Facial plast Surg 2019; 35(01): 003-008
DOI: 10.1055/s-0039-1677720
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Digital Analysis of Nasal Airflow Facilitating Decision Support in Rhinosurgery

Thomas Hildebrandt
1  Private Practice of Otorhinolaryngology, Zurich, Switzerland
,
Jan Joris Brüning
2  Biofluid Mechanics Lab, Charité – Universitätsmedizin Berlin, Berlin, Germany
,
Hans Lamecker
3  Development Office, 1000shapes GmbH, Berlin, Germany
,
Stefan Zachow
4  Mathematics for Life and Materials Sciences, Zuse Institute Berlin, Berlin, Germany
,
Werner J. Heppt
5  Department of Otorhinolaryngology, Head and Neck Surgery, Staedtisches Klinikum Karlsruhe, Karlsruhe, Germany
,
Nora Schmidt
6  Department of Otorhinolaryngology, Park-Klinik Weissensee, Berlin, Germany
,
Leonid Goubergrits
2  Biofluid Mechanics Lab, Charité – Universitätsmedizin Berlin, Berlin, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
13 February 2019 (online)

Abstract

Successful functional surgery on the nasal framework requires reliable and comprehensive diagnosis. In this regard, the authors introduce a new methodology: Digital Analysis of Nasal Airflow (diANA). It is based on computational fluid dynamics, a statistical shape model of the healthy nasal cavity and rhinologic expertise. diANA necessitates an anonymized tomographic dataset of the paranasal sinuses including the complete nasal cavity and, when available, clinical information. The principle of diANA is to compare the morphology and the respective airflow of an individual nose with those of a reference. This enables morphometric aberrations and consecutive flow field anomalies to localize and quantify within a patient’s nasal cavity. Finally, an elaborated expert opinion with instructive visualizations is provided. Using diANA might support surgeons in decision-making, avoiding unnecessary surgery, gaining more precision, and target-orientation for indicated operations.