Upper airways modelling and validation of mandibular advancement surgery

<b>Background:</b> Most Obstructive Sleep Apnoea (OSA) treatments use cross-sectional examination of the Upper Airways (UA) to determine decreasing gap and UA length. Surgery is detrimental to all OSA patients, stressing the need for better assessment. <b>Objective:</b> This study integrates Computational Fluid Dynamics (CFD) with physical model validation to improve OSA prediction and turbulence model accuracy and dependability. <b>Methods:</b> The k-omega SST turbulence model is used to analyse OSA using CFD. SLS is used to build a physical model of the UA for CFD simulations. The UA's physical model is then compared to the OSA-recommended CFD turbulence model to verify simulation-physical reality coherence. <b>Result:</b> The average UA pressure differential decreases considerably after mandibular advancement surgery. The Turbulent Kinetic Energy (TKE) increases after surgery, indicating more turbulence. Cross-validation of the physical model confirms the OSA CFD turbulence simulation's validity. <b>Conclusion:</b> The study concludes that matching UA simulations with physical models improves OSA assessments. CFD with established physical models is a reliable method for assessing OSA therapy, especially surgical operations. The post-surgery increase in TKE needs more study to determine its effects on OSA treatment outcomes.

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Publication Details

Journal
Bio-Medical Materials and Engineering
Published
2025-06-12
DOI
https://doi.org/10.1177/09592989251341127
Primary Topic
Obstructive Sleep Apnea Research
Type
article
Field-Weighted Citation Impact
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article

Upper airways modelling and validation of mandibular advancement surgery

Ahmed Said Abdel Hafez Zedan, Sarfaraz Kamangar, Mohd Faruq Abdul Latif, Irfan Anjum Badruddin et al.
Bio-Medical Materials and Engineering
Obstructive Sleep Apnea Research
article

Upper airways modelling and validation of mandibular advancement surgery

Ahmed Said Abdel Hafez Zedan, Sarfaraz Kamangar, Mohd Faruq Abdul Latif, Irfan Anjum Badruddin, Nik Nazri Nik Ghazali, Norliza Ibrahim, TMYS Tuan Ya, Roziana Mohd Razi, Mohd Faizal Abdullah, Abdul Azeem Khan
article en

Abstract

<b>Background:</b> Most Obstructive Sleep Apnoea (OSA) treatments use cross-sectional examination of the Upper Airways (UA) to determine decreasing gap and UA length. Surgery is detrimental to all OSA patients, stressing the need for better assessment. <b>Objective:</b> This study integrates Computational Fluid Dynamics (CFD) with physical model validation to improve OSA prediction and turbulence model accuracy and dependability. <b>Methods:</b> The k-omega SST turbulence model is used to analyse OSA using CFD. SLS is used to build a physical model of the UA for CFD simulations. The UA's physical model is then compared to the OSA-recommended CFD turbulence model to verify simulation-physical reality coherence. <b>Result:</b> The average UA pressure differential decreases considerably after mandibular advancement surgery. The Turbulent Kinetic Energy (TKE) increases after surgery, indicating more turbulence. Cross-validation of the physical model confirms the OSA CFD turbulence simulation's validity. <b>Conclusion:</b> The study concludes that matching UA simulations with physical models improves OSA assessments. CFD with established physical models is a reliable method for assessing OSA therapy, especially surgical operations. The post-surgery increase in TKE needs more study to determine its effects on OSA treatment outcomes.

Bio-Medical Materials and EngineeringVol. 36(5)
Universiti Teknologi Petronas (MY), Universitas Airlangga (ID), Technical University of Malaysia Malacca (MY), University of Malaya (MY), Hospital Universiti Sains Malaysia (MY), Sultan Sharif Ali Islamic University (BN), King Khalid University (SA)
Openalex Percentile: Top 82%
Obstructive Sleep Apnea Research
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