Role of virtual surgery in preoperative planning: assessing the individual components of functional nasal airway surgery. Arch Facial Plast Surg 2012;14(5):354-9
Date
04/18/2012Pubmed ID
22508896Pubmed Central ID
PMC3578233DOI
10.1001/archfacial.2012.182Scopus ID
2-s2.0-84866601079 (requires institutional sign-in at Scopus site) 54 CitationsAbstract
OBJECTIVES: To demonstrate the effect of individual components of functional nasal airway surgery in a patient with multifactorial obstruction and to discuss the potential benefit of computational fluid dynamics (CFD)–aided virtual surgery.
METHODS: A 53-year-old woman underwent septoplasty,turbinate reduction, and nasal valve repair. Presurgery and postsurgery digital nasal models were created from computed tomographic images, and nasal resistance was calculated using CFD techniques. The digital models were then manipulated to isolate the effects of the components of the surgery, creating a nasal valverepair alone model and a septoplasty/turbinate reduction alone model.
RESULTS: Bilateral nasal resistance in the postsurgery model was approximately 25% less than presurgery values.Similarly, CFD analysis showed reductions in nasal resistance of the virtual models: 19% reduction with intranasal surgery alone and 6% reduction with nasal valve repair alone.
CONCLUSIONS: Most of the reduction in nasal resistance was accomplished with performance of septoplasty and inferior turbinate reduction. The contribution of nasal valve repair was less in comparison but not insignificant.This pilot study implies that CFD-aided virtual surgery may be useful as part of preoperative planning inpatients with multifactorial anatomical nasal airwayobstruction
Author List
Rhee JS, Cannon DE, Frank DO, Kimbell JSAuthor
John S. Rhee MD Chair, Professor in the Otolaryngology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Computer SimulationFemale
Humans
Middle Aged
Models, Anatomic
Nasal Obstruction
Nasal Septum
Preoperative Care
Rhinoplasty
Tomography, X-Ray Computed
Turbinates
User-Computer Interface
