Numerical analysis for the efficacy of nasal surgery in obstructive sleep apnea hypopnea syndrome

• Published in: Acta mechanica Sinica 2014-04, Vol.30 (2), p.250-258
• Main Authors: Yu, Shen, Liu, Ying-Xi, Sun, Xiu-Zhen, Su, Ying-Feng, Wang, Ying, Gai, Yin-Zhe
• Format: Article
• Language: English
• Subjects: Airways; Classical and Continuum Physics; Computational Intelligence; Computer simulation; Displacement; Effectiveness; Engineering; Engineering Fluid Dynamics; Mathematical models; Obstructions; Patients; Research Paper; Surgery; Theoretical and Applied Mechanics
• ISSN: 0567-7718; 1614-3116
• DOI: 10.1007/s10409-014-0037-6

In the present study, we reconstructed upper airway and soft palate models of 3 obstructive sleep apnea—hypopnea syndrome (OSAHS) patients with nasal obstruction. The airflow distribution and movement of the soft palate before and after surgery were described by a numerical simulation method. The curative effect of nasal surgery was evaluated for the three patients with OSAHS. The degree of nasal obstruction in the 3 patients was improved after surgery. For 2 patients with mild OSAHS, the upper airway resistance and soft palate displacement were reduced after surgery. These changes contributed to the mitigation of respiratory airflow limitation. For the patient with severe OSAHS, the upper airway resistance and soft palate displacement increased after surgery, which aggravated the airway obstruction. The efficacy of nasal surgery for patients with OSAHS is determined by the degree of improvement in nasal obstruction and whether the effects on the pharynx are beneficial. Numerical simulation results are consistent with the polysomnogram (PSG) test results, chief complaints, and clinical findings, and can indirectly reflect the degree of nasal patency and improvement of snoring symptoms, and further, provide a theoretical basis to solve relevant clinical problems.