Cui Xinguang, Wu Wenwang, Gutheil Eva
Joint Bioenergy Institute, Lawrence Berkeley National Laboratory, Berkeley, USA; Interdisciplinary Center for Scientific Computing, Heidelberg University, Heidelberg, Germany.
Institute of Advanced Structure and Technology, Beijing Institute of Technology, Beijing, China.
Respir Physiol Neurobiol. 2018 Jan;248:1-9. doi: 10.1016/j.resp.2017.11.001. Epub 2017 Nov 8.
An excellent understanding of the airflow structures is critical to enhance the efficiency of drug delivery via the human oral airway. The present paper investigates the characteristics of both steady and unsteady airflow structures in an idealized mouth-throat using large eddy simulation (LES). Representative inhalation flow rates of 15L/min at rest and 60L/min in exercise are considered. The study shows that there are more secondary vortices in the pharynx and the laryngeal jet is much longer and more concave in the steady flow field at 15L/min compared to the higher inspiration rate, which decreases the possibility of drug impinging on the wall. In contrast, the laryngeal jet is much more unsteady at heavy breathing and its strong interaction with the recirculation zone in the trachea leads to a enlarged mixing zone, increasing the possibility for carrying the particles from the laryngeal jet into the recirculation zone, which will lead to a longer residence time of the particles in the trachea and this increases the possibility of drug deposition in this area. In addition, the recirculation zone size is larger, the separation region is far away from glottis, and the reversed flow is slower at light compared to heavy breathing. In conclusion, these airflow structures show distinct properties at light and heavy breathing conditions, particularly in the unsteady flow field. The study provides evidence about the physical processes leading to both enlarged mixing zones and recirculation zones. It is known that stronger secondary vortices, a stronger laryngeal jet and enlarged recirculation zones definitely increase the particle deposition in the upper airway. The present paper aims to uncover the physical properties of the airflow for different breathing conditions, and their detailed effect on particle deposition will be studied in future.
深入了解气流结构对于提高通过人体口腔气道进行药物输送的效率至关重要。本文采用大涡模拟(LES)研究了理想化口咽中稳定和不稳定气流结构的特征。考虑了静息时15L/min和运动时60L/min的代表性吸入流速。研究表明,与较高的吸气速率相比,在15L/min的稳定流场中,咽部有更多的二次涡,喉喷射更长且更凹,这降低了药物撞击壁面的可能性。相反,剧烈呼吸时喉喷射更加不稳定,其与气管中回流区的强烈相互作用导致混合区扩大,增加了将颗粒从喉喷射带入回流区的可能性,这将导致颗粒在气管中的停留时间延长,从而增加了药物在该区域沉积的可能性。此外,与剧烈呼吸相比,轻度呼吸时回流区尺寸更大,分离区域远离声门,逆流速度更慢。总之,这些气流结构在轻度和剧烈呼吸条件下表现出明显的特性,特别是在不稳定流场中。该研究提供了导致混合区和回流区扩大的物理过程的证据。众所周知,更强的二次涡、更强的喉喷射和扩大的回流区肯定会增加上呼吸道中的颗粒沉积。本文旨在揭示不同呼吸条件下气流的物理特性,其对颗粒沉积的详细影响将在未来进行研究。