Characterization of Submicrometer Aerosol Deposition in Extrathoracic Airways during Nasal Exhalation

Submicrometer and especially fine aerosols that enter the respiratory tract are largely exhaled. However, the deposition of these aerosols under expiratory conditions is not well characterized. In this study, expiratory deposition patterns of both ultrafine (<100 nm) and fine (100-1000 nm) respiratory aerosols were numerically modeled in a realistic nasal-laryngeal airway geometry. Particle sizes ranging from 1 through 1000 nm and exhalation flow rates from 4 through 45 L/min were considered. Under these conditions, turbulence only appeared significant in the laryngeal and pharyngeal regions, whereas the nasal passages were primarily in the laminar regime. Exhaled particles were simulated with both a continuous-phase drift flux velocity correction (DF-VC) model and a discrete Lagrangian tracking approach. For the deposition of ultrafine particles, both models provided a good match to existing experimental values, and simulation results corroborated an existing in vivo-based diffusion parameter (i.e., D(0.5)Q(-0.28)). For fine particles, inertia-based deposition was found to have a greater dependence on the Reynolds number than on the Stokes number (i.e., St(k)(0.1) Re-0.9), indicating that secondary flows may significantly influence aerosol deposition in the nasal-laryngeal geometry. Anew correlation was proposed for deposition in the extrathoracic airways that is applicable for both ultrafine and fine aerosols over a broad range of nasal exhalation conditions. Results of this study indicate that physical realism of the airway model is crucial in determining particle behavior and fate and that the laryngeal and pharyngeal regions should be retained in future studies of expiratory deposition in the nasal region.