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
Hauptverfasser: Nomura, Tsutomu, Horikoshi, Tomomi, Kitano, Yuka, Yamada, Masato, Kondo, Kenji, Kikuchi, Shigeru
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container_end_page 5051
container_issue Suppl 3
container_start_page 5044
container_title Indian journal of otolaryngology, and head, and neck surgery
container_volume 74
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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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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