Rapid Maxillary Expansion Has a Beneficial Effect on the Ventilation in Children With Nasal Septal Deviation: A Computational Fluid Dynamics Study

• Published in: Frontiers in pediatrics Vol. 9; p. 718735
• Main Authors: Chen, Shuai, Wang, Jingying, Xi, Xun, Zhao, Yi, Liu, Hong, Liu, Dongxu
• Format: Journal Article
• Language: English
• Published: Switzerland Frontiers Media S.A 10.02.2022
• Subjects: computational fluid dynamics (CFD); maxillary transverse deficiency; nasal aerodynamics; nasal resistance; nasal septal deviation (NSD); Pediatrics; rapid maxillary expansion (RME); computational fluid dynamics (CFD); maxillary transverse deficiency; nasal resistance; nasal aerodynamics; rapid maxillary expansion (RME); nasal septal deviation (NSD)
• ISSN: 2296-2360; 2296-2360
• DOI: 10.3389/fped.2021.718735

Nasal septal deviation (NSD) is one of the most common nasal diseases. Different from common clinical examination methods, computational fluid dynamics (CFD) can provide visual flow information of the nasal cavity. The dimension and volume of the nasal cavity are easily affected by rapid maxillary expansion (RME). The purpose of this study was to use CFD to evaluate the effect of RME on the aerodynamics of the nasal cavity in children with maxillary transverse deficiency and NSD. Computational fluid dynamics was implemented after 3D reconstruction based on the CBCT of 15 children who have completed RME treatment. After treatment, the volume increases in the nasal cavity, nasopharynx, oropharynx, and pharynx were not statistically significant. The wall shear stress of the nasal cavity after RME, 1.749 ± 0.673 Pa, was significantly lower than that before RME, 2.684 ± 0.919 Pa. Meanwhile, the maximal negative pressure in the pharyngeal airway during inspiration was smaller after RME (-31.058 Pa) than before (-48.204 Pa). This study suggests that RME has a beneficial effect on nasal ventilation. The nasal airflow became more symmetrical in the bilateral nasal cavity after RME. Pharyngeal resistance decreased with the reduction in nasal resistance and the increase in the volume of oropharynx after RME.