Numerical analysis of respiratory flow patterns within human upper airway

A computational fluid dynamics (CFD) approach is used to study the respiratory airflow dynamics within a human upper airway. The airway model which consists of the airway from nasal cavity, pharynx, larynx and trachea to triple bifurcation is built based on the CT images of a healthy volunteer and the Weibel model. The flow characteristics of the whole upper airway are quantitatively described at any time level of respiratory cycle. Simulation results of respiratory flow show good agreement with the clinical measures, experimental and computational results in the literature. The air mainly passes through the floor of the nasal cavity in the common, middle and inferior nasal meatus. The higher airway resistance and wall shear stresses are distributed on the posterior nasal valve. Although the airways of pharynx, larynx and bronchi experience low shear stresses, it is notable that relatively high shear stresses are distributed on the wall of epiglottis and bronchial bifurcations. Besides, two-dimensional fluid–structure interaction models of normal and abnormal airways are built to discuss the flow-induced deformation in various anatomy models. The result shows that the wall deformation in normal airway is relatively small.

[1]  S. K. Kim,et al.  An investigation on airflow in disordered nasal cavity and its corrected models by tomographic PIV , 2004 .

[2]  C. Kleinstreuer,et al.  Airflow structures and nano-particle deposition in a human upper airway model , 2004 .

[3]  Yuefang Wang,et al.  Numerical simulation of soft palate movement and airflow in human upper airway by fluid-structure interaction method , 2007 .

[4]  C Renotte,et al.  Numerical 3D analysis of oscillatory flow in the time-varying laryngeal channel. , 2000, Journal of biomechanics.

[5]  Soo-Jin Jeong,et al.  Numerical investigation on the flow characteristics and aerodynamic force of the upper airway of patient with obstructive sleep apnea using computational fluid dynamics. , 2007, Medical engineering & physics.

[6]  Daniel Isabey,et al.  In Vitro Experiments and Numerical Simulations of Airflow in Realistic Nasal Airway Geometry , 2006, Annals of Biomedical Engineering.

[7]  A. Green,et al.  Modelling of peak-flow wall shear stress in major airways of the lung. , 2004, Journal of biomechanics.

[8]  B. Lundbäck,et al.  Symptoms related to snoring and sleep apnoea in subjects with chronic bronchitis: report from the Obstructive Lung Disease in Northern Sweden Study. , 1997, Respiratory medicine.

[9]  N. Chigier,et al.  Characterization of the laryngeal jet using phase Doppler interferometry. , 2000, Journal of aerosol medicine : the official journal of the International Society for Aerosols in Medicine.

[10]  J. Udupa,et al.  Computational fluid dynamics modeling of the upper airway of children with obstructive sleep apnea syndrome in steady flow. , 2006, Journal of biomechanics.

[11]  Y. Zhao,et al.  Steady inspiratory flow in a model symmetric bifurcation. , 1994, Journal of biomechanical engineering.

[12]  E. Weibel Morphometry of the Human Lung , 1965, Springer Berlin Heidelberg.

[13]  A. Lindberg,et al.  Symptoms related to obstructive sleep apnoea are common in subjects with asthma, chronic bronchitis and rhinitis in a general population. , 2001, Respiratory medicine.

[14]  Ivo Weinhold,et al.  Numerical simulation of airflow in the human nose , 2004, European Archives of Oto-Rhino-Laryngology and Head & Neck.

[15]  Julia S. Kimbell,et al.  COMPUTATIONAL FLUID DYNAMICS SIMULATIONS OF INSPIRATORY AIRFLOW IN THE HUMAN NOSE AND NASOPHARYNX , 1998 .

[16]  C. Kleinstreuer,et al.  Simulation of airflow fields and microparticle deposition in realistic human lung airway models. Part I: Airflow patterns , 2007 .

[17]  Ron Kikinis,et al.  The male predisposition to pharyngeal collapse: importance of airway length. , 2002, American journal of respiratory and critical care medicine.

[18]  Jonathan P. Parsons,et al.  Sleep and Obstructive Lung Diseases. , 2008, Sleep medicine clinics.

[19]  Wolfgang Schröder,et al.  Numerical investigation of the three-dimensional flow in a human lung model. , 2008, Journal of biomechanics.

[20]  Jianren Fan,et al.  Large eddy simulation of inhaled particle deposition within the human upper respiratory tract , 2007 .

[21]  Michael T. Black,et al.  Morphological variation and airflow dynamics in the human nose , 2004, American journal of human biology : the official journal of the Human Biology Council.

[22]  S. Quan,et al.  The relation of sleep complaints to respiratory symptoms in a general population. , 1994, Chest.

[23]  M. M. Mozell,et al.  Numerical simulation of airflow in the human nasal cavity. , 1995, Journal of biomechanical engineering.

[24]  Y. Fung,et al.  Biomechanics: Mechanical Properties of Living Tissues , 1981 .

[25]  Donald F. Proctor,et al.  The Nose, upper airway physiology and the atmospheric environment , 1982 .

[26]  M. Kryger,et al.  Sleep apnea: clinical investigations in humans. , 2007, Sleep medicine.

[27]  D. Wilcox Turbulence modeling for CFD , 1993 .

[28]  Clement Kleinstreuer,et al.  Transient airflow structures and particle transport in a sequentially branching lung airway model , 2002 .

[29]  Arne Erik Holdø,et al.  Numerical simulation of respiratory flow patterns within human lung , 2002, Respiratory Physiology & Neurobiology.

[30]  A. V. Hirtum,et al.  Numerical and experimental study of expiratory flow in the case of major upper airway obstructions with fluid–structure interaction , 2008 .

[31]  R. C. Schroter,et al.  Mechanics of airflow in the human nasal airways , 2008, Respiratory Physiology & Neurobiology.

[32]  A. Tattersfield,et al.  Relationship of flow and cross-sectional area to frictional stress in airway models of asthma. , 1999, The Journal of asthma : official journal of the Association for the Care of Asthma.

[33]  E. Hoffman,et al.  Characteristics of the turbulent laryngeal jet and its effect on airflow in the human intra-thoracic airways , 2007, Respiratory Physiology & Neurobiology.

[34]  Y Liu,et al.  Modeling the bifurcating flow in an asymmetric human lung airway. , 2003, Journal of biomechanics.

[35]  E. Bilgen,et al.  Experimental Study of Velocity Fields in a Human Nasal Fossa by Laser Anemometry , 1983, Rhinology.

[36]  Kenneth R. Lutchen,et al.  CFD Simulation of Aerosol Deposition in an Anatomically Based Human Large–Medium Airway Model , 2009, Annals of Biomedical Engineering.

[37]  Wolfgang Schröder,et al.  Numerical simulation of the flow field in a model of the nasal cavity , 2003 .

[38]  C. G. Phillips,et al.  On the asymmetry of bifurcations in the bronchial tree. , 1997, Respiration physiology.

[39]  Atul Malhotra,et al.  Computational simulation of human upper airway collapse using a pressure-/state-dependent model of genioglossal muscle contraction under laminar flow conditions. , 2005, Journal of applied physiology.

[40]  Ted B. Martonen,et al.  A numerical study of particle motion within the human larynx and trachea , 1999 .

[41]  Shouju Li,et al.  Influence of nasal structure on the distribution of airflow in nasal cavity. , 2008, Rhinology.

[42]  M. M. Mozell,et al.  Velocity profiles measured for airflow through a large-scale model of the human nasal cavity. , 1993, Journal of applied physiology.

[43]  Warren H. Finlay,et al.  On the suitability of k–ε turbulence modeling for aerosol deposition in the mouth and throat: a comparison with experiment , 2000 .

[44]  A. Prasad,et al.  Modeling of airflow in the pharynx with application to sleep apnea. , 1998, Journal of biomechanical engineering.