He Wei, Shi Muhan, Lu Yaozhong, Chu Chengsheng, Wang Xiaolong, Wang Min, Zhang Xiaofang
Breath Medical Co., Ltd., Hefei, PR China.
Department of Otorhinolaryngology, Head and Neck Surgery, Peking University People's Hospital, Xi Zhi Men Nan Da Jie 11#, Beijing, 100044, PR China.
Heliyon. 2024 Sep 19;10(21):e38179. doi: 10.1016/j.heliyon.2024.e38179. eCollection 2024 Nov 15.
Local steroid medication is one of the most important treatment options for chronic rhinosinusitis. Regional deposition has a higher clinical value compared with total deposition in predicting treatment outcomes or evaluating adverse reactions. The goal of this project is to propose an effective technique for visualizing and quantifying aerosol deposition in a three-dimensional adult nasal cavity, and to verify the practicality of this method. Three-dimensional (3D) nasal cavity models were constructed from computed tomography (CT) scans of one post-operative rhinosinusitis subject using imaging software. The nasal cast was coated with a water-indicating paste and deposited with saline; a liquid dressing was added to visualize the progress. The quantity of liquid dressing was evaluated via HPLC and the liquid deposition was analyzed within the nasal cast cavity. Herein, 98.77 % of the particles generated by the nebulizer were over 5 μm, suggesting that most of the aerosol could effectively enter the nasal cavity instead of the lower respiratory system. The liquid dressing was mainly deposited in the nasal cavity, ethmoid sinus, and frontal sinus according to the visualization tests. HPLC results suggested that the main deposits were the frontal sinus (up to 41.80 %) as well as in the sphenoid sinus and ethmoid sinus (14.00 %). The large particle nebulizer (BM-TCA) generally led to better deposition in sinus areas when compared to the smaller particle nebulizer (PARI). This technology allows for in vitro testing of various types of nasal preparations and equipment under various test methods.
局部用类固醇药物是慢性鼻-鼻窦炎最重要的治疗选择之一。与总沉积相比,区域沉积在预测治疗效果或评估不良反应方面具有更高的临床价值。本项目的目标是提出一种有效的技术,用于可视化和量化三维成人鼻腔中的气溶胶沉积,并验证该方法的实用性。使用成像软件,根据一名鼻-鼻窦炎术后患者的计算机断层扫描(CT)构建三维(3D)鼻腔模型。将鼻模涂上示水膏并注入盐水;添加液体敷料以观察进展情况。通过高效液相色谱法(HPLC)评估液体敷料的量,并在鼻模腔内分析液体沉积情况。在此,雾化器产生的颗粒中98.77%大于5μm,这表明大多数气溶胶可有效进入鼻腔而非下呼吸道。可视化测试显示,液体敷料主要沉积在鼻腔、筛窦和额窦。HPLC结果表明,主要沉积部位是额窦(高达41.80%)以及蝶窦和筛窦(14.00%)。与较小颗粒雾化器(PARI)相比,大颗粒雾化器(BM-TCA)通常在窦区有更好的沉积效果。该技术允许在各种测试方法下对各种类型的鼻腔制剂和设备进行体外测试。