Mitsakou Christina, Mitrakos Dimitris, Neofytou Panagiotis, Housiadas Christos
Demokritos National Centre for Scientific Research, Agia Paraskevi, Athens, Greece.
J Aerosol Med. 2007 Winter;20(4):519-29. doi: 10.1089/jam.2007.0625.
Aerosol drugs are usually delivered to the lung by inhalation via the oral route, since aerosol deposition is much lower in the oral than in nasal airways. In the present study a practical, non-CFD-based, mechanistic model is developed, which permits an efficient calculation of deposition along the oral route with simple computational means. A simplified geometrical description of the mouth and throat region is used, based on a sequence of conducting ducts. The numerical model takes into account aerosol dynamics, which enables to express the impact on aerosol transport and deposition of the hygroscopic growth of water-soluble particles. Simulations are made for coarse particles in the range 1-17 microm, and the model predictions are found in good agreement with the available experimental data. The model predicts inertial impaction to be the dominant mechanism, and correctly reproduces the increase in the deposition with an increasing flow rate and particle diameter. Higher deposition is calculated in the oropharyngeal region than the laryngeal region, due to the significant flow direction change and constriction at the end of the oral cavity. According to the model, highly soluble particles may deposit up to 50% more than inert aerosols in the mouth-throat region. The proposed model will be useful for quick, practical calculations of deposition with a full account of aerosol dynamical processes.
气溶胶药物通常通过口服途径经吸入递送至肺部,因为气溶胶在口腔气道中的沉积远低于鼻腔气道。在本研究中,开发了一种实用的、基于非计算流体动力学(CFD)的机理模型,该模型允许使用简单的计算方法高效计算沿口服途径的沉积。基于一系列传导管道,对口腔和咽喉区域进行了简化的几何描述。该数值模型考虑了气溶胶动力学,这使得能够表达水溶性颗粒吸湿增长对气溶胶传输和沉积的影响。对1-17微米范围内的粗颗粒进行了模拟,发现模型预测结果与现有实验数据吻合良好。该模型预测惯性碰撞是主要机制,并正确再现了沉积随流速和粒径增加而增加的情况。由于口腔末端显著的流向变化和收缩,口咽区域的计算沉积量高于喉部区域。根据该模型,在口腔-咽喉区域,高溶性颗粒的沉积量可能比惰性气溶胶多50%。所提出的模型将有助于在充分考虑气溶胶动力学过程的情况下,快速、实际地计算沉积量。