Pharyngeal airflow analysis in obstructive sleep apnea patients pre-and post-maxillomandibular advancement surgery

Journal of Fluids Engineering, Transactions of the ASME

Volumn 131, Issue 9, 2009, Pages 0911011-09110110

  Huynh, John ^a   Kim, Ki Beom ^a   McQuilling, Mark ^b  

^a SAINT LOUIS UNIVERSITY   (United States)

^b Saint Louis University   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CFD ANALYSIS; CONE-BEAM COMPUTED TOMOGRAPHY; CONSTANT FLOW; EDDY VISCOSITY COEFFICIENTS; OBSTRUCTIVE SLEEP APNEA; REDUCED PRESSURE; VOLUMETRIC FLOW;

COMPUTERIZED TOMOGRAPHY; PRESSURE DROP; SLEEP RESEARCH; SURGERY;

COMPUTATIONAL FLUID DYNAMICS;

EID: 77955295299     PISSN: 00982202     EISSN: 1528901X     Source Type: Journal    
DOI: 10.1115/1.3192137     Document Type: Article

References (42)

1. Young, T., Palta, M., Dempsey, J., Skatrud, J., Weber, S., and Badr, S., 1993, "The Occurrence of Sleep-Disordered Breathing Among Middle-Aged Adults," N. Engl. J. Med., 328, pp. 1230-1235.
2. Fleisher, K., and Krieger, A., 2007, "Current Trends in the Treatment of Obstructive Sleep Apnea," J. Oral Maxillofac Surg., 65, pp. 2056-2068.
3. Padma, A., Ramakrishnan, N., and Narayanan, V., 2007, "Management of Obstructive Sleep Apnea: A Dental Perspective," Indian J. Dent. Res., 18, pp. 201-209.
4. Young, T., Skatrud, J., and Peppard, P., 2004, "Risk Factors for Obstructive Sleep Apnea in Adults," JAMA, J. Am. Med. Assoc., 291, pp. 2013-2016.
5. Tangugsorn, V., Krogstad, O., Espeland, L., and Lyberg, T., 2001, "Obstructive Sleep Apnea: A Canonical Correlation of Cephalometric and Selected Demographic Variables in Obese and Nonobese Patients," Angle Orthod., 71, pp. 23-35.
6. Davies, R., Ali, N., and Stradling, J., 1992, "Neck Circumference and Other Clinical Features in the Diagnosis of the Obstructive Sleep Apnea Syndrome," Thorax, 47, pp. 101-105.
7. Prinsell, J., 1999, "Maxillomandibular Advancement Surgery in a Site-Specific Treatment Approach for Obstructive Sleep Apnea in 50 Consecutive Patients," Chest, 116, pp. 1519-1529.
8. Guilleminault, C., Riley, R., and Powell, N., 1984, "Obstructive Sleep Apnea and Abnormal Cephalometric Measurements: Implications for Treatment," Chest, 86, pp. 793-794.
9. Lowe, A., Santamaria, J., Fleetham, J., and Price, C., 1986, "Facial Morphology and Obstructive Sleep Apnea," Am. J. Orthod. Dentofacial Orthop., 90, pp. 484-491.
10. Lyberg, T., Krogstad, O., and Djupesland, G., 1989, "Cephalometric Analysis in PatientsWith Obstructive Sleep Apnoea Syndrome: II. Soft Tissue Morphology," J. Laryngol. Otol., 103, pp. 293-297. (Pubitemid 19080742)
11. Lyberg, T., Krogstad, O., and Djupesland, G., 1989, "Cephalometric Analysis in Patients With Obstructive Sleep Apnoea Syndrome: I. Skeletal Morphology," J. Laryngol. Otol., 103, pp. 287-292. (Pubitemid 19080741)
12. Pracharktam, N., Nelson, S., Hans, M., Broadbent, B., Redline, S., and Rosenberg, C., 1996, "Cephalometric Assessment in Obstructive Sleep Apnea," Am. J. Orthod. Dentofacial Orthop., 109, pp. 410-419.
13. Riley, R., Guilleminault, C., Herran, J., and Powell, N., 1983, "Cephalometric Analyses and Flow-Volume Loops in Obstructive Sleep Apnea Patients," Sleep, 6, pp. 303-311.
14. Rodenstein, D., Dooms, G., Thomas, Y., Liistro, G., Stanescu, D., and Culee, C., 1990, "Pharyngeal Shape and Dimensions in Healthy Subjects, Snorers, and Patients With Obstructive Sleep Apnea," Thorax, 45, pp. 722-727.
15. Schwab, R., Gefter, W., Hoffman, E., Gupta, K., and Pack, A., 1993, "Dynamic Upper Airway Imaging During Awake Respiration in Normal Subjects and Patients With Sleep Disordered Breathing," Am. Rev. Respir. Dis., 148, pp. 1385-1400.
16. Hoffstein, V., and Wright, S., 1991, "Improvement in Upper Airway Structure and Function in a Snoring Patient Following Orthognathic Surgery," J. Oral Maxillofac Surg., 49, pp. 656-658.
17. Prinsell, J., 2002, "Maxillomandibular Advancement Surgery for Obstructive Sleep Apnea Syndrome," J. Am. Dent. Assoc., 133, pp. 1489-1497.
18. Prinsell, J., 2000, "Maxillomandibular Advancement (MMA) in a Site-Specific Treatment Approach for Obstructive Sleep Apnea: A Surgical Algorithm," Sleep Breath., 4, pp. 147-154.
19. Prinsell, J., 2000, "Maxillomandibular Advancement Surgery for Obstructive Sleep Apnea," J. Med. Assoc. Ga., 89, pp. 54-57.
20. Conradt, R., Hochban, W., Brandenburg, U., Heitmann, J., and Peter, J., 1997, "Long-Term Follow-Up After Surgical Treatment of Obstructive Sleep Apnea by Maxillomandibular Advancement," Eur. Respir. J., 10, pp. 123-128. (Pubitemid 27047191)
21. Fairburn, S., Waite, P., Vilos, G., Harding, S., Bernreuter, W., and Cure, J., 2007, "Three-Dimensional Changes in Upper Airways of Patients With Obstructive Sleep Apnea Following Maxillomandibular Advancement," J. Oral Maxillofac Surg., 65, pp. 6-12.
22. Burgess, B., 2004, "Pharyngeal Airway Volume Following Maxillomandibular Advancement Surgery Utilizing Cone Beam Computed Tomography," MS thesis, Saint Louis University, Saint Louis, MO.
23. Sung, S., Jeong, S., Yu, Y., Hwang, C., and Pae, E., 2006, "Customized Three-Dimensional Computational Fluid Dynamics Simulation of the Upper Airway of Obstructive Sleep Apnea," Angle Orthod., 76, pp. 791-799.
24. Shome, B., Wang, L., Santare, M., Prasad, A., Szeri, A., and Roberts, D., 1998, "Modeling of Airflow in the Pharynx With Application to Sleep Apnea," ASME J. Biomech. Eng., 120, pp. 416-422.
25. De Backer, J., Vanderveken, O., Vos, W., Devolder, A., Verhulst, S., and Verbraecken, J., 2007, "Functional Imaging Using Computational Fluid Dynamics to Predict Treatment Success of Mandibular Advancement Devices in Sleep-Disordered Breathing," J. Biomech., 40, pp. 3708-3714.
26. Xu, C., Sin, S., McDonough, J., Udupa, J., Guez, A., and Arens, R., 2006, "Computational Fluid Dynamics Modeling of the Upper Airway of Children With Obstructive Sleep Apnea Syndrome in Steady Flow," J. Biomech., 39, pp. 2043-2054.
27. Vos, W., Backer, J. D., Devolder, A., Vanderveken, O., Verhulst, S., and Salgado, R., 2007, "Correlation Between Severity of Sleep Apnea and Upper Airway Morphology Based on Advanced Anatomical and Functional Imaging," J. Biomech., 40, pp. 2207-2213.
28. Croce, C., Fodil, R., Durand, M., Sbirlea-Apiou, G., Caillibotte, G., and Papon, J., 2006, "In Vitro Experiments and Numerical Simulations of Airflow in Realistic Nasal Airway Geometry," Ann. Biomed. Eng., 34, pp. 997-1007.
29. Wen, J., Inthavong, K., Tu, J., and Wang, S., 2008, "Numerical Simulations for Detailed Airflow Dynamics in a Human Nasal Cavity," Respir. Physiol. Neurobiol., 161, pp. 125-135.
30. Heenan, A., Matida, E., Pollard, A., and Finlay, W., 2003, "Experimental Measurements and Computational Modeling of the Flow Field in an Idealized Human Oropharynx," Exp. Fluids, 35, pp. 70-84.
31. Huang, Y., White, D., and Malhotra, A., 2005, "The Impact of Anatomic Manipulations on Pharyngeal Collapse: Results From a Computational Model of the Normal Human Upper Airway," Chest, 128, pp. 1324-1330.
32. Huang, Y., White, D., and Malhotra, A., 2007, "Use of Computational Modeling to Predict Responses to Upper Airway Surgery in Obstructive Sleep Apnea," Laryngoscope, 117, pp. 648-653.
33. Jeong, S., Kim, W., and Sung, S., 2007, "Numerical Investigation on the Flow Characteristics and Aerodynamic Force of the Upper Airway of Patient With Obstructive Sleep Apnea Using Computational Fluid Dynamics," Med. Eng. Phys., 29, pp. 637-651.
34. Ishikawa, S., Nakayama, T., Watanabe, M., and Matsuzawa, T., 2006, "Visualization of Flow Resistance in Physiological Nasal Respiration: Analysis of Velocity and Vorticities Using Numerical Simulation," Arch. Otolaryngol. Head Neck Surg., 132, pp. 1203-1209.
35. Wang, K., Denney, T., Morrison, E., and Vodyanoy, V., 2005, "Numerical Simulation of Air Flow in the Human Nasal Cavity," Conf. Proc. IEEE Eng. Med. Biol. Soc., 6, pp. 5607-5610.
36. Patanker, S., 1980, Numerical Heat Transfer and Fluid Flow, Hemisphere, New York.
37. van Leer, B., 1977, "Towards the Ultimate Conservation Difference Scheme 4: A New Approach to Numerical Convection," J. Comput. Phys., 23, pp. 276-299.
38. Rhie, C., and Chow, W., 1983, "Numerical Study of the Turbulent Flow Past an Airfoil With Trailing Edge Separation," AIAA J., 21, pp. 1525-1532.
39. White, F., 2006, Viscous Fluid Flow, McGraw-Hill, Singapore.
40. Fox, R., McDonald, A., and Pritchard, P., 2006, Introduction to Fluid Mechanics, Wiley, Hoboken, NJ.
41. Collins, J., Shapiro, A., Kimmel, E., and Kamm, R., 1993, "The Steady Expiratory Pressure-Flow Relation in a Model Pulmonary Bifurcation," ASME J. Biomech. Eng., 115, pp. 299-305.
42. Isono, S., Feroah, T., Hajduk, E., Brant, R., Whitelaw, W., and Remmers, J., 1997, "Interaction of Cross-Sectional Area, Driving Pressure, and Airflow of Passive Velopharynx," J. Appl. Physiol., 83, pp. 851-859.