Engineering Analysis of an Unreported Complication of Septoplasty

Abstract

A large submucous window can result in obstruction of nasal airflow after septoplasty owing to displacement of this compliant area with respiration under the forces described in the Bernoulli theorem. Treatment may include turbinate reduction and/or septal reconstruction.

Numerical Investigation of the Flow Field in Realistic Nasal Septal Perforation Geometry

“…Using CFD, Gaball et al 21 found that a submucous cartilaginous and/or bony window after septoplasty can cause nasal obstruction. In our first experiment in this field, with Moghadas and our team, 22 the effect of septal deviation on the airflow patterns and the deposition of micro-/nanoparticles were evaluated.…”

“…Ozlugedik et al 20 detected that the airflow crossing the middle meatus was highly increased after virtual dissection of the lateral portion of the concha bullosa. Using CFD, Gaball et al 21 found that a submucous cartilaginous and/or bony window after septoplasty can cause nasal obstruction. In our first experiment in this field, with Moghadas and our team, 22 the effect of septal deviation on the airflow patterns and the deposition of micro-/nanoparticles were evaluated.…”