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Thermographic analysis of postoperative changes in the nasal breathing efficiency in infants and young children with unilateral cleft lip

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International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

Nowadays, cheilorhinoseptoplasty is one of the most efficient methods of cleft lip primary surgical treatment eliminating both functional and esthetic issues. In this work, we have proposed, developed, and experimentally tested a new thermography-based algorithm for studying the efficiency and symmetry of nasal breathing prior to and after the surgery.

Methods

To investigate and analyze the external respiration function of an infant with unilateral cleft lip after surgical respiration symmetry restoration followed by anatomically shaped postoperative endonasal retainer installation, we have applied contactless thermal imaging in real time.

Results

The developed algorithm enables effective analysis of the respiratory function in infants before and after the surgery. Its combination with applied surgical technique experimentally demonstrated the potential of this approach for improving further the efficiency and symmetry of the airflows through the patient's nasal passages after the primary cheilorhinoseptoplasty.

Conclusions

The results of our study constitute a novel and promising avenue of investigation into the breathing function in infants and young children prior to and after their surgery for unilateral cleft lip. The adaptation of our technique to the conditions of a pediatric hospital will make it a safe and informative tool for noninvasive diagnosing the respiratory function in infants in the early postoperative period.

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Data Availability

The data analyzed in the current study are available from the corresponding author on reasonable request.

References

  1. Trabalon M, Schaal B (2012) It takes a mouth to eat and a nose to breathe: abnormal oral respiration affects neonates’ oral competence and systemic adaptation. Int J Pediatr. https://doi.org/10.1155/2012/207605

    Article  PubMed  PubMed Central  Google Scholar 

  2. Kormilitsyn AY, Khankov SI, Skorybskii VI (2013) Breath parameters measurement by air flow sensor. Sci Tech J Inf Technol Mech Opt 13:122–128

    Google Scholar 

  3. Warren DW, Hairfield WM, Dalston ET, Sidman JD, Pillsbury HC (1988) Effects of cleft lip and palate on the nasal airway in children. Arch Otolaryngol Head Neck Surg 114:987–992. https://doi.org/10.1001/archotol.1988.01860210053014

    Article  CAS  PubMed  Google Scholar 

  4. Warren DW, Hairfield WM, Dalston ET (1990) The relationship between nasal airway size and nasal-oral breathing in cleft lip and palate. Cleft Palate Craniofac J 27:46–51. https://doi.org/10.1597/1545-1569(1990)027%3c0046:trbnas%3e2.3.co;2

    Article  CAS  Google Scholar 

  5. Warren DW, Drake AF, Davis JU (1992) Nasal airway in breathing and speech. Cleft Palate Craniofac J 29:511–519. https://doi.org/10.1597/1545-1569_1992_029_0511_naibas_2.3.co_2

    Article  CAS  PubMed  Google Scholar 

  6. Kaufman Y, Buchanan EP, Wolfswinkel EM, Weathers WM, Stal S (2012) Cleft nasal deformity and rhinoplasty. Semin Plast Surg 26:184–190. https://doi.org/10.1055/s-0033-1333886

    Article  PubMed  PubMed Central  Google Scholar 

  7. Bonanthaya K, Jali J (2020) Management of the nasal deformity in the unilateral cleft of the lip and nose. J Maxillofac Oral Surg 19:332–341. https://doi.org/10.1007/s12663-020-01412-0

    Article  PubMed  PubMed Central  Google Scholar 

  8. Precious DC (2009) Primary unilateral cleft lip/nose repair using the ‘“Delaire”’ technique. Atlas Oral Maxillofac Surg Clin 17:125–135. https://doi.org/10.1016/j.cxom.2009.05.003

    Article  Google Scholar 

  9. Luo D, Li T, Wang H, Chen Y (2019) Three-Dimensional printing of personalized nasal stents for patients with cleft lip. Cleft Palate Craniofac J 56:521–524. https://doi.org/10.1177/1055665618782804

    Article  PubMed  Google Scholar 

  10. Delaire J (1978) Theoretical principles and technique of functional closure of the lip and nasal aperture. J Maxillofac Surg 6:109–116. https://doi.org/10.1016/S0301-0503(78)80078-2

    Article  CAS  PubMed  Google Scholar 

  11. Frank-Ito DO, Carpenter DJ, Cheng T, Avashia YJ, Brown DA, Glender A, Allori A, Marcus JR (2019) Computational analysis of the mature unilateral cleft lip nasal deformity on nasal patency. Plast Reconstr Surg Glob Open 7:1–9. https://doi.org/10.1097/GOX.0000000000002244

    Article  Google Scholar 

  12. Iwasaki T, Yanagisawa-Minami A, Suga H, Shirazawa Y, Tsujii T, Yamamoto Y, Yamasaki Y (2019) Rapid maxillary expansion effects of nasal airway in children with cleft lip and palate using computational fluid dynamics. Orthod Craniofac Res 22:201–207. https://doi.org/10.1111/ocr.12311

    Article  PubMed  Google Scholar 

  13. Fukushiro AP, Trindade IEK (2005) Nasal airway dimensions of adults with cleft lip and palate: differences among cleft types. Cleft Palate Craniofac J 42:396–402

    Article  Google Scholar 

  14. Rezende AR, Pinto RA, Miura M, G. Sant’Anna, B.G. Collares, M.V. Collares, (2015) Evaluation of nasal patency by acoustic rhinometry after repair of complete unilateral cleft lip and palate. J Plast Surg Hand Surg 49:204–208. https://doi.org/10.1597/03-081.1

    Article  PubMed  Google Scholar 

  15. Trindade IEK, Manҫo JC, Trindade AS (1992) Pulmonary function of individuals with congenital cleft palate. Cleft Palate Craniofac J 29:429–434. https://doi.org/10.1597/1545-1569(1992)029%3c0429:PFOIWC%3e2.3.CO;2

    Article  CAS  PubMed  Google Scholar 

  16. Fei J, Pavlidis I (2006) Analysis of breathing air flow patterns in thermal imaging. In: Proceedings of the 28th IEEE EMBS annual international conference, pp 946–52. https://doi.org/10.1109/IEMBS.2006.260117

  17. Procházka A, Charvátová H, Vyšata O, Kopal J, Chambers J (2017) Breathing analysis using thermal and depth imaging camera video records. Sensors (Basel) 17:1–10. https://doi.org/10.3390/s17061408

    Article  Google Scholar 

  18. Al-Khalidi FQ, Saatchi R, Burke D, Elphick H, Tan S (2011) Respiration rate monitoring methods: a review. Pediatr Pulmonol 46:523–529. https://doi.org/10.1002/ppul.21416

    Article  CAS  PubMed  Google Scholar 

  19. Wright CV, Kroner CI, Draijer R (2006) Non-invasive methods and stimuli for evaluating the skin’s microcirculation. J Pharmacol Toxicol Methods 54:1–25. https://doi.org/10.1016/j.vascn.2005.09.004

    Article  CAS  PubMed  Google Scholar 

  20. Cho Y, Julier S, Marquardt N, Bianchi-Berthouze N (2017) Robust tracking of respiratory rate in highdynamic range scenes using mobile thermal imaging. Biomed Opt Express 8:4480–4503. https://doi.org/10.1364/BOE.8.004480

    Article  PubMed  PubMed Central  Google Scholar 

  21. Al-Obaisi FF, Alqatawna J, Faris H, Rodan A, Al-Kadi O (2015) Pattern recognition of thermal images for monitoring of breathing function. Int J Control Autom 8:381–392. https://doi.org/10.14257/ijca.2015.8.6.37

    Article  Google Scholar 

  22. Chauvin R, Hamel M, Brière S, Ferland F, Grondin F, Létourneau D, Tousignant M, Michaud F (2016) Contact-free respiration rate monitoring using a pan–tilt thermal camera for stationary bike telerehabilitation sessions. IEEE Syst J 10:1046–1055. https://doi.org/10.1109/JSYST.2014.2336372

    Article  Google Scholar 

  23. Eom J-S, Park M-S, Yang H-R, Eum Y-J, Sohn J-H (2017) Nose detection and breathing monitoring in thermal images. Int J Adv Sci Technol 109:67–76. https://doi.org/10.14257/ijast.2017.109.07

    Article  Google Scholar 

  24. Hennocq Q, Person H, Hachani M, Bertin H, Corre P, Gorbonosov V, Ivanov A, Khonsari RH (2018) Quality of life and nasal splints after primary cleft lip and nose repair: prospective assessment of information and tolerance. J Craniomaxillafac Surg 46:1783–1789. https://doi.org/10.1016/j.jcms.2018.07.022

    Article  Google Scholar 

  25. Hanawa D, Morimoto T, Terada S, Sakai T, Shimazaki S, Igarashi K, Oguchi K (2012) Nose detection in far infrared image for non-contact measurement of breathing. In: Proceedings of 2012 IEEE-EMBS international conference on biomedical and health informatics, vol 1, pp 878–881. https://doi.org/10.1109/BHI.2012.6211728

  26. Mutlu K, Rabell JE, Olmo PM, Haesler S (2018) IR thermography-based monitoring of respiration phase without image segmentation. J Neurosci Methods 301:1–8. https://doi.org/10.1016/j.jneumeth.2018.02.017

    Article  CAS  PubMed  Google Scholar 

  27. Cho Y, Julier S, Bianchi-Berthouze N (2019) Instant stress: detection of perceived mental stress through smartphone photoplethysmography and thermal imaging. JMIR Mental Health 6:1–23. https://doi.org/10.2196/10140

    Article  Google Scholar 

  28. Nozawa A, Tacano M (2009) Correlation analysis on alpha attenuation and nasal skin temperature. J Stat Mech Theory Exp 1:1–10. https://doi.org/10.1088/1742-5468/2009/01/P01007

    Article  Google Scholar 

  29. Stepanov EN (2011) The role of the rhinal mucous membrane microcirculation’s disbalance in pathogenesis of different types of chronic rhinitis. Sci Tech J Inf Technol Mech Opt 3:11–14

    Google Scholar 

Download references

Acknowledgements

This work was supported by the Ministry of Science and Higher Education of the Russian Federation within the scope of work under the State Assignment FSRC Crystallography and Photonics of the Russian Academy of Science in part of the use of thermal imaging for studying the characteristics of nasal breathing and also by the Russian Foundation for Basic Research (Grant No. 18-29-03238_mk) in part of the development of an algorithm for a non-contact monitoring of the breathing process in infants with a view to studying their external respiration function and symmetry.

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Authors and Affiliations

  1. Central Research Institute of Stomatology and Maxillofacial Surgery, Ministry of Health of the Russian Federation, Timur Frunze St, 16, Moscow, 119021, Russia

    Darya Y. Anashkina & Alexander L. Ivanov

  2. Federal Scientific Research Center “Crystallography and Photonics”, Russian Academy of Sciences, Troitsk, Pionerskaya 2, Moscow, 108840, Russia

    Mikhail M. Novikov, Alexey N. Konovalov & Vladimir K. Popov

Authors
  1. Mikhail M. Novikov
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  2. Darya Y. Anashkina
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  3. Alexander L. Ivanov
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  4. Alexey N. Konovalov
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  5. Vladimir K. Popov
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Contributions

All authors contributed to the study conception and design. Data acquisition and analysis were performed by DYA, ALI, ANK, and VKP. ANK and MMN wrote the main manuscript text and prepared all figures and tables. DYA, ALI, and ANK participated in the experiment. VKP and MMN substantially revised the manuscript text. All authors read and approved the final manuscript.

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Correspondence to Mikhail M. Novikov.

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The authors declare that they have no conflicts of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study. This article does not contain patient data.

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Novikov, M.M., Anashkina, D.Y., Ivanov, A.L. et al. Thermographic analysis of postoperative changes in the nasal breathing efficiency in infants and young children with unilateral cleft lip. Int J CARS 16, 2225–2234 (2021). https://doi.org/10.1007/s11548-021-02496-w

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  • DOI: https://doi.org/10.1007/s11548-021-02496-w

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