• Sleep Medicine and Psychophysiology
• /
• v.7 no.1
• /
• pp.18-26
• /
• 2000

Objectives: To investigate the airway narrowing patterns by multi-level airway pressure(MAP) monitoring during sleep and to evaluate the value of CT scan taken during waking and sleep apneic periods to identify the level of airway narrowing(LAN) in patients with obstructive sleep apnea syndrome(OSAS). Methods: Eleven patients with OSAS underwent a night polysomnography with continuous MAP monitoring by 4-sensor(placed at nasopharynx, caudal-uvula, hypopharynx, esophagus) or 2-sensor(placed at caudal-uvula and esophagus) catheter. All patients had cine CT at five levels of high retro and alatal, low retropalatal, retroglossal, epiglottis and hypopharynx during awake and sleep periods. In each patient, LAN determined by CT scan($LAN_{CT}$) during sleep apnea was compared with LAN by MAP monitoring($LAN_{MAP}$). Results: MAP monitoring showed that four patients(36%) had a single pattern of LAN while the other seven patients(64%) showed two or more different LANs in different apneic episodes. Velopharynx was the most common level of frequently observed airway narrowing during sleep apnea(63.6%). However, a single pattern of airway narrowing was more frequent(72.7%) in airway CT during sleep apnea. Velopharynx was the most common narrowest level also in apneic CT(66%). In comparing $LAN_{CT}$ with $LAN_{MAP}$, the $LAN_{CT}$ of five patients(45.5%) were high-concordant, those of another five(45.5%) low-concordant, and that of one(9%) discordant with $LAN_{MAP}$. Conclusions: Cine CT scan during the awake state or sleep apnea may not reflect the LAN correctly in OSAS because most patients showed two or more different airway narrowing patterns during different episodes of sleep apnea in each patient.

• The korean journal of orthodontics
• /
• v.39 no.2
• /
• pp.72-82
• /
• 2009

Objective: The purpose of this study was to investigate the structural changes of the hyoid bone and upper airway after orthognathic surgery for skeletal class III anterior open bite patients, and make comparisons with normal occlusion. Methods: Pre- and post-operative computed tomography (CT) examinations were performed on 12 skeletal class III anterior open bite patients who were treated with mandibular setback osteotomy. Using the V-works $4.0^{TM}$ program, 3-dimensional images of the total skull, mandible, hyoid bone, and upper airway were evaluated. Results: In the Class III open bite group, the hyoid bone were all positioned anteriorly, compared to the Normal group (p < 0.05). The angle between the hyoid plane and mandibular plane in the Class III openbite group before surgery was greater than in the Normal group (p < 0.05), and the difference increased after surgery (p < 0.01). In the Class III openbite group, the volume of the upper airway decreased after surgery (p < 0.001) and the volume of the upper airway was smaller than the Normal group before and after surgery (p < 0.001). Conclusions: The narrow upper airway space in skeletal Class III openbite patients decreased after mandibular setback osteotomy. This may affect the post-surgical stability.

• Transactions of the KSME C: Technology and Education
• /
• v.2 no.2
• /
• pp.73-80
• /
• 2014

Drug delivery in human upper airway was studied by the numerical simulation of oral airflow. We created an anatomically accurate upper airway model from CT scan data by using a medical image processing software (Mimics). The upper airway was composed of oral cavity, pharynx, larynx, trachea, and second generations of branches. Thin sliced CT data and meticulous refinement of model surface under the ENT doctor's advice provided more sophisticated nasal cavity models. With this 3D upper airway models, numerical simulation was conducted by ANSYS/FLUENT. The steady inspiratory airflows in that model was solved numerically for the case of flow rate of 250 mL/s with drug-laden spray(Q= 20, 40, 60 mL/s). Optimal parameters for mechanical drug aerosol targeting of predetermined areas was to be computed, for a given representative upper airways. From numerical flow visualization results, as flow-rate of drug-laden spray increases, the drag spray residue in oral cavity was increased and the distribution of drug spray in trachea and branches became more homogeneous.

• Transactions of the Korean Society of Mechanical Engineers B
• /
• v.39 no.5
• /
• pp.443-448
• /
• 2015

Obstructive sleep apnea (OSA) is a syndrome characterized by the repetitive episodic collapse of the upper airway. Maxillomandibular advancement surgery is one of the most effective surgical treatment methods in treating obstructive sleep apnea. The advancement of both maxill and mandible can enlarge the cross-sectional areas and volumes of the postero-superior airway. The purpose of this study is to analyze flow patterns in the upper airway before and after maxillomandibular advancement surgery. Here, we analyzed flow phenomena of inspiration and expiration to prevent obstructive sleep apnea patient from happening side effect. Modeling of the upper airway carried out from clinical CT scanned images. We used time-dependent values for boundary condition. CFD analyses were performed and evaluated section of minimum area (SMA), compared with patient inside upper airway before and after maxillomandibular advancement surgery in SMA, and negative pressure effects. The study showed the greatest enlargment of the section of minimum cross-sectional area. Moreover, the velocity and the negative airway pressure were decreased. According to the result of this study, the maxillomandibular advancement surgery stabilizes the airflow in the postero-superior airway of OSA patients.

• The korean journal of orthodontics
• /
• v.40 no.3
• /
• pp.145-155
• /
• 2010

Objective: Lateral cephalometric radiographs have been the main form of resource for assessing two dimensional anteroposterior airway changes. The purpose of this study was to evaluate the three dimensional volumetric change in the upper airway space in Class III malocclusion patients who underwent mandibular setback surgery. Methods: Three dimensional cone-beam computed tomographs (CBCT) and their three dimensional reconstruction images were analyzed. The samples consisted of 20 adult patients (12 males and 8 females) who were diagnosed as skeletal Class III and underwent mandibular setback surgery. CBCTs were taken at 3 stages - Baseline (1.8 weeks before surgery), T1 (2.3 months after surgery), and T2 (1 year after surgery). Pharyngeal airway was separated according to the reference planes and reconstructed into the nasopharynx, the oropharynx and the hypopharynx. Measurements at Baseline, T1, and T2 were compared between groups. Results: The result showed the volume of the pharyngeal airway decreased significantly 2.3 months after surgery (p < 0.001) and the diminished airway did not recover after 1 year post-surgery. The oropharynx was the most decreased area. Conclusions: These findings suggest that mandibular setback surgery causes both short-term and long-term decrease in the upper airway space.

• The korean journal of orthodontics
• /
• v.39 no.3
• /
• pp.136-145
• /
• 2009

Objective: CBCT has become popular for orthodontic diagnosis and treatment planning in recent times. The 3D pharyngeal airway space needs to be analysed using a 3D diagnostic tool. The aim of this study was to analyse the pharyngeal airway of different craniofacial morphology using CBCT. Methods: The sample compromised 102 subjects divided into 3 groups (Class I, II, III) and 6 subgroups according to normal or vertical craniofacial patterns. All samples had CBCT (VCT, Vatech, Seoul, Korea) taken for orthodontic treatment. The pharyngeal airway was assessed according to the reference planes: aa plane (the most anterior point on the anterior arch of atlas), $CV_2$ plane, and $CV_3$ plane (most infero-anterior point on the body of the second & third cervical vertebra). The intergroup comparison was performed with one-way ANOVA and duncan test as a second step. Results: The results showed the pharyngeal airway and anteroposterior width of group 2 (Class II) in aa plane, $CV_2$ plane, $CV_3$ plane were significant narrower than in group 3 (Class III). There was no significant difference between vertical and normal craniofacial patterns except for the anteroposterior pharyngeal width of Group 1 (Class I) in aa plane. Conclusions: Subjects with Class II patterns have a significantly narrower pharyngeal airway than those with Class III. However there was no difference in pharyngeal airway between vertical and normal craniofacial morphology.

• Proceedings of the KIEE Conference
• /
• 2002.11a
• /
• pp.22-24
• /
• 2002

지금까지 변전소나 개폐소에서 전류, 전압을 계측하는 수단으로서 주로 철심과 권선으로 구성되어진 변류기(CT), 계기용 변압기(PT, PD)가 사용되어져 왔다. 최근, 2차측의 계측기나 보호 Relay의 Digital화가 진전되어, 또한 이것을 Digital Network으로 총합한 Intelligent 변전소의 구축이 검토되어짐에 따라, Digital Network에 대응한 신형 CT, VD가 요구되어지고 있다. 상기와 같은 요구로 인해 당사에서는 CT는 검출부에 Rogowski Coil을 적용하며 그 후단에 적분기를 설치하였으며, VD는 검출부에 중간 전극을 이용해서 분압하는 방식인 Capacitive Voltage Divider를 사용하고 증폭기를 삽입하여, 각각 요구되는 전압 신호를 얻었다. 이러한 신형 CT/VD의 적용으로 종래의 CT/PT가 차지하는 공간이 필요 없게 되어 컴팩트한 GIS의 구조가 가능하게 되어 있다.

• Proceedings of the KIEE Conference
• /
• 2004.07c
• /
• pp.1793-1795
• /
• 2004

지금까지 변전소나 개폐소에서 전류, 전압을 계측하는 수단으로서 주로 철심과 권선으로 구성되어진 변류기(CT), 계기용 변압기(PT, PD)가 사용되어 왔다 최근, 2차측의 계측기나 보호 Relay의 Digital화가 진전되어, 또한 이것을 Digital Network으로 종합한 Intelligent 변전소의 구축이 검토되어짐에 따라 Digital Network에 대응한 신형 CT, VD가 요구되어 지고 있다. 상기와 같은 요구로 인해 당사에서는 CT는 검출부에 Rogowski Coil을 적용하며 그 후단에 적분기를 설치하였으면, VD는 검출부에 중간 전극을 이용해서 분압하는 방식인 Capacitive Voltage Divider를 사용하고 증폭기를 삽입하여, 각각 요구되는 전압 신호를 얻었다. 이러한 신형 CT/VD의 적용으로 종래의 CT/PT가 차지하는 공간이 필요 없게 되어 컴팩트한 GIS의 구조가 능하게 되어 있다.

• Proceedings of the KIEE Conference
• /
• 2008.07a
• /
• pp.373-374
• /
• 2008

지금까지 변전소나 발전소에서 전류, 전압을 계측하는 수단으로서 주로 철심과 권선으로 구성되어진 변류기(CT), 계기용 변압기(PT)가 사용되어져 왔다. 최근, 2차측의 계측기나 보호 Relay의 Digital 화가 진전되어져 있다. 또한, Digital Network로 총합한 Intelligent 변전소가 시범적으로 구축되어짐에 따라 Digital Network에 대응한 초고압용 신형 CT, VD가 요구되어지고 있다. 상기와 같은 요구로 인해 당사에서는 기존의 CT.PT의 단점을 보완할 수 있는 245kV GIS용 로고스키코일형 CT와 Capacitive Voltage Divider를 개발 중에 있으며, 센서 자체의 특성시험에서 IEC 60044-7, 8 1Class 기준을 만족하는 특성을 얻을 수 있었다. 이러한 신형 CT.VD의 적용으로 종래의 CT.PT가 차지하는 공간이 필요 없게 되어 컴팩트한 GIS의 구조가 가능하게 될 것이다.

• Proceedings of the KIEE Conference
• /
• 2005.07c
• /
• pp.2262-2264
• /
• 2005

지금까지 변전소나 개폐소에서 전류, 전압을 계측하는 수단으로서 주로 철심과 권선으로 구성되어진 변류기(CT), 계기용 변압기(PT, PD)가 사용되어져 왔다. 최근, 2차측의 계측기나 보호 Relay의 Digital화가 진전되어 또한 이것을 Digital Network으로 총합한 Intelligent 변전소의 구축이 검토되어지고 있으며, Digital Network에 대응한 변성기 관련규격인 IEC 60044가 근래 제정되어짐에 따라 이에 적합한 전자식 변성기가 요구되어지고 있다. 상기와 같은 요구로 인해 당사에서는 IEC 60044를 기반으로 한 전자식변성기 Layout을 구성하였으며, CT는 검출부에 Rogowski Coil을 적용하며 그 후단에 적분기를 설치하였으며, VD는 검출부에 중간 전극을 이용해서 분압하는 방식인 Capacitive Voltage Divider를 사용하고 증폭기를 삽입하여, 각각 요구되는 전압 신호를 얻었다. 이러한 신형 CT/VD의 적용으로 종래의 CT/PT가 차지하는 공간이 필요없게 되어 컴팩트한 GIS의 구조가 가능하게 되어 있다.