Particle deposition in a cast of human oral airways

Oral and nasal airways are entryways to the respiratory tract. Most people breathe through the nasal airway during rest or light exercise, then switch to oral/nasal breathing during heavy exercise or work. Resistance through the oral airways is much lower than through the nasal airways, so fewer aerosol particles are deposited in the oral airways. Aerosol drugs are usually delivered by inhalation to the lung via the oral route for that reason. Oral deposition data from humans are limited, and those available show great intersubject variability. The purpose of this study was to investigate the effects of particle size and breathing rate on the deposition pattern in a human oral airway cast with a defined geometry. The airway replica included the oral cavity, pharynx, larynx, trachea, and 3 generations of bronchi. The oral portion of the cast was molded from a dental impression of the oral cavity in a human volunteer, while the other airway portions of the cast were made from a cadaver. Nine different sizes of polystyrene latex fluorescent particles in the size range of 0.93-30 mu m were used in the study. Regional deposition was measured at a constant inspiratory flow rate of 15, 30, and 60 L min(-1). Deposition in the oral airway appeared to increase with an increasing flow rate and particle diameter. Deposition at the highest flow rate of 60 L min(-1) was close to 90% for particles > 20 mu m. Particles > about 10 mu m deposited mainly in the oral cavity. Deposition efficiency has been found to be a unique function of the Stokes number, suggesting that impaction is the dominant deposition mechanism. Oral deposition can be approximated by a theoretical deposition model of inertial impaction in a 180 degrees curved tube, assuming perfect mixing in a turbulent flow. Our model suggests that the minimum dimension near the larynx and the average cross-sectional area are important parameters for oral airway deposition; however, additional data from the oral airway replica are needed to ascertain whether these are indeed the critical dimensions. Information from the present study will add to our knowledge of the deposition mechanism, the correlation of particle deposition with airway geometry, and eventually the best way to deliver aerosol drugs.