• 제목/요약/키워드: Nasal

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

  • 김성균;박준형;휜광림
    • 한국전산유체공학회:학술대회논문집
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    • 한국전산유체공학회 2008년도 춘계학술대회논문집
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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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    • 제18권10호
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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.

Nasal airflows in deformed nasal cavity models

  • KIM Sung Kyun;SHIN Sok Jae
    • 한국가시화정보학회:학술대회논문집
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    • 한국가시화정보학회 2004년도 Proceedings of 2004 Korea-Japan Joint Seminar on Particle Image Velocimetry
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    • pp.135-140
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    • 2004
  • Several studies have utilized physical models of the healthy nasal cavity to investigate the relationship between nasal anatomy and airflow. With our experiences of experimental investigations on nasal airflows in normal and abnormal nasal cavity models, we are going to deal with the topic that may contribute to the diagnosis and treatment of nasal diseases. In this paper, airflows in the normal and artificially deformed models, which simulate surgical treatment, are investigated experimentally by PIV. High-resolution CT data and careful surface rendering of computational model with the help of the ENT doctor provide more sophisticated nasal cavity models. The CBC PIV (Correlation Based Correction PIV) algorithm with window offset is used for PIV flow analysis. Average and RMS distributions in sagittal and coronal sections are obtained for inspiratory and expiratory nasal airflows. Comparisons in nasal airflows for both normal and deformed cases are also appreciated. In case of simulations of surgical operations, velocity and RMS distributions in coronal section changes locally, this may cause some difficulties in physiologic functions of noses and may hurt mucosal surface.

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The Usefulness of Nasal Packing with Vaseline Gauze and Airway Silicone Splint after Closed Reduction of Nasal Bone Fracture

  • Kim, Hyo Young;Kim, Sin Rak;Park, Jin Hyung;Han, Yea Sik
    • Archives of Plastic Surgery
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    • 제39권6호
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    • pp.612-617
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    • 2012
  • Background Packing after closed reduction of a nasal bone fracture causes inconvenient nasal obstruction in patients. We packed the superior meatus with Vaseline gauze to support the nasal bone, and packed the middle nasal meatus with a Doyle Combo Splint consisting of an airway tube, a silastic sheet, and an expandable sponge to reduce the inconvenience. In addition, we aimed to objectively identify whether this method not only enables nasal respiration but also sufficiently supports the reduced nasal bone. Methods Nasal ventilation was measured via spirometry 1 day before surgery and compared to 1 day after surgery. To compare support of the reduced nasal bone by the 2 methods, 2 plastic surgeons assessed the displacementon X-rays taken after the surgery and after removing the packing. The extent of nasal obstruction, dry mouth, sleep disturbance, headache, and swallowing difficulty were compared with visual analog scales (VAS) on a pre-discharge survey. Results In the experimental group, the nasal respiration volume 1 day after surgery remained at $71.3%{\pm}6.84%$ on average compared to 1 day prior to surgery. Support of the reduced bone in the experimental group ($2.80{\pm}0.4$) was not significantly different from the control group ($2.88{\pm}0.33$). The VAS scores for all survey items were lower in the experimental group than in the control group, where a lower score indicated a lower level of inconvenience. Conclusions The nasal cavity packing described here maintained objective measures of nasal respiration and supported the reduced bone similar to conventional methods. Maintaining nasal respiration reduced the inconvenience to patients, which demonstrates that this packing method is useful.

러시아어 비음의 음운적 특성 (Phonological Characteristics of Russian Nasal Consonants)

  • 김신효
    • 비교문화연구
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    • 제39권
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    • pp.381-406
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    • 2015
  • Russian nasal consonants / m /, / n / have a feature value not only [+consonant] in common with obstruents, but also [+sonorant] in common with vowels. Nasal / m /(bi-labial) and / n /(dental) have the same place of articulation but different manner of articulation. The feature value of / m / is [+cons, +son, +nas, +ant, -cor, -high, -low, -back, -cont, -del, rel, -strid, +voic], and that of / n / is [+cons, +son, +nas, +ant, +cor, -high, -low, -back, -cont, -del, rel, -strid, + voic]. There is a difference in feature [cor] value of / m / and / n /. In this study it is confirmed that it is a fact that the Russian nasal consonants behave differently from the other consonants in each phonological phenomenon due to their phonological characteristics. The preceding voiced obstruent is changed to an unvoiced one in a process where the last voiceless obstruent in the consonant cluster ' voiced obstruent + nasal /m/ + voiceless obstruent' skips the nasal consonant and spreads its feature value to the preceding voiced obstruent transparently because of the feature [+sonorant] of the nasal consonant. The coronal nasal /n/ participates in a palatalization with the following palatal actively and palatalize preceding plain consonants passively because of markedness hierarchy such as 'Velar > Labial > Coronal'. But the labial nasal /m/ is palatalized with the following velar palatal actively and participates in a palatalization with the following coronal palatal passively. This result helps us confirm the phonological difference of /m/ and /n/ in a palatalization. When the a final consonant is nasal, the unvoicing phenomenon of a final consonant doesn't occur. In such a case as cluster 'obstruent + nasal' the feature value [voiced] of the preceding obstruent doesn't change, but the following nasal can assimilate into the preceding obstruent. When continuing the same nasals / -nn- / in a consonant cluster, the feature value [+cont] of a weak position leads the preceding nasal / n / to be changed into [-cont] / l /. Through the analysis of the frequency of occurrences of consonants in syllabic onsets and codas that should observe the 'Sonority Sequence Principle', the sonority hierarchy of nasal consonants has been confirmed. In a diachronic perspective following nasal / m /, / n / there is a loss of the preceding labial stop and dental stop. But in clusters with the velar stop+nasal, the two-component cluster has been kept phonetically intact.

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

  • 김창희;이재서
    • 수면정신생리
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    • 제11권1호
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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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비골 골절 교정 후 Rolled Silastic Sheet를 이용한 비강 충진의 효과 (The Effect of Nasal Packing with Rolled Silastic Sheet after Closed Reduction of Nasal Bone Fracture)

  • 손경민;양정열;김규보;한윤주;천지선
    • Archives of Plastic Surgery
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    • 제38권5호
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    • pp.602-608
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    • 2011
  • Purpose: Nasal bone fracture is the most common type of facial bone fracture and most of nasal bone fracture is combined with septal fracture frequently. Nasal septum is important to support the distal nose and to maintain the nasal airway. But nasal septal fractures are usually unrecognized and untreated at the time of operation. Recently, various materials were using for nasal packing after closed reduction, however these materials are not focused on the correction of nasal bone and nasal septal fracture and many patients are suffered from nasal packing materials. Thus, the purpose of this study is to compare routine packing materials and rolled silastic sheet with respect to postoperative effect of correction of nasal bone fracture and discomfort of nasal packing materials. Methods: We examined 320 patients treated nasal bone fracture from January 2008 to December 2010. For Group I (n=92), $Merocel^{(R)}$ was used for nasal packing, for Group II (n=152) vaseline gauze was used, and Rolled silastic sheet (RSS) with vaseline gauze packing (VGP) was used for Group III (n=76). Under the general anesthesia, all patients were operated by closed reduction and nasal packing was done using three kinds of packing materials. At the time of postoperative 7 days, packing material was removed and studied for pt's satisfaction and postop. complications. Results: In patients with RSS with VGP, the complaints (nasal obstruction, foreign compressive sensation and discomfort during food ingestion) of keeping the nasal packing were decreased ($p$ <0.05) and the postoperative complication (deviation) were decreased comparing to vaseline gauze packing and $Merocel^{(R)}$ packing, however, these differences were not statistically significant ($p$ >0.05). Conclusion: Postoperative nasal packing with RSS with VGP was more comfortable to the patients and it was more effective method to correct the nasal bone fracture and nasal septal fracture.

Stranc 분류법에 따른 비골골절 정복술 후 합병증 (Complications of the Nasal Bone Fractures according to the Stranc Classification)

  • 이준호;박원용;남현재;김용하
    • 대한두개안면성형외과학회지
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    • 제9권2호
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    • pp.62-66
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    • 2008
  • Purpose: Although nasal fractures are often discussed as minor injuries but the incidence of post-traumatic nasal deformity remains high. For decrease the incidence of post-traumatic nasal deformity which require the guideline to optimize the management of acute nasal bone fracture. The aim of this study is analysis of post-traumatic nasal deformity according to Stranc classification. Method: We reviewed 310 patients with nasal bone fracture treated at our hospital from January of 2005 to December of 2006. Result: Post-traumatic complication were divided septal deviation, nasal bone deformity, temporary hyposmia and synechia. Nasal bone deformity include nasal bone deviation, hump, flat nose and minimal nasal bone irregularity. The incidence of total complication rate was 36.4%. The most common complication was nasal deformity(22.9%) followed by septal deviation(19.7%). The most common complication was septal deviation(20%) in frontal impact. The most common complication was nasal deformity(19.5%) in lateral impact. In frontal impact, the incidence of complication rate was plane II(68.8%) followed by plane I(29.9%) and plane III(16.7%). In lateral impact, the incidence of complication rate was plane II (78.8%) followed by plane III(61.5%) and plane I(42.7%). Conclusion: This result can be used to improve longterm results and to reduce the incidence of post-traumatic nasal deformity by predict complication of nasal bone fracture according to Stranc classification.

코 내부 유로(비강) 내부 유동의 PIV해석 (Particle Image Velocimetry Measurements in Nasal Airflow)

  • 김성균
    • 대한기계학회논문집B
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    • 제26권6호
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    • pp.811-816
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    • 2002
  • For the first time, airflow in the nasal cavity of a normal Korean adult is investigated experimentally by PIV measurement. 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 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 fur PIV experiments. The CBC PIV algorithm is used for analysis. Average and RMS distributions are obtained for inspirational and expiration nasal airflows. Data fer the airflow at the end of meatuses are obtained for the first time. Comparisons between western and Korean nasal airflows are appreciated. Due to the difference in geometry of the frontal part of nasal cavity, the flow near nares shows the difference.

鼻茸(Nasal Polyp)에 對한 文獻的 考察 (A Literature study on the Nasal Polyps)

  • 김현아
    • 한방안이비인후피부과학회지
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    • 제12권1호
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    • pp.338-355
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    • 1999
  • In the treatment of Nasal Polyps. which are produced with allergic rhinitis, chronic paranasal sinusitis at clinic. Herb-med., acupuncture and some medicine for external application have been used. The symptoms, however, has taken a turn for the better in temporary, the nasal polyps was not removed in completely. So the origin treatment was impossible by the use of herb-med.. acupuncture and medicine. Although a surgical operation (excision) of western-medicine is effective for a specified period of time (about 6 months), the nasal polyps tend to recur. Because of that the second and third operation might be needed, so we cannot consider the operation as the treatment of nasal polyps. The study was observed to investigate the nasal polyps treatment, and to search practical attempt for the clinic application through a literature study on Bisikyuk and Bithch which are similar with nasal polyps. As results, the practical application of external treatment for the nasal polyps treatment in clinic might be more necessary, and internal use of the Herb-med. with the external treatment might be treated as supplementary treatment.

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