Inhalation and deposition of spherical and pollen particles after middle turbinate resection in a human nasal cavity
•Virtual middle turbinate resection surgery performed on nasal cavity.•Aerodynamic behaviour of pollen was compared with spherical particles.•Two constant flow rates of 5 L/min, and 15 L/min were performed.•An inhalation efficiency curve is proposed which introduced an inhalation parameter, dae2Q−0....
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Veröffentlicht in: | Respiratory physiology & neurobiology 2021-12, Vol.294, p.103769-103769, Article 103769 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | •Virtual middle turbinate resection surgery performed on nasal cavity.•Aerodynamic behaviour of pollen was compared with spherical particles.•Two constant flow rates of 5 L/min, and 15 L/min were performed.•An inhalation efficiency curve is proposed which introduced an inhalation parameter, dae2Q−0.825.•Middle turbinate excision led to increased allergen deposition on the septum.•Middle turbinate plays a protective role in preventing allergen impaction on the septum.
Middle turbinate resection significantly alters the anatomy and redistributes the inhaled air. The superior half of the main nasal cavity is opened up, increasing accessibility to the region. This is expected to increase inhalation dosimetry to the region during exposure to airborne particles. This study investigated the influence of middle turbinate resection on the deposition of inhaled pollutants that cover spherical and non-spherical particles (e.g. pollen). A computational model of the nasal cavity from CT scans, and its corresponding post-operative model with virtual surgery performed was created. Two constant flow rates of 5 L/min, and 15 L/min were simulated under a laminar flow field. Inhaled particles including pollen (non-spherical), and a spherical particle with reference density of 1000 kg/m3 were introduced in the surrounding atmosphere. The effect of surgery was most prominent in the less patent cavity side, since the change in anatomy was proportionally greater relative to the original airway space. The left cavity produced an increase in particle deposition at a flow rate of 15 L/min. The main particle deposition mechanisms were inertial impaction, and to a lesser degree gravitational sedimentation. The results are expected to provide insight into inhalation efficiency of different aerosol types, and the likelihood of deposition in different nasal cavity surfaces. |
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ISSN: | 1569-9048 1878-1519 |
DOI: | 10.1016/j.resp.2021.103769 |