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The effect of geniglossal advancement on airway flow using a computational flow dynamics model
Author(s) -
Fletcher Aaron,
Choi Jiwoong,
Awadalla Maged,
Potash Andrea E.,
Wallen Tanner J.,
Fletcher Steven,
Chang Eugene H.
Publication year - 2013
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.24203
Subject(s) - flow (mathematics) , dynamics (music) , computational fluid dynamics , airway , computer science , mechanics , medicine , physics , surgery , acoustics
Objectives/Hypothesis Obstructive sleep apnea (OSA) is a sleep disorder caused by partial or complete collapse of the pharyngeal airway. Genioglossal advancement (GGA) is a well‐tolerated surgical procedure intended to address hypopharyngeal collapse, yet there are few studies that monitor changes in airflow dynamics at this site. Computation fluid dynamics (CFD) utilizes airflow simulation to predict changes in airflow after anatomic manipulation. Study Design We investigated the change in volume and airflow dynamics of the pharyngeal airway after GGA in a cadaveric model. Methods We performed serial GGA from 1 mm (control) to 3, 7, and 9 mm on a lightly preserved cadaver. After each intervention, we performed high‐resolution computed tomography scans, reconstructed the pharyngeal airway, and quantified airspace volume and CFD analysis with both laminar and large eddy simulation models. Results Airway volume increased with linear GGA. In both CFD simulation models, velocity increased and pressure decreased after 9‐mm advancement secondary to increased airway diameter and less abrupt changes in airway geometry. Conclusions These results suggest that GGA may be effective in increasing airway volume and flow to address hypopharyngeal obstruction in OSA. Level of Evidence N/A. Laryngoscope , 123:3227–3232, 2013