Advances in Technology for Functional Rhinoplasty
Abstract
Advances in computer modeling and simulation technologies have the potential to provide facial plastic surgeons with information and tools that can aid in patient-specific surgical planning for rhinoplasty. Finite element modeling and computational fluid dynamics are modeling technologies that have been applied to the nose to study structural biomechanics and nasal airflow. Combining these technologies with patient-specific imaging data and symptom measures has the potential to alter the future landscape of nasal surgery.
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The internal nasal valve is the most constricted segment within the nasal airway, resulting in the highest overall impedance to airflow.
“This segment represents the most constricted section within the nasal airway, resulting in the highest overall impedance to airflow [4-6].”
From Functional Rhinoplasty. (2023) · cites this paper as [4]
Cites
An Introduction to Fluid Dynamics.
Ranger, K. B., & Batchelor, G. K. (1969) · American Mathematical Monthly · doi:10.2307/2317984 · Cited by 1,031 · see citing works
Acoustic rhinometry: evaluation of nasal cavity geometry by acoustic reflection
Hilberg, O., Jackson, A. C., Swift, D. L., & Pedersen, O. F. (1989) · Journal of Applied Physiology · doi:10.1152/jappl.1989.66.1.295 · Cited by 624 · see citing works
Stewart, M. G., Smith, T. L., Weaver, E. M., Witsell, D. L., Yueh, B., Hannley, M. T., Johnson, J. T., & The Nose Study Investigators (2004) · Otolaryngology–Head and Neck Surgery · doi:10.1016/j.otohns.2003.12.004 · Cited by 514 · see citing works
Introduction to fluid dynamics
Petrov, A. A. (1964) · USSR Computational Mathematics and Mathematical Physics · doi:10.1016/0041-5553(64)90026-6 · Cited by 373 · see citing works
André, R. F., Vuyk, H. D., Ahmed, A., Graamans, K., & Trenité, G. J. N. (2009) · Clinical Otolaryngology · doi:10.1111/j.1749-4486.2009.02042.x · Cited by 319 · see citing works
Atrophic rhinitis: a CFD study of air conditioning in the nasal cavity
Garcia, G. J. M., Bailie, N. A., Martins, D. A., & Kimbell, J. S. (2007) · Journal of Applied Physiology · doi:10.1152/japplphysiol.01118.2006 · Cited by 227 · see citing works
Self-citationAtrophic Rhinitis: A Review of 242 Cases
Moore, E. J., & Kern, E. B. (2001) · American Journal of Rhinology · doi:10.1177/194589240101500601 · Cited by 223 · see citing works
Rhee, J. S., Sullivan, C. D., Frank, D. O., Kimbell, J. S., & Garcia, G. J. M. (2014) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2013.2473 · Cited by 204 · see citing works
Self-citationThe effect of menthol in nasal resistance to air flow
Eccles, R., & Jones, A. S. (1983) · The Journal of Laryngology & Otology · doi:10.1017/s002221510009486x · Cited by 159 · see citing works
Perceiving Nasal Patency through Mucosal Cooling Rather than Air Temperature or Nasal Resistance
Zhao, K., Blacker, K., Luo, Y., Bryant, B., & Jiang, J. (2011) · PLoS ONE · doi:10.1371/journal.pone.0024618 · Cited by 151 · see citing works
The efficacy of nasal septal surgery.
Samad, I., He, S., & Maloney, A. (1992) · PubMed · Cited by 146 · see citing works
Assessment of septal deviation effects on nasal air flow: A computational fluid dynamics model
Chen, X. B., Lee, H. P., Chong, V. F. H., & Wang, D. Y. (2009) · The Laryngoscope · doi:10.1002/lary.20585 · Cited by 138 · see citing works
Illum, P. (1997) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/bf02439733 · Cited by 135 · see citing works
Kimbell, J. S., Frank, D. O., Laud, P., Garcia, G. J. M., & Rhee, J. S. (2013) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2013.08.007 · Cited by 119 · see citing works
Self-citationSullivan, C. D., Garcia, G., Frank, D. O., Kimbell, J., & Rhee, J. (2013) · Otolaryngology Head & Neck Surgery · doi:10.1177/0194599813509776 · Cited by 118 · see citing works
Self-citationCreation of a standardized geometry of the human nasal cavity
Liu, Y., Johnson, M. R., Matida, E. A., Kherani, S., & Marsan, J. (2009) · Journal of Applied Physiology · doi:10.1152/japplphysiol.90376.2008 · Cited by 109 · see citing works
Numerical simulation of intranasal airflow after radical sinus surgery
Lindemann, J., Brambs, H., Keck, T., Wiesmiller, K. M., Rettinger, G., & Pless, D. (2005) · American Journal of Otolaryngology · doi:10.1016/j.amjoto.2005.02.010 · Cited by 100 · see citing works
Garcia, G. J. M., Schroeter, J. D., Segal, R. A., Stanek, J., Foureman, G. L., & Kimbell, J. S. (2009) · Inhalation Toxicology · doi:10.1080/08958370802320186 · Cited by 96 · see citing works
Self-citationIwasaki, T., Saitoh, I., Takemoto, Y., Inada, E., Kanomi, R., Hayasaki, H., & Yamasaki, Y. (2012) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2011.08.025 · Cited by 90 · see citing works
Impact of Middle versus Inferior Total Turbinectomy on Nasal Aerodynamics
Dayal, A., Rhee, J. S., & Garcia, G. J. M. (2016) · Otolaryngology · doi:10.1177/0194599816644915 · Cited by 87 · see citing works
Self-citationEmpty nose syndrome associated with middle turbinate resection
Houser, S. M. (2006) · Otolaryngology · doi:10.1016/j.otohns.2005.04.017 · Cited by 86 · see citing works
Chen, X. B., Leong, S. C., Lee, H. P., Chong, V. F. H., & Wang, D. Y. (2010) · Rhinology Journal · doi:10.4193/rhino09.196 · Cited by 80 · see citing works
Toward Personalized Nasal Surgery Using Computational Fluid Dynamics
Rhee, J. S. (2011) · Archives of Facial Plastic Surgery · doi:10.1001/archfacial.2011.18 · Cited by 79 · see citing works
Self-citationPawar, S., Garcia, G. J. M., Kimbell, J. S., & Rhee, J. (2010) · Facial Plastic Surgery · doi:10.1055/s-0030-1262314 · Cited by 70 · see citing works
Self-citationNumerical Study of the Aerodynamic Effects of Septoplasty and Partial Lateral Turbinectomy
Özlügedik, S., Nakiboğlu, G., Sert, C., Elhan, A., Tönük, E., Akyar, S., & Tekdemi̇r, İ. (2008) · The Laryngoscope · doi:10.1097/mlg.0b013e318159aa26 · Cited by 70 · see citing works
Is there objective evidence that septal surgery improves nasal airflow?
Singh, A., Patel, N., Kenyon, G., & Donaldson, G. (2006) · Journal of Laryngology and Otology · doi:10.1017/s0022215106003410 · Cited by 62 · see citing works
Simulating the Nasal Cycle with Computational Fluid Dynamics
Patel, R., Garcia, G. J. M., Frank-Ito, D. O., Kimbell, J. S., & Rhee, J. S. (2014) · Otolaryngology · doi:10.1177/0194599814559385 · Cited by 61 · see citing works
Self-citationCadaveric and Engineering Analysis of the Septal L‐Strut
Mau, T., Mau, S. T., & Kim, D. W. (2007) · The Laryngoscope · doi:10.1097/mlg.0b013e3181255ec4 · Cited by 51 · see citing works
Liu, T., Han, D., Wang, J., Tan, J., Zang, H., Wang, T., Li, Y., & Cui, S. (2011) · Acta Oto-Laryngologica · doi:10.3109/00016489.2011.637233 · Cited by 51 · see citing works
Role of Virtual Surgery in Preoperative Planning
Rhee, J. S. (2012) · Archives of Facial Plastic Surgery · doi:10.1001/archfacial.2012.182 · Cited by 49 · see citing works
Self-citationFrank-Ito, D. O., Kimbell, J. S., Laud, P. W., Garcia, G. J. M., & Rhee, J. S. (2014) · Otolaryngology · doi:10.1177/0194599814547497 · Cited by 45 · see citing works
Self-citationNasal tip support: A finite element analysis of the role of the caudal septum during tip depression
Manuel, C. T., Leary, R. P., Protsenko, D. E., & Wong, B. J. F. (2013) · The Laryngoscope · doi:10.1002/lary.24321 · Cited by 44 · see citing works
Biomechanics of the deformity of septal L‐Struts
Lee, S. J., Liong, K., Tse, K. M., & Lee, H. P. (2010) · The Laryngoscope · doi:10.1002/lary.20976 · Cited by 40 · see citing works
Nasal Airflow Resistance: A Survey of 2500 Assessments
Cole, P. (1997) · American Journal of Rhinology · doi:10.2500/105065897780914901 · Cited by 40 · see citing works
Shadfar, S., Shockley, W., Fleischman, G., Dugar, A. R., McKinney, K., Frank-Ito, D., & Kimbell, J. (2014) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2014.395 · Cited by 40 · see citing works
André, R. F., D'Souza, A. R., Kunst, H. P. M., & Vuyk, H. D. (2006) · PubMed · Cited by 38 · see citing works
Rethinking nasal tip support: A finite element analysis
Shamouelian, D., Leary, R. P., Manuel, C. T., Harb, R., Protsenko, D. E., & Wong, B. J. F. (2014) · The Laryngoscope · doi:10.1002/lary.24845 · Cited by 37 · see citing works
Gandy, J. R., Manuel, C. T., Leary, R. P., & Wong, B. J. F. (2016) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2015.2261 · Cited by 33 · see citing works
Inspirational airflow patterns in deviated noses: a numerical study
Zhu, J. H., Lee, H. P., Lim, K. M., Lee, S. J., San, L. T. L., & Wang, D. Y. (2012) · Computer Methods in Biomechanics & Biomedical Engineering · doi:10.1080/10255842.2012.670850 · Cited by 31 · see citing works
Li, L., Han, D., Zhang, L., Li, Y., Zang, H., Wang, T., & Liu, Y. (2012) · The Laryngoscope · doi:10.1002/lary.23428 · Cited by 30 · see citing works
Mechanical analysis of the effects of cephalic trim on lower lateral cartilage stability
Oliaei, S. (2012) · Archives of Facial Plastic Surgery · doi:10.1001/archfacial.2011.1354 · Cited by 29 · see citing works
Measuring outcomes in facial plastic surgery: a decade of progress
Rhee, J., & McMullin, B. T. (2008) · Current Opinion in Otolaryngology & Head and Neck Surgery · doi:10.1097/moo.0b013e3283031ac9 · Cited by 28 · see citing works
Self-citationDecomposition and Description of the Nasal Cavity Form
Gambaruto, A. M., Taylor, D. J., & Doorly, D. (2011) · Annals of Biomedical Engineering · doi:10.1007/s10439-011-0485-0 · Cited by 25 · see citing works
Redefining the Septal L-Strut in Septal Surgery
Lee, J., Lee, D. C., Ha, D.-H., Kim, S. W., & Cho, D. (2015) · PLoS ONE · doi:10.1371/journal.pone.0119996 · Cited by 25 · see citing works
Finite Element Model Analysis of Cephalic Trim on Nasal Tip Stability
Leary, R. P., Manuel, C. T., Shamouelian, D., Protsenko, D. E., & Wong, B. J. F. (2015) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2015.0941 · Cited by 24 · see citing works
Quine, P. M. A. S. M. (1999) · Acta Oto-Laryngologica · doi:10.1080/00016489950180270 · Cited by 21 · see citing works
Computational modeling and stress analysis of columellar biomechanics
Gizzi, A., Cherubini, C., Pomella, N., Persichetti, P., Vasta, M., & Filippi, S. (2012) · Journal of the mechanical behavior of biomedical materials/Journal of mechanical behavior of biomedical materials · doi:10.1016/j.jmbbm.2012.06.006 · Cited by 14 · see citing works
A Finite Element Model to Simulate Formation of the Inverted-V Deformity
Tjoa, T., Manuel, C. T., Leary, R. P., Harb, R., Protsenko, D. E., & Wong, B. J. F. (2015) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2015.1954 · Cited by 14 · see citing works
Investigation on the Structure of Nasal Cavity and Its Airflow Field in Crouzon Syndrome
Wang, T., Mu, X., Deng, J. Q., Wang, P., Chen, D., & Cai, W. (2011) · Journal of Craniofacial Surgery · doi:10.1097/scs.0b013e3181f752e9 · Cited by 6 · see citing works
Surgical Correction of Maxillary Hypoplasia
Mathog, R. H., Leonard, M., & Bevis, R. R. (1979) · Archives of Otolaryngology - Head and Neck Surgery · doi:10.1001/archotol.1979.00790190025005 · Cited by 2 · see citing works
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Burgos, M. A., Sanmiguel‐Rojas, E., Singh, N. P., & Esteban‐Ortega, F. (2018) · Computers in Biology and Medicine · doi:10.1016/j.compbiomed.2018.05.016 · Cited by 28 · see citing works
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Altidor, A., Ferri, F. A., Bakhos, F., & Mascaro-Pankova, A. (2023) · Cureus · doi:10.7759/cureus.45993 · Cited by 3 · see citing works
“This segment represents the most constricted section within the nasal airway, resulting in the highest overall impedance to airflow [4-6].”
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Anthropometric Analysis Supported by Digital Simulation in Turkish Rhinoplasty Patients
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- Authors
- Pawar, S. S., Garcia, G. J. M., & Rhee, J. S.
- Affiliations
- Medical College of Wisconsin (US)
- Marquette University (US)
- Corresponding author
- Pawar, Sachin S.
- Venue
- Facial Plastic Surgery Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2017-05
- Volume
- 25
- Issue
- 2
- Pages
- 263-270
- ISSN
- 1064-7406 (ISSN-L)
- OpenAlex
- W2590903409
- Cited by
- 14
- References
- 50
- Citations by year
- 2026: 2 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 2
- FWCI
- 0.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Facial Plastic Surgery Clinics of North America (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Physical Sciences › Engineering › Biomedical Engineering › Anatomy and Medical Technology
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Keywords
- functional rhinoplasty, patient-specific surgical planning, finite element analysis, computational fluid dynamics, nasal airflow, computer modeling, nasal surgery
- MeSH terms
- Biomechanical Phenomena, Computer Simulation, Humans, Models, Anatomic, Nasal Septum, Nose, Rhinoplasty, Finite Element Analysis
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