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Aerodynamic characteristics in upper airways among orthodontic patients and its association with adenoid nasopharyngeal ratios in lateral cephalograms
Univ Bergen, Fac Med, Dept Clin Dent, Arstadveien 19, N-5009 Bergen, Norway..
Harbin Inst Technol, Sch Energy Sci & Engn, Xi Da Zhi St, Harbin 150001, Peoples R China..
Northeast Elect Power Univ, Sch Energy & Power Engn, Changchun Rd 169, Changchun 132012, Peoples R China..
Univ Bergen, Fac Med, Dept Clin Dent, Arstadveien 19, N-5009 Bergen, Norway..
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2021 (English)In: BMC Medical Imaging, ISSN 1471-2342, E-ISSN 1471-2342, Vol. 21, no 1, article id 127Article in journal (Refereed) Published
Abstract [en]

Background Adenoid hypertrophy among orthodontic patients may be detected in lateral cephalograms. The study investigates the aerodynamic characteristics within the upper airway (UA) by means of computational fluid dynamics (CFD) simulation. Furthermore, airflow features are compared between subgroups according to the adenoidal nasopharyngeal (AN) ratios. Methods This retrospective study included thirty-five patients aged 9-15 years having both lateral cephalogram and cone beam computed tomography (CBCT) imaging that covered the UA region. The cases were divided into two subgroups according to the AN ratios measured on the lateral cephalograms: Group 1 with an AN ratio < 0.6 and Group 2 with an AN ratio >= 0.6. Based on the CBCT images, segmented UA models were created and the aerodynamic characteristics at inspiration and expiration were simulated by the CFD method for the two groups. The studied aerodynamic parameters were pressure drop (Delta P), maximum midsagittal velocity (V-ms), maximum wall shear stress (P-ws), and minimum wall static pressure (P-w). Results The maximum V-ms exhibits nearly 30% increases in Group 2 at both inspiration (p = 0.013) and expiration (p = 0.045) compared to Group 1. For the other aerodynamic parameters such as Delta P, the maximum P-ws, and minimum P-w, no significant difference is found between the two groups. Conclusions The maximum V-ms seems to be the most sensitive aerodynamic parameter for the groups of cases. An AN ratio of more than 0.6 measured on a lateral cephalogram may associate with a noticeably increased maximum V-ms, which could assist clinicians in estimating the airflow features in the UA.

Place, publisher, year, edition, pages
BioMed Central, 2021. Vol. 21, no 1, article id 127
Keywords [en]
Lateral cephalogram, CBCT, Adenoids, Upper airway, Computational fluid dynamics
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-45820DOI: 10.1186/s12880-021-00659-4ISI: 000687668900001PubMedID: 34425762Scopus ID: 2-s2.0-85113793862OAI: oai:DiVA.org:mau-45820DiVA, id: diva2:1594196
Available from: 2021-09-15 Created: 2021-09-15 Last updated: 2024-02-26Bibliographically approved

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Hellén-Halme, KristinaShi, Xie-Qi

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