Flow Patterns and Particle Residence Times in the Oral Cavity during Inhaled Drug Delivery

Pulmonary drug delivery aims to deliver particles deep into the lungs, bypassing the mouth–throat airway geometry. However, micron particles under high flow rates are susceptible to inertial impaction on anatomical sites that serve as a defense system to filter and prevent foreign particles from ent...

Full description

Bibliographic Details
Main Authors: Brenda Vara Almirall, Kiao Inthavong, Kimberley Bradshaw, Narinder Singh, Aaron Johnson, Pippa Storey, Hana Salati
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/15/10/1259
_version_ 1827648414254366720
author Brenda Vara Almirall
Kiao Inthavong
Kimberley Bradshaw
Narinder Singh
Aaron Johnson
Pippa Storey
Hana Salati
author_facet Brenda Vara Almirall
Kiao Inthavong
Kimberley Bradshaw
Narinder Singh
Aaron Johnson
Pippa Storey
Hana Salati
author_sort Brenda Vara Almirall
collection DOAJ
description Pulmonary drug delivery aims to deliver particles deep into the lungs, bypassing the mouth–throat airway geometry. However, micron particles under high flow rates are susceptible to inertial impaction on anatomical sites that serve as a defense system to filter and prevent foreign particles from entering the lungs. The aim of this study was to understand particle aerodynamics and its possible deposition in the mouth–throat airway that inhibits pulmonary drug delivery. In this study, we present an analysis of the aerodynamics of inhaled particles inside a patient-specific mouth–throat model generated from MRI scans. Computational Fluid Dynamics with a Discrete Phase Model for tracking particles was used to characterize the airflow patterns for a constant inhalation flow rate of 30 L/min. Monodisperse particles with diameters of 7 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>m to 26 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>m were introduced to the domain within a 3 cm-diameter sphere in front of the oral cavity. The main outcomes of this study showed that the time taken for particle deposition to occur was 0.5 s; a narrow stream of particles (medially and superiorly) were transported by the flow field; larger particles > 20 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>m deposited onto the oropharnyx, while smaller particles < 12 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>m were more disperse throughout the oral cavity and navigated the curved geometry and laryngeal jet to escape through the tracheal outlet. It was concluded that at a flow rate of 30 L/min the particle diameters depositing on the larynx and trachea in this specific patient model are likely to be in the range of 7 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>m to 16 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>m. Particles larger than 16 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>m primarily deposited on the oropharynx.
first_indexed 2024-03-09T19:36:54Z
format Article
id doaj.art-c63c6138aa7642afae851d78798f0498
institution Directory Open Access Journal
issn 1424-8247
language English
last_indexed 2024-03-09T19:36:54Z
publishDate 2022-10-01
publisher MDPI AG
record_format Article
series Pharmaceuticals
spelling doaj.art-c63c6138aa7642afae851d78798f04982023-11-24T01:52:04ZengMDPI AGPharmaceuticals1424-82472022-10-011510125910.3390/ph15101259Flow Patterns and Particle Residence Times in the Oral Cavity during Inhaled Drug DeliveryBrenda Vara Almirall0Kiao Inthavong1Kimberley Bradshaw2Narinder Singh3Aaron Johnson4Pippa Storey5Hana Salati6Mechanical & Automotive Engineering, School of Engineering, Royal Melbourne Institute of Technology University, Bundoora, VIC 3083, AustraliaMechanical & Automotive Engineering, School of Engineering, Royal Melbourne Institute of Technology University, Bundoora, VIC 3083, AustraliaDepartment of Otolaryngology, Head and Neck Surgery, Westmead Hospital, Westmead, NSW 2145, AustraliaDepartment of Otolaryngology, Head and Neck Surgery, Westmead Hospital, Westmead, NSW 2145, AustraliaDepartment of Otolaryngology-Head and Neck Surgery & Department of Rehabilitation Medicine, Grossman School of Medicine, New York University, New York, NY 10017, USADepartment of Radiology, Grossman School of Medicine, New York University, New York, NY 10016, USAMechanical & Automotive Engineering, School of Engineering, Royal Melbourne Institute of Technology University, Bundoora, VIC 3083, AustraliaPulmonary drug delivery aims to deliver particles deep into the lungs, bypassing the mouth–throat airway geometry. However, micron particles under high flow rates are susceptible to inertial impaction on anatomical sites that serve as a defense system to filter and prevent foreign particles from entering the lungs. The aim of this study was to understand particle aerodynamics and its possible deposition in the mouth–throat airway that inhibits pulmonary drug delivery. In this study, we present an analysis of the aerodynamics of inhaled particles inside a patient-specific mouth–throat model generated from MRI scans. Computational Fluid Dynamics with a Discrete Phase Model for tracking particles was used to characterize the airflow patterns for a constant inhalation flow rate of 30 L/min. Monodisperse particles with diameters of 7 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>m to 26 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>m were introduced to the domain within a 3 cm-diameter sphere in front of the oral cavity. The main outcomes of this study showed that the time taken for particle deposition to occur was 0.5 s; a narrow stream of particles (medially and superiorly) were transported by the flow field; larger particles > 20 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>m deposited onto the oropharnyx, while smaller particles < 12 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>m were more disperse throughout the oral cavity and navigated the curved geometry and laryngeal jet to escape through the tracheal outlet. It was concluded that at a flow rate of 30 L/min the particle diameters depositing on the larynx and trachea in this specific patient model are likely to be in the range of 7 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>m to 16 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>m. Particles larger than 16 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>m primarily deposited on the oropharynx.https://www.mdpi.com/1424-8247/15/10/1259CFD modelingoral cavityrespirationtargeted drug deliverySBES
spellingShingle Brenda Vara Almirall
Kiao Inthavong
Kimberley Bradshaw
Narinder Singh
Aaron Johnson
Pippa Storey
Hana Salati
Flow Patterns and Particle Residence Times in the Oral Cavity during Inhaled Drug Delivery
Pharmaceuticals
CFD modeling
oral cavity
respiration
targeted drug delivery
SBES
title Flow Patterns and Particle Residence Times in the Oral Cavity during Inhaled Drug Delivery
title_full Flow Patterns and Particle Residence Times in the Oral Cavity during Inhaled Drug Delivery
title_fullStr Flow Patterns and Particle Residence Times in the Oral Cavity during Inhaled Drug Delivery
title_full_unstemmed Flow Patterns and Particle Residence Times in the Oral Cavity during Inhaled Drug Delivery
title_short Flow Patterns and Particle Residence Times in the Oral Cavity during Inhaled Drug Delivery
title_sort flow patterns and particle residence times in the oral cavity during inhaled drug delivery
topic CFD modeling
oral cavity
respiration
targeted drug delivery
SBES
url https://www.mdpi.com/1424-8247/15/10/1259
work_keys_str_mv AT brendavaraalmirall flowpatternsandparticleresidencetimesintheoralcavityduringinhaleddrugdelivery
AT kiaointhavong flowpatternsandparticleresidencetimesintheoralcavityduringinhaleddrugdelivery
AT kimberleybradshaw flowpatternsandparticleresidencetimesintheoralcavityduringinhaleddrugdelivery
AT narindersingh flowpatternsandparticleresidencetimesintheoralcavityduringinhaleddrugdelivery
AT aaronjohnson flowpatternsandparticleresidencetimesintheoralcavityduringinhaleddrugdelivery
AT pippastorey flowpatternsandparticleresidencetimesintheoralcavityduringinhaleddrugdelivery
AT hanasalati flowpatternsandparticleresidencetimesintheoralcavityduringinhaleddrugdelivery