Abstract:Objective To investigate the correlations among critical parameters of the internal nasal valve (INV) including unilateral cross-sectional area of the INV(AINV-R,AINV-L), total cross-sectional area of the INV(AINV), unilateral height of the INV (HINV-R, HINV-L), unilateral angle of the INV(αINV-R、αINV-L) and the sum of INV angles(αINV).Methods Maxillofacial computed tomographic images from 40 Han adults (20 males, 20 females; age ranged from 20 to 80 years old and 50% with age < 50 years old) without nasal diseases were applied to reconstruct the three-dimensional nasal airway models. After identifying the INV plane, the following parameters were measured: AINV-R, AINV-L, AINV, HINV-R, HINV-L, αINV-R and αINV-L. Based on the morphological characteristics of INV, the prediction model was proposed as unilateral AINV=WINV×HINV/2=tan[radians(αINV)]×(HINV)2/2, and the calculated AINV based on the model was compared with the measured AINV. Correlation analyses among the INV parameters, ages and genders were performed.Results There were no statistic differences but good correlations between the calculated and the measured values: AINV-L(Z=-1.075,P>0.05;r=0.766 2,P<0.01), AINV-R(t=-1.238,P>0.05;r =0.818 2,P<0.01)and AINV(Z=-1.156,P>0.05;r=0.799 3,P<0.01). Comparison of the INV parameters between different sides showed that AINV-R was larger than AINV-L, which could be explained by the larger αINV-R(t=-3.081,-2.029,P<0.05). Comparison of the INV parameters between different genders revealed that AINV-L, AINV-R and AINV of the male group were larger than those of the female group, which could be explained by the larger HINV-L and HINV-R of the male group (t=-2.405, -3.336, -3.297, -4.223,-4.041,P<0.05). Comparison of the INV parameters between different age groups disclosed that AINV-L and A INV of the young group (<50 years old)were larger than those of the old group (≥50 years old), which could be explained by the negative correlation between AINV-L, AINV and age (rs=-0.519 8,-0.433 1, P<0.01). Further, the comparison of the left and right INV parameters from the same age group showed significant differences between αINV-R and αINV-L, AINV-R and AINV-L in the old group(Z=-2.726, -2.987, P<0.01), this negative correlation might be related to the decrease of αINV-L in the process of aging. Correlation analyses demonstrated that αINV R-L was positively correlated with age (r=0.3428,P<0.05), AINV R-L was positively correlated with αINV R-L (r=0.710 9,P<0.01), and the measured A INV R-L was positively correlated with the calculated (r=0.779 5,P<0.01).Conclusion In this study, the proposed prediction model of unilateral AINV can not only assess parameters of INV with good correlations between the calculated and the measured values, but also interpret the differences between sides, genders and age groups, as well as the negative correlations among αINV-L, AINV-L, AINV and age.