• Title/Summary/Keyword: Nasal breathing

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A COMPARISON STUDY OF THE EFFECTS OF NASAL BREATHING DYSFUNCTION DUE TO ADENOID OBSTRUCTION ON DENTITION BY FACIAL TYPE

  • Lee, Hee Kyung
    • The korean journal of orthodontics
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    • v.26 no.6
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    • pp.647-655
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    • 1996
  • In discussing the effects of adenoids on the development of the face and dentition, it is important to note their influence on the mode of breathing and to relate this to specific facial types and dentition. This study, therefore, assumed that the ability to adapt to individual's neuromuscular complex is various. And tried to investigate the effects of reduced nasal respiratory function on the development of dentition by facial type. This paper is based on children patients with enlarged adenoids and comparing them to data taken from a control group with normal respiratory function. Among the three facial types, the most statistical significant difference was observed from dolichofacial type between experimental and control group. In dolichofacial type, the experimental group showed labioversion of upper incisor, decrease in the width of upper arch, increase in overjet, increase in the rate of cross-bite, and increase in the height of palatal vault. No significant difference was observed between the two groups in the inclination of upper and lower incisors in mesofacial type, but the experimental group was observed to show decrease in the width of upper arch and increase in the height of palatal vault. On the other hand, in brachyfacial type, no significant difference was observed between the two groups in dentition variables except showing linguoversion of upper incisor. The results, which were observed in dolichofacial type, consist with Nordlund's theory of Compression.

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Numerical and experimental flow visualization on nasal air flow (비강 내 공기유동에 대한 실험 및 전산유동가시화)

  • Kim, Sung-Kyun;Park, Jun-Hyeong;Huynh, Gwang-Rim
    • 한국전산유체공학회:학술대회논문집
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    • 2008.03b
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    • pp.498-501
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    • 2008
  • Knowledge of airflow characteristics in nasal cavities is essential to understand the physiological and pathological aspects of nasal breathing. Several studies have utilized physical models of the healthy nasal cavity to investigate the relationship between nasal anatomy and airflow. In our laboratory, there have been a series of experimental investigations on the nasal airflow in normal, abnormal, and deformed nasal cavity models cavity models by PIV under both constant and periodic flow conditions. In this time normal and several deformed nasal cavity models, which simulate surgical operation, Turbinectomy, are investigated numerically by the FVM general purpose code and PIV analysis. The comparisons of these results are appreciated. Dense CT data and careful treatment of model surface under the ENT doctor's advice provide more sophisticated cavity models. The Davis (LaVision Co.) code is used for PIV flow analysis. Average and RMS distributions have been obtained for inspirational and expirational nasal airflows in the normal and deformed nasal cavities.

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Investigation on Airflows in Abnormal Nasal Cavity with Adenoid Vegetation by Particle Image Velocimetry

  • Kim, Sung Kyun;Son, Young Rak
    • Journal of Mechanical Science and Technology
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    • v.18 no.10
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    • pp.1799-1808
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    • 2004
  • Knowledge of airflow characteristics in nasal cavity is essential to understand the physiological and pathological aspects of nasal breathing. Several studies have utilized physical models of the healthy nasal cavity to investigate the relationship between nasal anatomy and airflow. Since the final goal of these works is their contribution to the diagnosisand treatment of nasal diseases, the next step on this topic is naturally studies for disordered nasal cavities. In this paper, as the first application, airflows in the normal and abnormal nasal cavities with adenoid vegetation are investigated experimentally by PIV, and comparisons of both cases are appreciated. Dense CT data and careful treatment of model surface under the ENT doctor's advice provide more sophisticatedcavity model. The CBC PIV algorithm with window offset is used for PIV flow analysis. Average and RMS distributions are obtained for inspirational and expirational nasal airflows. Airflow characteristics that are related with the abnormalities in nasal cavity are presented.

II. 구호흡(mouth breathing)을 초래하는 이비인후과질환

  • 민양기
    • The korean journal of orthodontics
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    • v.16 no.2
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    • pp.13-18
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    • 1986
  • 비강(nasal cavity)파 인두(pharynx)의 주기능의 하나는 상기도(upper respiratory tract) 로서 전비공(anterior nares)을 통해서 들이 마신 공기를 하기도(lower respiratory tract)로 통과시키는 기능이다. 일반적으로 홉기가 전비공에서 후비공(choana)으로 직선으로 통과하지 않고, 전비공에서 흡입된 공기는 후상방으로 높이 올라가 곡선으로 후열(olfactory fissure)을 향하여 후비공쪽으로 지나간다. 그러나 해부학적인 이상 즉, 비후된 비갑개 (turbinate), 아데노이드증식증(adenoid hyperplasia), 비중격만곡(deviation of the nasal septum)등의 여러가지 이 부위의 원인에 의하여 정상 비호흡이 어려워지면 만성 비폐색 (chronic nasal obstruction)이 생기게 되고 따라서 환자는 입이 반쯤 벌리고 구호흡(mouth breathing)을 하게 되며 우둔한 인상을 주고, 상악치아의 발육이상을 초래할 수 있다. 여기에 필자는 이비인후과 영역에서 구호홉을 초래할 수 있는 질환들에 관하여 약술하고자 한다.

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Analysis on Nasal Airflow by PIV

  • Kim Sung Kyun
    • 한국가시화정보학회:학술대회논문집
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    • 2001.12a
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    • pp.138-150
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    • 2001
  • Researchers have investigated nasal flow both numerically and experimentally for centuries. Experimental studies most have suffered from various limitations necessary to allow the measurements to be obtained with available equipment. Nasal airflow can be subdivided into two interrelated categories; nasal airflow resistance and heat and mass transfer between the air stream and the walls of the nasal cavity. In this study, thanks to a new method for model casting by a combination of Rapid prototyping and curing of clear silicone, a transparent rectangular box containing the complex nasal cavity is made for PIV experiments. The CBC PIV algorithm is used for analysis. Average and RMS distributions are obtained for inspirational and expiration nasal airflows. Comparison between western and Korean nasal air flows are appreciated. Flow fields for Korean model shows some differences from western's. Flow resistances for breathing are measured with varying flow rates.

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Quality of life of patients with nasal bone fracture after closed reduction

  • Park, Young Ji;Do, Gi Cheol;Kwon, Gyu Hyeon;Ryu, Woo Sang;Lee, Kyung Suk;Kim, Nam Gyun
    • Archives of Craniofacial Surgery
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    • v.21 no.5
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    • pp.283-287
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    • 2020
  • Background: Closed reduction is the standard treatment for nasal bone fractures, which are the most common type of facial bone fractures. We investigated the effect of closed reduction on quality of life. Methods: The 15-dimensional health-related quality of life survey was administered to 120 patients who underwent closed reduction under general anesthesia for nasal bone fractures from February 2018 to December 2019, on both the day after surgery and 3 months after surgery. Three months postoperatively, the presence or absence of five nasal symptoms (nose obstruction, snoring, pain, nasal secretions, and aesthetic dissatisfaction) was also evaluated. Results: The quality of life items that showed significant changes between immediately after surgery and 3 months postoperatively were breathing, sleeping, speech, excretion, and discomfort. Low scores were found at 3 months for breathing, sleeping, and distress. There were 31 patients (25.83%) with nose obstruction, 25 (20.83%) with snoring, 12 (10.00%), with pain, 11 (9.17%) with nasal secretions, and 29 (24.17%) with aesthetic dissatisfaction. Conclusion: Closed reduction affected patients' quality of life, although most aspects improved significantly after 3 months. However, it was not possible to rule out deterioration of quality of life due to complications and dissatisfaction after surgery.

Corrective Rhinoplasty for Deviated Nose a New Osteotomy Technique (굽은 코 교정을 위한 새로운 뼈자름술)

  • Park, Dae Kyun;Kim, Sang Beom;Han, Seung-Kyu;Kang, Eun Taek;Kim, Woo Kyung
    • Archives of Plastic Surgery
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    • v.34 no.2
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    • pp.243-249
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    • 2007
  • Purpose: Posttraumatic nasal deformities might not be corrected adequately by conventional osteotomy techniques when the configuration of the nasal bone has been changed due to malunion. To consistently obtain good aesthetic and functional results, the anatomic reduction of malunion sites of the nasal bone is important. The purpose of this study is to present an osteotomy technique, including refracture along malunion sites and anatomical reduction of a malformed nasal bone, for the correction of a posttraumatic deviated nose. Methods: From March of 2003 to May of 2004, 27 patients, who underwent corrective rhinoplasty for the correction of bony pyramid deviation, were included in this study. Postoperative results of the technique were evaluated objectively at 1 year after surgery regarding nasal midline location, nose symmetry, and nasal contour. Results were rated as excellent, good, fair, or poor. All patients were also evaluated subjectively for cosmetic improvement, changes in breathing, and overall satisfaction. Results: Objective analysis of the outcomes revealed an excellent result in 17 patients(63%), good in 9(33%), and fair in 1 patient(4%). No case evaluated had a poor result. Regarding subjective analysis, 19 patients(70%) evaluated the cosmetic outcome as perfect. Among the 21 patients with preoperative airway problems, 19 patients(90%) reported improved breathing post-operatively. Patients' overall satisfaction levels were also very positive. No postoperative complications occurred during the 14 month mean follow-up period. Conclusion: The osteotomy technique presented in this study is simple, effective, and safe for correcting posttraumatic nasal deviation, and also produces consistent results.

Nasal Diseases and Its Impact on Sleep Apnea and Snoring (코질환과 수면무호흡증)

  • Kim, Chang-Hee;Rhee, Chae-Seo
    • Sleep Medicine and Psychophysiology
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    • v.11 no.1
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    • pp.17-21
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    • 2004
  • Nasal congestion is one of the most common symptoms of medical complaints. Snoring is caused by vibration of the uvula and the soft palate. Nasal obstruction may contribute not only to snoring and obstructive sleep apnea (OSA) but also impair application of continuous nasal positive airway pressure (CPAP), which is the most widely employed treatment for OSA. Total or near-total nasal obstruction leads to mouth breathing and has been shown to cause increased airway resistance. However, the exact role of the nasal airway in the pathogenesis of OSA is not clear and there is no consensus about the role of nasal obstruction in snoring and sleep apnea. Some reports have failed to demonstrate any correlation between snoring and nasal obstruction. On the other hand, opposing reports suggest that nasal disease may cause sleep disorders and that snoring can be improved after nasoseptal surgery. Reduced cross-sectional area causes increased nasal resistance and predisposes the patient to inspiratory collapse of the oropharynx, hypopharynx, or both. Discrete abnormalities of the nasal airway, such as septal deformities, nasal polyps, and choanal atresia and with certain mucosal conditions such as sinusitis, allergic rhinitis and inferior turbinate hypertrophy can cause snoring or OSA. Thus, these sources of nasal obstruction should be corrected medically or surgically for the effective management of OSA and adjunctive for CPAP.

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Numerical and Experimental Flow Visualization on Nasal Airflow (비강 내 공기유동에 대한 실험 및 전산 유동가시화)

  • Kim, Sung-Kyun;Park, Joon-Hyung;Huynh, Quang Liem
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.33 no.6
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    • pp.461-467
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    • 2009
  • Knowledge of airflow characteristics in nasal cavities is essential to understand the physiological and pathological aspects of nasal breathing. Several studies have utilized physical models of the healthy nasal cavity to investigate the relationship between nasal anatomy and airflow. In our laboratory, there have been a series of experimental investigations on the nasal airflow in normal, abnormal, and deformed nasal cavity models by PIV under both constant and periodic flow conditions. In this time normal and several deformed nasal cavity models, which simulate surgical operation, Turbinectomy, are investigated numerically by the FVM general purpose code and PIV analysis. The comparisons of these results are appreciated. Dense CT data and careful treatment of model surface under the ENT doctor's advice provide more sophisticated cavity models. The Davis (LaVision Co.) code is used for PIV flow analysis. Average and RMS distributions have been obtained for inspirational and expirational nasal airflows in the normal and deformed nasal cavities.

The Experimental Research on Periodic Airflow in Human Nasal Cavity (비강내 주기유동장의 실험적 해석에 관한 연구)

  • Shin, Sok-Jea;Kim, Sung-Kyun
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.29 no.1 s.232
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    • pp.103-109
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    • 2005
  • Airflow in the nasal cavity of a normal Korean adult is investigated experimentally by tomographic PIV measurement. Knowledge of airflow characteristics in nasal cavities is essential to understand the physiology and pathology aspects of nasal breathing. Several studies have utilized physical models of the healthy nasal cavity to investigate the relationship between nasal anatomy and airflow. All of these researches on nasal airflow are under the condition of constant flow-rate. In this study, nasal cavity flow with the physiological period is investigated by tomographic PIV, for the first time. A pumping system that can produce the periodic flow is created. Thanks to a new method for the model casting by a combination of the rapid prototyping and curing of clear silicone, a transparent rectangular box containing the complex nasal cavity can be made for PIV, The CBC PIV algorithm is used for analysis. Phase-averaged mean and RMS velocity distributions are obtained for inspirational and expiration nasal airflows. The comparison with the constant flow case is appreciated. There exist many flow patterns depending on each phase.