Skip to main content
Log in

A study of fluid dynamics parameters for prediction of obstructive sleep apnea

  • Published:
Journal of Mechanical Science and Technology Aims and scope Submit manuscript

Abstract

Obstructive sleep apnea (OSA) is a syndrome characterized by the repetitive episodic collapse of the upper airway. The purpose of this study is to investigate the fluid dynamic parameters for the prediction of obstructive sleep apnea in the upper airway before and after setback surgery. Here, we analyzed the flow phenomena of inspiration and expiration in obstructive sleep apnea patients. The modeling of the upper airway was performed with facial 3 dimensional facial computed tomography images (3D facial CT). We used timedependent value for boundary conditions. The changes of pressure were studied with 3D facial CT taken both before and after the setback surgery. Further, it was found that the correlation between PSG data and non-dimensional pressure drop can be used to predict the severity of OSA. In all 6 patients except for patient 1, the average values of the non-dimensional pressure drops and PSG clinical data are inversely related. For each patient, the lower the pressure drop is, the higher the PSG values will be.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. F. J. Nieto et al., Association of sleep-disordered breathing, sleep apnea, and hypertension in a large community-based study, J. American Med. Asso., 283 (14) (2000) 1829–1836.

    Google Scholar 

  2. J. Kim et al., Prevalence of sleep-disordered breathing in middle-aged Korean men and women, Am. J. Respir. Crit. Care Med., 170 (10) (2004) 1108–1113.

    Article  Google Scholar 

  3. S. M. Susarla, R. J. Thomas, Z. R. Abramson and L. B. Kaban, Biomechanics of the upper airway: changing concepts in the pathogenesis of obstructive sleep apnea, Int. J. Oral and Maxillofac. Surg., 39 (12) (2010) 1149–1159.

    Article  Google Scholar 

  4. Y.-C. Park et al., EMG and cephalometric study on changes in upper airway structures and muscle activities according to the use of mandibular repositioning appliance and body posture in OSA patients, Korean J. Ortho., 28 (4) (1998) 547–561.

    MathSciNet  Google Scholar 

  5. G. Aarab, F. Lobbezoo, H. L. Hamburger and M. Naeije, Oral appliance therapy versus nasal continuous positive airway pressure in obstructive sleep apnea: A randomized, placebo-controlled trial, Respiration, 81 (5) (2011) 411–419.

    Google Scholar 

  6. L. D. Sharples et al., Meta-analysis of randomised controlled trials of oral mandibular advancement devices and continuous positive airway pressure for obstructive sleep apnoeahypopnoea, Sleep Med. Rev., 27 (2016) 108–124.

    Article  Google Scholar 

  7. F. R. Almeida and N. Bansback, Long-term effectiveness of oral appliance versus CPAP therapy and the emerging importance of understanding patient preferences, Sleep, 36 (9) (2013) 1271.

    Article  Google Scholar 

  8. M. Camacho et al., Maxillomandibular advancement and tracheostomy for morbidly obese obstructive sleep apnea: A systematic review and meta-analysis, Otolaryngology-Head and Neck Surgery, 152 (4) (2015) 619–630.

    Article  Google Scholar 

  9. O. Ferraz et al., Effectiveness of Maxillomandibular advancement (MMA) surgery in sleep apnea treatment: Case report, Sleep Science, 9 (3) (2016) 134–139.

    Article  Google Scholar 

  10. J. E. C. Holty and C. Guilleminault, Maxillomandibular advancement for the treatment of obstructive sleep apnea: A systematic review and meta-analysis, Sleep Med. Rev., 14 (5) (2010) 287–297.

    Article  Google Scholar 

  11. A. C. Faria et al., Volumetric analysis of the pharynx in patients with Obstructive sleep apnea (OSA) treated with Maxillomandibular advancement (MMA), Sleep and Breathing, 17 (1) (2013) 395–401.

    Article  Google Scholar 

  12. J. E. C. Holty and C. Guilleminault, Maxillomandibular expansion and advancement for the treatment of sleepdisordered breathing in children and adults, Seminars in Orthodontics, 18 (2) (2012) 162–170.

    Article  Google Scholar 

  13. J.-H. Lee, Y. Na, S. K. Kim and S. K. Chung, Unsteady flow characteristics through a human nasal airway, Respir. Physiol. & Neurobiol., 172 (3) (2010) 136–146.

    Article  Google Scholar 

  14. G. J. Garcia, N. Bailie, D. A. Martins and J. S. Kimbell, Atrophic rhinitis: A CFD study of air conditioning in the nasal cavity, J. Appl. Physiol., 103 (3) (2007) 1082–1092.

    Article  Google Scholar 

  15. D. J. Taylor, D. J. Doorly and R. C. Schroter, Inflow boundary profile prescription for numerical simulation of nasal airflow, J. Royal Society Interface, 7 (44) (2010) 515–527.

    Article  Google Scholar 

  16. C. R. Morales et al., In-home, self-assembled sleep studies are useful in diagnosing sleep apnea in the elderly, Sleep, 35 (11) (2012) 1491–1501.

    Google Scholar 

  17. W. R. Ruehland, P. D. Rochford, F. J. O’donoghue, R. J. Pierce, P. Singh and A. T. Thornton, The new AASM criteria for scoring hypopneas: Impact on the apnea hypopnea index, Sleep, 32 (2) (2009) 150–157.

    Article  Google Scholar 

  18. L. Palombini, R. Pelayo and C. Guilleminault, Efficacy of automated continuous positive airway pressure in children with sleep-related breathing disorders in an attended setting, Pediatrics, 113 (5) (2004) e412–e417.

    Article  Google Scholar 

  19. World Health Organization, BMI classification WHO (2013) Available from: apps. who. int/bmi/index. jsp.

  20. P. P. Lopez, B. Stefan, C. I. Schulman and P. M. Byers, Prevalence of sleep apnea in morbidly obese patients who presented for weight loss surgery evaluation: more evidence for routine screening for obstructive sleep apnea before weight loss surgery, American Surg., 74 (9) (2008) 834–838.

    Google Scholar 

  21. S.-H. Suh, H.-H. Kim, Y. H. Choi and J. S. Lee, Computational fluid dynamic modeling of femoral artery pseudo aneurysm, J. Mech. Sci. Tech., 26 (12) (2012) 3865–3872.

    Article  Google Scholar 

  22. Sinusoidal breathing pattern, Diagram from Leigh J. Oxygen therapy, Scientific Foundation of Anaesthesia, 235-242.

  23. J. Lindemann, R. Leiacker, G. Rettinger and T. Keck, Nasal mucosal temperature during respiration, Clinical Otolaryngology & Allied Sciences, 27 (3) (2002) 135–139.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ui-Lyong Lee.

Additional information

This paper was presented at the ICCHM2T2017, Sejong Hotel, Seoul, Korea, May 28–June 1, 2017. Recommended by Guest Editor Heuy Dong Kim.

Hyoung-Ho Kim is a Researcher at Soongsil University, Seoul, Korea. He is currently a Ph.D. Student at Soongsil University under the supervision of Prof. Dr.–Ing. Sang-Ho Suh. His research interests include biofluids, and turbo machinery fields.

Md Rakibuzzaman is a Researcher at Soongsil University, Seoul, Korea. He is currently a Ph.D. student at Soongsil University under the supervision of Prof. Dr.–Ing. Sang-Ho Suh. His research interests include cavitation phenomena in turbo machinery and biomedical engineering.

Sang-Ho Suh is a Professor of Dept. of Mechanical Engineering at Soongsil University, Seoul, Korea. He received his Ph.D. degree from Stuttgart University in 1989. He has been teaching at Soongsil University since 1990. His research contributions were in the field of fluid machinery and Biofluid engineering. He is currently working on biomedical engineering research includes biofluid circulations (Blood, urine and air flows in arteries, ureter, upper airway), development of biomedical devices, and industrial application researches of performance evaluation of pumps and hydraulic turbines, development of automatic waste collecting system, Pneumatic capsule pipeline (PCP).

Hyun Jik Kim is an Associate Professor of Otorhinolaryngology at Seoul Nantional University, Seoul, South Korea. He received his M.D. and Ph.D. degrees from Seoul National University. His research contributions were in the field of relationship between reactive oxygen species and viral immunology in airway epithelium and development of therapeutic material against viral respiratory infection for respiratory mucosal innate immunity.

Jin-Young Choi is a Professor of Oral and Maxillofacial Surgery at Seoul Nantional University, Seoul, Korea. He received his D.D.S. from Seoul National University, M.D. and Ph.D. degrees from Georg-August University, in Goettingen, Germany. His research contributions were in the field of Oral and Maxillofacial surgery.

Ui-Lyong Lee is a Clinical Assist Professor of Oral & Maxillofacial Surgery at Chung-Ang University Hospital, Seoul, Korea. He received his M.S.D. degree from Seoul National University in 2006. His research contributions were in the field of Orthognathic surgery and patient specific 3D printing implant. He is currently working on biomedical engineering research includes periodontal tissue bio-printing and microfluidics.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kim, HH., Rakibuzzaman, M., Suh, SH. et al. A study of fluid dynamics parameters for prediction of obstructive sleep apnea. J Mech Sci Technol 32, 1079–1085 (2018). https://doi.org/10.1007/s12206-018-0210-0

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12206-018-0210-0

Keywords

Navigation