 cases (73.1%) were cured and 7 cases (23.3%) exhibited improvements. These results indicate that preoperative measurement of septum DR by 3D-CT reconstruction techniques may be important in determining the specific surgical approach of nasal septoplasty required.</abstract><cop>Greece</cop><pub>D.A. Spandidos</pub><pmid>28781628</pmid><doi>10.3892/etm.2017.4644</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Biomechanics Bones CAT scans deformation rate endoscopic surgery Endoscopy Health aspects Image processing Methods Nasal septum nasal septum deviation Nose Septoplasty Surgery Technology application Work stations |
title | Measurement of deformation rate in nasal septum deviation by three-dimensional computer tomography reconstruction and its application in nasal septoplasty endoscopic surgery |
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