Engineering analysis of an unreported complication of septoplasty
| Autor: | Karl J. Eisbach, Scott Lovald, Tariq Khraishi, Bret Baack, Curtis Wesley Gaball |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Nasal cavity
Adult medicine.medical_specialty medicine.medical_treatment Turbinates Models Biological Resection Recurrence Septoplasties Photography Medicine Humans Computer Simulation Nose Nasal Septum business.industry General Medicine respiratory system Rhinoplasty Surgery Septoplasty medicine.anatomical_structure Nasal airflow Female Nasal Cavity Nasal Obstruction business Complication Airway Tomography X-Ray Computed |
| Zdroj: | Archives of facial plastic surgery. 12(6) |
| ISSN: | 1538-3660 |
| Popis: | Objectives To describe a cause of recurrent nasal obstructive symptoms after septoplasties including the creation of a sizable submucous window and to suggest treatments for this complication. Methods Case report of a woman presenting with side-changing nasal dyspnea approximately 1 year after undergoing septoplasty and engineering analysis of nasal cavity airflow. We created a computer model of the airway, analyzed varying sizes of surgical defects, and optimized the geometry of the submucous window. Results An optimum area of resection to maximize the area of cartilage and/or bone resected and to minimize deflection of the septal area of iatrogenic litheness is a rectangular shape approximately 44 mm long by 12 mm high in our model. Conclusions A large submucous window can result in obstruction of nasal airflow after septoplasty owing to displacement of this compliant area with respiration under the forces described in the Bernoulli theorem. Treatment may include turbinate reduction and/or septal reconstruction. |
| Databáze: | OpenAIRE |
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