Computational Fluid Dynamics Analysis of Nasal Airway Changes after Treatment with C-Expander

The use of the C-expander is an effective treatment modality for maxillary skeletal deficiencies which can cause ailments and significantly reduce life expectancy in late adolescents and young adults. However, the morphological and dynamic effects on the nasal airway have not been reported. The main...

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Main Authors: Wang Xiao, Siling Liu, Yanqin Lu, Lei Lei, Ning Liu, Xiaoping Shen, Yuhong He, Ousheng Liu
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Applied Bionics and Biomechanics
Online Access:http://dx.doi.org/10.1155/2021/8874833
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author Wang Xiao
Siling Liu
Yanqin Lu
Lei Lei
Ning Liu
Xiaoping Shen
Yuhong He
Ousheng Liu
author_facet Wang Xiao
Siling Liu
Yanqin Lu
Lei Lei
Ning Liu
Xiaoping Shen
Yuhong He
Ousheng Liu
author_sort Wang Xiao
collection DOAJ
description The use of the C-expander is an effective treatment modality for maxillary skeletal deficiencies which can cause ailments and significantly reduce life expectancy in late adolescents and young adults. However, the morphological and dynamic effects on the nasal airway have not been reported. The main goal of this study was to evaluate the nasal airway changes after the implementation of a C-expander. A sample of nine patients (8 females, 1 male, age range from 15 to 29 years) was included. The morphology parameters and nasal airway ventilation parameters of pretreatment and posttreatment were measured. All study data were normally distributed. A paired t-test was used to evaluate the changes before and after treatment. After expansion, the mean and standard deviation values of intercanine maxillary width (CMW) and intermolar maxillary width (MMW) increased from 35.75±2.48 mm and 54.20±3.17 mm to 37.87±2.26 mm (P<0.05) and 56.65±3.10 mm (P<0.05), respectively. The nasal cavity volume increased from 20320.00±3468.25 mm3 to 23134.70±3918.84 mm3 (P<0.05). The nasal pressure drop decreased from 36.34±3.99 Pa to 30.70±3.17 Pa (P<0.05), while the value of the maximum velocity decreased from 6.50±0.31 m/s to 5.85±0.37 m/s (P<0.05). Nasal resistance dropped remarkably from 0.16±0.14 Pa/ml/s to 0.08±0.06 Pa/ml/s (P<0.05). The use of C-expander can effectively broaden the area and volume of the nasal airway, having a positive effect in the reduction of nasal resistance and improvement of nasal airway ventilation. For patients suffering from maxillary width deficiency and respiratory disorders, a C-expander may be an alternative method to treat the disease.
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spelling doaj-art-ee0f64573ecf4578a70e7e7102b19d4f2025-02-03T00:58:45ZengWileyApplied Bionics and Biomechanics1176-23221754-21032021-01-01202110.1155/2021/88748338874833Computational Fluid Dynamics Analysis of Nasal Airway Changes after Treatment with C-ExpanderWang Xiao0Siling Liu1Yanqin Lu2Lei Lei3Ning Liu4Xiaoping Shen5Yuhong He6Ousheng Liu7Hunan Key Laboratory of Oral Health Research & Hunan 3D Printing Engineering Research Center of Oral Care & Hunan Clinical Research Center of Oral Major Diseases and Oral Health & Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha, 410008 Hunan, ChinaHunan Key Laboratory of Oral Health Research & Hunan 3D Printing Engineering Research Center of Oral Care & Hunan Clinical Research Center of Oral Major Diseases and Oral Health & Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha, 410008 Hunan, ChinaHunan Key Laboratory of Oral Health Research & Hunan 3D Printing Engineering Research Center of Oral Care & Hunan Clinical Research Center of Oral Major Diseases and Oral Health & Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha, 410008 Hunan, ChinaHunan Key Laboratory of Oral Health Research & Hunan 3D Printing Engineering Research Center of Oral Care & Hunan Clinical Research Center of Oral Major Diseases and Oral Health & Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha, 410008 Hunan, ChinaXingsha Hospital, Changsha County, Hunan, No. 53 Kaiyuan Road, 410199, ChinaHunan Key Laboratory of Oral Health Research & Hunan 3D Printing Engineering Research Center of Oral Care & Hunan Clinical Research Center of Oral Major Diseases and Oral Health & Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha, 410008 Hunan, ChinaHunan Key Laboratory of Oral Health Research & Hunan 3D Printing Engineering Research Center of Oral Care & Hunan Clinical Research Center of Oral Major Diseases and Oral Health & Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha, 410008 Hunan, ChinaHunan Key Laboratory of Oral Health Research & Hunan 3D Printing Engineering Research Center of Oral Care & Hunan Clinical Research Center of Oral Major Diseases and Oral Health & Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha, 410008 Hunan, ChinaThe use of the C-expander is an effective treatment modality for maxillary skeletal deficiencies which can cause ailments and significantly reduce life expectancy in late adolescents and young adults. However, the morphological and dynamic effects on the nasal airway have not been reported. The main goal of this study was to evaluate the nasal airway changes after the implementation of a C-expander. A sample of nine patients (8 females, 1 male, age range from 15 to 29 years) was included. The morphology parameters and nasal airway ventilation parameters of pretreatment and posttreatment were measured. All study data were normally distributed. A paired t-test was used to evaluate the changes before and after treatment. After expansion, the mean and standard deviation values of intercanine maxillary width (CMW) and intermolar maxillary width (MMW) increased from 35.75±2.48 mm and 54.20±3.17 mm to 37.87±2.26 mm (P<0.05) and 56.65±3.10 mm (P<0.05), respectively. The nasal cavity volume increased from 20320.00±3468.25 mm3 to 23134.70±3918.84 mm3 (P<0.05). The nasal pressure drop decreased from 36.34±3.99 Pa to 30.70±3.17 Pa (P<0.05), while the value of the maximum velocity decreased from 6.50±0.31 m/s to 5.85±0.37 m/s (P<0.05). Nasal resistance dropped remarkably from 0.16±0.14 Pa/ml/s to 0.08±0.06 Pa/ml/s (P<0.05). The use of C-expander can effectively broaden the area and volume of the nasal airway, having a positive effect in the reduction of nasal resistance and improvement of nasal airway ventilation. For patients suffering from maxillary width deficiency and respiratory disorders, a C-expander may be an alternative method to treat the disease.http://dx.doi.org/10.1155/2021/8874833
spellingShingle Wang Xiao
Siling Liu
Yanqin Lu
Lei Lei
Ning Liu
Xiaoping Shen
Yuhong He
Ousheng Liu
Computational Fluid Dynamics Analysis of Nasal Airway Changes after Treatment with C-Expander
Applied Bionics and Biomechanics
title Computational Fluid Dynamics Analysis of Nasal Airway Changes after Treatment with C-Expander
title_full Computational Fluid Dynamics Analysis of Nasal Airway Changes after Treatment with C-Expander
title_fullStr Computational Fluid Dynamics Analysis of Nasal Airway Changes after Treatment with C-Expander
title_full_unstemmed Computational Fluid Dynamics Analysis of Nasal Airway Changes after Treatment with C-Expander
title_short Computational Fluid Dynamics Analysis of Nasal Airway Changes after Treatment with C-Expander
title_sort computational fluid dynamics analysis of nasal airway changes after treatment with c expander
url http://dx.doi.org/10.1155/2021/8874833
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