Postoperative functional evaluation of obstructive sleep apnea syndrome by computational fluid dynamics
The aim of this study is to evaluate the efficacy of uvulopalatopharyngoplasty and the corresponding postoperative airflow. Eleven patients diagnosed with obstructive sleep apnea syndrome who complained of snoring and apnea were enrolled in this study. Computational fluid dynamics (CFD) was implemen...
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Veröffentlicht in: | Indian journal of otolaryngology, and head, and neck surgery and head, and neck surgery, 2022-12, Vol.74 (Suppl 3), p.5044-5051 |
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container_title | Indian journal of otolaryngology, and head, and neck surgery |
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creator | Nomura, Tsutomu Horikoshi, Tomomi Kitano, Yuka Yamada, Masato Kondo, Kenji Kikuchi, Shigeru |
description | The aim of this study is to evaluate the efficacy of uvulopalatopharyngoplasty and the corresponding postoperative airflow. Eleven patients diagnosed with obstructive sleep apnea syndrome who complained of snoring and apnea were enrolled in this study. Computational fluid dynamics (CFD) was implemented. CFD could be accomplished in nine cases. Airflow analysis was not possible in cases with a high respiratory event index (REI) score. Before surgery, stenosis was identified in the oropharynx and epiglottic area. And the airflow velocity and pressure were found to have significantly decreased in the oropharynx postoperatively, while in the epiglottic area, those data had increased postoperatively in some cases. The velocity and pressure of the oropharynx are related to REI score. From the CFD analysis, airflow analysis is important for evaluating the apnea state. It is suggested that the postoperative function can now be predicted preoperatively. |
doi_str_mv | 10.1007/s12070-021-02681-y |
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Eleven patients diagnosed with obstructive sleep apnea syndrome who complained of snoring and apnea were enrolled in this study. Computational fluid dynamics (CFD) was implemented. CFD could be accomplished in nine cases. Airflow analysis was not possible in cases with a high respiratory event index (REI) score. Before surgery, stenosis was identified in the oropharynx and epiglottic area. And the airflow velocity and pressure were found to have significantly decreased in the oropharynx postoperatively, while in the epiglottic area, those data had increased postoperatively in some cases. The velocity and pressure of the oropharynx are related to REI score. From the CFD analysis, airflow analysis is important for evaluating the apnea state. 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Eleven patients diagnosed with obstructive sleep apnea syndrome who complained of snoring and apnea were enrolled in this study. Computational fluid dynamics (CFD) was implemented. CFD could be accomplished in nine cases. Airflow analysis was not possible in cases with a high respiratory event index (REI) score. Before surgery, stenosis was identified in the oropharynx and epiglottic area. And the airflow velocity and pressure were found to have significantly decreased in the oropharynx postoperatively, while in the epiglottic area, those data had increased postoperatively in some cases. The velocity and pressure of the oropharynx are related to REI score. From the CFD analysis, airflow analysis is important for evaluating the apnea state. It is suggested that the postoperative function can now be predicted preoperatively.</description><subject>Airway management</subject><subject>Fluid dynamics</subject><subject>Head and Neck Surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original</subject><subject>Original Article</subject><subject>Otolaryngology</subject><subject>Otorhinolaryngology</subject><subject>Postoperative period</subject><subject>Sleep apnea</subject><issn>2231-3796</issn><issn>0973-7707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kU2LFDEQhoMo7rj6BzxIgxcvramku9O5CLKsH7CgBz2HdFIZe-lO2qQz0P_e7My4fhw8FKGo530rxUvIc6CvgVLxJgGjgtaUQamuh3p7QHZUCl4LQcVDsmOMQ82F7C7Ik5RuKeUtCPqYXPBONEw2sCP7LyGtYcGo1_GAlcverGPweqrwoKes75oquCoMaY3ZHKE0IS6VXjzqKm3exjBjNWyVCfOSV33WuymPtrKb1_No0lPyyOkp4bPze0m-vb_-evWxvvn84dPVu5vaNKJZ615Yqs0wWGy0tVLItocBKHDWGusMDC3rDTbcISJ1newoGFcEomUgESi_JG9PvkseZrQG_Rr1pJY4zjpuKuhR_T3x43e1Dwcle1k8-mLw6mwQw4-MaVXzmAxOk_YYclJMCC6g6bgs6Mt_0NuQY7n9SIGUTctZodiJMjGkFNHdfwaoustRnXJUJUd1zFFtRfTizzPuJb-CKwA_AamM_B7j793_sf0Ji9itcA</recordid><startdate>20221201</startdate><enddate>20221201</enddate><creator>Nomura, Tsutomu</creator><creator>Horikoshi, Tomomi</creator><creator>Kitano, Yuka</creator><creator>Yamada, Masato</creator><creator>Kondo, Kenji</creator><creator>Kikuchi, Shigeru</creator><general>Springer India</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7310-5338</orcidid></search><sort><creationdate>20221201</creationdate><title>Postoperative functional evaluation of obstructive sleep apnea syndrome by computational fluid dynamics</title><author>Nomura, Tsutomu ; Horikoshi, Tomomi ; Kitano, Yuka ; Yamada, Masato ; Kondo, Kenji ; Kikuchi, Shigeru</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-87d0acbbde4add979581b101325cdfc1b528ce43feee0f69601cfacb75219e103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Airway management</topic><topic>Fluid dynamics</topic><topic>Head and Neck Surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Otolaryngology</topic><topic>Otorhinolaryngology</topic><topic>Postoperative period</topic><topic>Sleep apnea</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nomura, Tsutomu</creatorcontrib><creatorcontrib>Horikoshi, Tomomi</creatorcontrib><creatorcontrib>Kitano, Yuka</creatorcontrib><creatorcontrib>Yamada, Masato</creatorcontrib><creatorcontrib>Kondo, Kenji</creatorcontrib><creatorcontrib>Kikuchi, Shigeru</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Indian journal of otolaryngology, and head, and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nomura, Tsutomu</au><au>Horikoshi, Tomomi</au><au>Kitano, Yuka</au><au>Yamada, Masato</au><au>Kondo, Kenji</au><au>Kikuchi, Shigeru</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Postoperative functional evaluation of obstructive sleep apnea syndrome by computational fluid dynamics</atitle><jtitle>Indian journal of otolaryngology, and head, and neck surgery</jtitle><stitle>Indian J Otolaryngol Head Neck Surg</stitle><addtitle>Indian J Otolaryngol Head Neck Surg</addtitle><date>2022-12-01</date><risdate>2022</risdate><volume>74</volume><issue>Suppl 3</issue><spage>5044</spage><epage>5051</epage><pages>5044-5051</pages><issn>2231-3796</issn><eissn>0973-7707</eissn><abstract>The aim of this study is to evaluate the efficacy of uvulopalatopharyngoplasty and the corresponding postoperative airflow. Eleven patients diagnosed with obstructive sleep apnea syndrome who complained of snoring and apnea were enrolled in this study. Computational fluid dynamics (CFD) was implemented. CFD could be accomplished in nine cases. Airflow analysis was not possible in cases with a high respiratory event index (REI) score. Before surgery, stenosis was identified in the oropharynx and epiglottic area. And the airflow velocity and pressure were found to have significantly decreased in the oropharynx postoperatively, while in the epiglottic area, those data had increased postoperatively in some cases. The velocity and pressure of the oropharynx are related to REI score. From the CFD analysis, airflow analysis is important for evaluating the apnea state. 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subjects | Airway management Fluid dynamics Head and Neck Surgery Medicine Medicine & Public Health Original Original Article Otolaryngology Otorhinolaryngology Postoperative period Sleep apnea |
title | Postoperative functional evaluation of obstructive sleep apnea syndrome by computational fluid dynamics |
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