@article{HildebrandtGoubergritsHepptetal.2013, author = {Hildebrandt, Thomas and Goubergrits, Leonid and Heppt, Werner and Bessler, Stefan and Zachow, Stefan}, title = {Evaluation of the Intranasal Flow Field through Computational Fluid Dynamics (CFD)}, series = {Journal of Facial and Plastic Surgery}, volume = {29}, journal = {Journal of Facial and Plastic Surgery}, number = {2}, publisher = {Thieme}, doi = {10.1055/s-0033-1341591}, pages = {93 -- 98}, year = {2013}, language = {en} } @article{BrueningGoubergritsHepptetal., author = {Br{\"u}ning, Jan and Goubergrits, Leonid and Heppt, Werner and Zachow, Stefan and Hildebrandt, Thomas}, title = {Numerical Analysis of Nasal Breathing - A Pilot Study}, series = {Facial Plastic Surgery}, volume = {33}, journal = {Facial Plastic Surgery}, number = {4}, doi = {doi:10.1055/s-0037-1603789}, pages = {388 -- 395}, abstract = {Background: Currently, there is no fully sufficient way to differentiate between symptomatic and normal nasal breathing. Using the nose's total resistance is disputed as a valid means to objectify nasal airflow, and the need for a more comprehensive diagnostic method is increasing. This work's aim was to test a novel approach considering intranasal wall shear stress as well as static pressure maps obtained by computational fluid dynamics (CFD). Methods: X-ray computed tomography (CT) scan data of six symptom-free subjects and seven symptomatic patients were used. Patient-specific geometries of the nasal cavity were segmented from these data sets. Inspiratory and expiratory steady airflow simulations were performed using CFD. Calculated static pressures and wall shear stresses (WSS) were mapped onto a common template of the nasal septum, allowing for comparison of these parameters between the two patient groups. Results: Significant differences in wall shear stress distributions during the inspiratory phase could be identified between the two groups, whereas no differences were found for the expiratory phase. It is assumed that one essential feature of normal nasal breathing probably consists in distinctively different intranasal flow fields for inspiration and expiration. This is in accordance with previous investigations. Conclusion: The proposed method seems to be a promising tool for developing a new kind of patient-specific assessment of nasal breathing. However, more studies and a greater case number of data with an expanded focus, would be ideal.}, language = {en} } @article{ZachowMuiggHildebrandtetal.2009, author = {Zachow, Stefan and Muigg, Philipp and Hildebrandt, Thomas and Doleisch, Helmut and Hege, Hans-Christian}, title = {Visual Exploration of Nasal Airflow}, series = {IEEE Transactions on Visualization and Computer Graphics}, volume = {15}, journal = {IEEE Transactions on Visualization and Computer Graphics}, number = {8}, doi = {10.1109/TVCG.2009.198}, pages = {1407 -- 1414}, year = {2009}, language = {en} } @article{SteinmannBartschZachowetal.2008, author = {Steinmann, Alexander and Bartsch, Peter and Zachow, Stefan and Hildebrandt, Thomas}, title = {Breathing Easily: Simulation of airflow in human noses can become a useful rhinosurgery planning tool}, series = {ANSYS Advantage}, volume = {Vol. II, No. 1}, journal = {ANSYS Advantage}, pages = {30 -- 31}, year = {2008}, language = {en} } @article{HepptHildebrandtSteinmannetal.2007, author = {Heppt, Werner and Hildebrandt, Thomas and Steinmann, Alexander and Zachow, Stefan}, title = {Aesthetic and Function in Rhinoplasty}, series = {Springer Journal}, volume = {264 (Suppl 1), RL 126}, journal = {Springer Journal}, pages = {307}, year = {2007}, language = {en} } @article{HildebrandtZachowSteinmannetal.2007, author = {Hildebrandt, Thomas and Zachow, Stefan and Steinmann, Alexander and Heppt, Werner}, title = {Innovation in der Funktionell-{\"A}sthetischen Nasenchirurgie: Rhino-CFD}, series = {Face, Int. Mag. of Orofacial Esthetics}, journal = {Face, Int. Mag. of Orofacial Esthetics}, publisher = {Oemus Journale Leipzig}, pages = {20 -- 23}, year = {2007}, language = {en} } @article{ZachowSteinmannHildebrandtetal.2007, author = {Zachow, Stefan and Steinmann, Alexander and Hildebrandt, Thomas and Heppt, Werner}, title = {Understanding nasal airflow via CFD simulation and visualization}, series = {Proc. Computer Aided Surgery around the Head}, journal = {Proc. Computer Aided Surgery around the Head}, pages = {173 -- 176}, year = {2007}, language = {en} } @article{ZachowSteinmannHildebrandtetal.2006, author = {Zachow, Stefan and Steinmann, Alexander and Hildebrandt, Thomas and Weber, Rainer and Heppt, Werner}, title = {CFD simulation of nasal airflow: Towards treatment planning for functional rhinosurgery}, series = {Int. J. of Computer Assisted Radiology and Surgery}, journal = {Int. J. of Computer Assisted Radiology and Surgery}, publisher = {Springer}, pages = {165 -- 167}, year = {2006}, language = {en} } @phdthesis{Hildebrandt, author = {Hildebrandt, Thomas}, title = {Das Konzept der Rhinorespiratorischen Hom{\"o}ostase - ein neuer theoretischer Ansatz f{\"u}r die Diskussion physiologischer und physikalischer Zusammenh{\"a}nge bei der Nasenatmung}, language = {de} } @article{HildebrandtBrueningSchmidtetal., author = {Hildebrandt, Thomas and Bruening, Jan Joris and Schmidt, Nora Laura and Lamecker, Hans and Heppt, Werner and Zachow, Stefan and Goubergrits, Leonid}, title = {The Healthy Nasal Cavity - Characteristics of Morphology and Related Airflow Based on a Statistical Shape Model Viewed from a Surgeon's Perspective}, series = {Facial Plastic Surgery}, volume = {35}, journal = {Facial Plastic Surgery}, number = {1}, doi = {10.1055/s-0039-1677721}, pages = {9 -- 13}, abstract = {Functional surgery on the nasal framework requires referential criteria to objectively assess nasal breathing for indication and follow-up. Thismotivated us to generate amean geometry of the nasal cavity based on a statistical shape model. In this study, the authors could demonstrate that the introduced nasal cavity's mean geometry features characteristics of the inner shape and airflow, which are commonly observed in symptom-free subjects. Therefore, the mean geometry might serve as a reference-like model when one considers qualitative aspects. However, to facilitate quantitative considerations and statistical inference, further research is necessary. Additionally, the authorswere able to obtain details about the importance of the isthmus nasi and the inferior turbinate for the intranasal airstream.}, language = {en} } @article{HildebrandtBrueningLameckeretal., author = {Hildebrandt, Thomas and Bruening, Jan Joris and Lamecker, Hans and Zachow, Stefan and Heppt, Werner and Schmidt, Nora and Goubergrits, Leonid}, title = {Digital Analysis of Nasal Airflow Facilitating Decision Support in Rhinosurgery}, series = {Facial Plastic Surgery}, volume = {35}, journal = {Facial Plastic Surgery}, number = {1}, doi = {10.1055/s-0039-1677720}, pages = {1 -- 8}, abstract = {Successful functional surgery on the nasal framework requires reliable and comprehensive diagnosis. In this regard, the authors introduce a new methodology: Digital Analysis of Nasal Airflow (diANA). It is based on computational fluid dynamics, a statistical shape model of the healthy nasal cavity and rhinologic expertise. diANA necessitates an anonymized tomographic dataset of the paranasal sinuses including the complete nasal cavity and, when available, clinical information. The principle of diANA is to compare the morphology and the respective airflow of an individual nose with those of a reference. This enablesmorphometric aberrations and consecutive flow field anomalies to localize and quantify within a patient's nasal cavity. Finally, an elaborated expert opinion with instructive visualizations is provided. Using diANA might support surgeons in decision-making, avoiding unnecessary surgery, gaining more precision, and target-orientation for indicated operations.}, language = {en} } @article{BrueningHildebrandtHepptetal., author = {Br{\"u}ning, Jan and Hildebrandt, Thomas and Heppt, Werner and Schmidt, Nora and Lamecker, Hans and Szengel, Angelika and Amiridze, Natalja and Ramm, Heiko and Bindernagel, Matthias and Zachow, Stefan and Goubergrits, Leonid}, title = {Characterization of the Airflow within an Average Geometry of the Healthy Human Nasal Cavity}, series = {Scientific Reports}, volume = {3755}, journal = {Scientific Reports}, number = {10}, doi = {10.1038/s41598-020-60755-3}, abstract = {This study's objective was the generation of a standardized geometry of the healthy nasal cavity. An average geometry of the healthy nasal cavity was generated using a statistical shape model based on 25 symptom-free subjects. Airflow within the average geometry and these geometries was calculated using fluid simulations. Integral measures of the nasal resistance, wall shear stresses (WSS) and velocities were calculated as well as cross-sectional areas (CSA). Furthermore, individual WSS and static pressure distributions were mapped onto the average geometry. The average geometry featured an overall more regular shape that resulted in less resistance, reduced wall shear stresses and velocities compared to the median of the 25 geometries. Spatial distributions of WSS and pressure of average geometry agreed well compared to the average distributions of all individual geometries. The minimal CSA of the average geometry was larger than the median of all individual geometries (83.4 vs. 74.7 mm²). The airflow observed within the average geometry of the healthy nasal cavity did not equal the average airflow of the individual geometries. While differences observed for integral measures were notable, the calculated values for the average geometry lay within the distributions of the individual parameters. Spatially resolved parameters differed less prominently.}, language = {en} } @article{LongrenEigenShubitidzeetal., author = {Longren, Luke L. and Eigen, Lennart and Shubitidze, Ani and Lieschnegg, Oliver and Baum, Daniel and Nyakatura, John A. and Hildebrandt, Thomas and Brecht, Michael}, title = {Dense Reconstruction of Elephant Trunk Musculature}, series = {Current Biology}, volume = {33}, journal = {Current Biology}, doi = {10.1016/j.cub.2023.09.007}, pages = {1 -- 8}, abstract = {The elephant trunk operates as a muscular hydrostat and is actuated by the most complex musculature known in animals. Because the number of trunk muscles is unclear, we performed dense reconstructions of trunk muscle fascicles, elementary muscle units, from microCT scans of an Asian baby elephant trunk. Muscle architecture changes markedly across the trunk. Trunk tip and finger consist of about 8,000 extraordinarily filigree fascicles. The dexterous finger consists exclusively of microscopic radial fascicles pointing to a role of muscle miniaturization in elephant dexterity. Radial fascicles also predominate (at 82\% volume) the remainder of the trunk tip and we wonder if radial muscle fascicles are of particular significance for fine motor control of the dexterous trunk tip. By volume, trunk-shaft muscles comprise one-third of the numerous, small radial muscle fascicles, two-thirds of the three subtypes of large longitudinal fascicles (dorsal longitudinals, ventral outer obliques, and ventral inner obliques), and a small fraction of transversal fascicles. Shaft musculature is laterally, but not radially, symmetric. A predominance of dorsal over ventral radial muscles and of ventral over dorsal longitudinal muscles may result in a larger ability of the shaft to extend dorsally than ventrally and to bend inward rather than outward. There are around 90,000 trunk muscle fascicles. While primate hand control is based on fine control of contraction by the convergence of many motor neurons on a small set of relatively large muscles, evolution of elephant grasping has led to thousands of microscopic fascicles, which probably outnumber facial motor neurons.}, language = {en} }