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一种改善上颌窦药物递送的新策略:频率扫描声学风流。

A new Strategy to Improve Drug Delivery to the Maxillary Sinuses: The Frequency Sweep Acoustic Airflow.

作者信息

El Merhie Amira, Navarro Laurent, Delavenne Xavier, Leclerc Lara, Pourchez Jérémie

机构信息

Ecole Nationale Supérieure des Mines, CIS-EMSE, Sainbiose UMR INSERM 1059, SFR FED 4166 - IFRESIS, F-42023, Saint-Etienne, France.

Laboratoire de Pharmacologie - Toxicologie, Sainbiose UMR INSERM 1059, CHU de Saint-Etienne, F-42055, Saint-Etienne, France.

出版信息

Pharm Res. 2016 May;33(5):1074-84. doi: 10.1007/s11095-015-1851-7. Epub 2015 Dec 30.

DOI:10.1007/s11095-015-1851-7
PMID:26718952
Abstract

PURPOSE

Enhancement of intranasal sinus deposition involves nebulization of a drug superimposed by an acoustic airflow. We investigated the impact of fixed frequency versus frequency sweep acoustic airflow on the improvement of aerosolized drug penetration into maxillary sinuses.

METHODS

Fixed frequency and frequency sweep acoustic airflow were generated using a nebulizing system of variable frequency. The effect of sweep cycle and intensity variation was studied on the intranasal sinus deposition. We used a nasal replica created from CT scans using 3D printing. Sodium fluoride and gentamicin were chosen as markers.

RESULTS

Studies performed using fixed frequency acoustic airflow showed that each of maxillary sinuses of the nasal replica required specific frequency for the optimal aerosol deposition. Intranasal sinus drug deposition experiments under the effect of the frequency sweep acoustic airflow showed an optimal aerosol deposition into both maxillary sinus of the nasal replica. Studies on the effect of the duration of the sweep cycle showed that the shorter the cycle the better the deposition.

CONCLUSIONS

We demonstrate the benefit of frequency sweep acoustic airflow on drug deposition into maxillary sinuses. However further in vivo studies have to be conducted since delivery rates cannot be obviously determined from a nasal replica.

摘要

目的

增强鼻内鼻窦沉积涉及通过声流叠加对药物进行雾化。我们研究了固定频率与扫频声流对雾化药物渗透到上颌窦的改善作用。

方法

使用可变频率的雾化系统产生固定频率和扫频声流。研究了扫频周期和强度变化对鼻内鼻窦沉积的影响。我们使用通过3D打印从CT扫描创建的鼻模型。选择氟化钠和庆大霉素作为标记物。

结果

使用固定频率声流进行的研究表明,鼻模型的每个上颌窦都需要特定频率以实现最佳气溶胶沉积。在扫频声流作用下的鼻内鼻窦药物沉积实验表明,鼻模型的两个上颌窦均实现了最佳气溶胶沉积。对扫频周期持续时间影响的研究表明,周期越短沉积效果越好。

结论

我们证明了扫频声流对药物在上颌窦沉积的益处。然而,由于无法从鼻模型中明显确定输送速率,因此必须进行进一步的体内研究。

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Int J Pharm. 2015 Oct 15;494(1):227-34. doi: 10.1016/j.ijpharm.2015.08.025. Epub 2015 Aug 12.
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Effect of budesonide transnasal nebulization in patients with eosinophilic chronic rhinosinusitis with nasal polyps.布地奈德经鼻雾化对伴有鼻息肉的嗜酸性慢性鼻-鼻窦炎患者的影响。
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鼻科学雾化治疗处方共识文件。
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Sinonasal inhalation of tobramycin vibrating aerosol in cystic fibrosis patients with upper airway Pseudomonas aeruginosa colonization: results of a randomized, double-blind, placebo-controlled pilot study.对患有上呼吸道铜绿假单胞菌定植的囊性纤维化患者经鼻吸入妥布霉素振动气雾剂:一项随机、双盲、安慰剂对照试验研究的结果
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