Evaluation of mandibular advancement surgery efficacy in treating obstructive sleep apnea: A study on turbulence kinetic energy

Background and Objective: Obstructive sleep apnoea (OSA) is a prevalent sleep disease characterised by recurrent airway obstruction during sleep, resulting in diminished oxygen intake and disrupted sleep patterns. This study investigates the effectiveness of mandibular advancement surgery as a surgi...

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Main Authors: Nik Ghazali, Nik Nazri, Badruddin, Irfan Anjum, Rozali, Shaifulazuar, Abdul Latif, Mohd Faruq, Kamangar, Sarfaraz
Format: Article
Language:en
Published: Elsevier Ireland Ltd 2025
Online Access:http://eprints.utem.edu.my/id/eprint/28603/2/0182907022025113211652.pdf
http://eprints.utem.edu.my/id/eprint/28603/
https://www.sciencedirect.com/science/article/abs/pii/S0169260725000276
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author Nik Ghazali, Nik Nazri
Badruddin, Irfan Anjum
Rozali, Shaifulazuar
Abdul Latif, Mohd Faruq
Kamangar, Sarfaraz
author_facet Nik Ghazali, Nik Nazri
Badruddin, Irfan Anjum
Rozali, Shaifulazuar
Abdul Latif, Mohd Faruq
Kamangar, Sarfaraz
author_sort Nik Ghazali, Nik Nazri
building UTEM Library
collection Institutional Repository
content_provider Universiti Teknikal Malaysia Melaka
content_source UTEM Institutional Repository
continent Asia
country Malaysia
description Background and Objective: Obstructive sleep apnoea (OSA) is a prevalent sleep disease characterised by recurrent airway obstruction during sleep, resulting in diminished oxygen intake and disrupted sleep patterns. This study investigates the effectiveness of mandibular advancement surgery as a surgical intervention for obstructive sleep apnoea by analysing the postoperative alterations in turbulence kinetic energy (TKE). Methodology: The research involved five subjects receiving mandibular advancement surgery (MAS). The quantification of TKE was performed both before and throughout the method using a combination of computational fluid dynamics (CFD) models and empirical measurements. A suitable grid size of 2.6 million cells for CFD simulations was determined by grid sensitivity analysis and corroborated with physical measurements. Results: The findings indicated a significant increase in TKE for each individual post-procedure, with increments varying from 23 % to 460 %. The elevated TKE indicates a more rapid airflow in the upper airway post-surgery. This is probably attributable to alterations in the airway's morphology resulting from the surgery. The observed rise in speed and turbulence is theoretically supported by Bernoulli's principle, which elucidates the relationship between air flow velocity and the pressure it generates. Conclusions: This study demonstrates that mandibular advancement surgery efficiently alleviates OSA by markedly enhancing airflow and diminishing turbulence in the upper airway post-treatment. The use of physical validation and grid sensitivity analysis in computational fluid dynamics simulations underscores the meticulous technique utilised, offering a comprehensive assessment of the efficacy of the surgical interventions for OSA.
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spelling my.utem.eprints-286032025-04-09T16:02:23Z http://eprints.utem.edu.my/id/eprint/28603/ Evaluation of mandibular advancement surgery efficacy in treating obstructive sleep apnea: A study on turbulence kinetic energy Nik Ghazali, Nik Nazri Badruddin, Irfan Anjum Rozali, Shaifulazuar Abdul Latif, Mohd Faruq Kamangar, Sarfaraz Background and Objective: Obstructive sleep apnoea (OSA) is a prevalent sleep disease characterised by recurrent airway obstruction during sleep, resulting in diminished oxygen intake and disrupted sleep patterns. This study investigates the effectiveness of mandibular advancement surgery as a surgical intervention for obstructive sleep apnoea by analysing the postoperative alterations in turbulence kinetic energy (TKE). Methodology: The research involved five subjects receiving mandibular advancement surgery (MAS). The quantification of TKE was performed both before and throughout the method using a combination of computational fluid dynamics (CFD) models and empirical measurements. A suitable grid size of 2.6 million cells for CFD simulations was determined by grid sensitivity analysis and corroborated with physical measurements. Results: The findings indicated a significant increase in TKE for each individual post-procedure, with increments varying from 23 % to 460 %. The elevated TKE indicates a more rapid airflow in the upper airway post-surgery. This is probably attributable to alterations in the airway's morphology resulting from the surgery. The observed rise in speed and turbulence is theoretically supported by Bernoulli's principle, which elucidates the relationship between air flow velocity and the pressure it generates. Conclusions: This study demonstrates that mandibular advancement surgery efficiently alleviates OSA by markedly enhancing airflow and diminishing turbulence in the upper airway post-treatment. The use of physical validation and grid sensitivity analysis in computational fluid dynamics simulations underscores the meticulous technique utilised, offering a comprehensive assessment of the efficacy of the surgical interventions for OSA. Elsevier Ireland Ltd 2025-01 Article PeerReviewed text en cc_by_nc_nd_4 http://eprints.utem.edu.my/id/eprint/28603/2/0182907022025113211652.pdf Nik Ghazali, Nik Nazri and Badruddin, Irfan Anjum and Rozali, Shaifulazuar and Abdul Latif, Mohd Faruq and Kamangar, Sarfaraz (2025) Evaluation of mandibular advancement surgery efficacy in treating obstructive sleep apnea: A study on turbulence kinetic energy. Computer Methods and Programs in Biomedicine, 261. pp. 1-21. ISSN 0169-2607 https://www.sciencedirect.com/science/article/abs/pii/S0169260725000276 10.1016/j.cmpb.2025.108610
spellingShingle Nik Ghazali, Nik Nazri
Badruddin, Irfan Anjum
Rozali, Shaifulazuar
Abdul Latif, Mohd Faruq
Kamangar, Sarfaraz
Evaluation of mandibular advancement surgery efficacy in treating obstructive sleep apnea: A study on turbulence kinetic energy
title Evaluation of mandibular advancement surgery efficacy in treating obstructive sleep apnea: A study on turbulence kinetic energy
title_full Evaluation of mandibular advancement surgery efficacy in treating obstructive sleep apnea: A study on turbulence kinetic energy
title_fullStr Evaluation of mandibular advancement surgery efficacy in treating obstructive sleep apnea: A study on turbulence kinetic energy
title_full_unstemmed Evaluation of mandibular advancement surgery efficacy in treating obstructive sleep apnea: A study on turbulence kinetic energy
title_short Evaluation of mandibular advancement surgery efficacy in treating obstructive sleep apnea: A study on turbulence kinetic energy
title_sort evaluation of mandibular advancement surgery efficacy in treating obstructive sleep apnea: a study on turbulence kinetic energy
url http://eprints.utem.edu.my/id/eprint/28603/2/0182907022025113211652.pdf
http://eprints.utem.edu.my/id/eprint/28603/
https://www.sciencedirect.com/science/article/abs/pii/S0169260725000276
url_provider http://eprints.utem.edu.my/