Abstract
A series of experiments was performed to determine deposition efficiencies of four sizes of radiolabeled monodisperse particles in custom-made hollow tracheobronchial models. The particles had geometric diameters of about 1, 5, 10, and 15 microm. The tracheobronchial models, consisting of a trachea and two or more additional generations, had dimensions representative of a typical adult, a 7-y-old child, and a 4-y-old child; the child-size models were appropriately scaled-down replicas of the adult-size model. Each deposition experiment was conducted using a steady inspiratory airflow representative of low physical activity for the appropriate age of individual: 20 L min(-1) for the adult; 9 L min(-1) for the 7-y-old; 5.5 L min(-1) for the 4-y-old. The results indicate that deposition efficiency of the particles increased substantially (up to 35 times) in all three models as particle diameter increased from 1-15 microm, undoubtedly as a result of particle impaction and sedimentation-related phenomena. An analysis of variance demonstrated the occurrence of statistically-significant (p < 0.05) main effects of hollow model size and particle size; the interaction between the two parameters was also significant. In general, deposition efficiencies of the various sizes of particles were greater in the child-size models than in the adult-size model; this effect may have risk assessment implications. In addition, the results obtained experimentally agreed more closely with those predicted using a radiation-protection mathematical particle deposition formulation as the particle size increased for each of the sizes of models.
Highlights
The models were not preceded by a larynx because laryngeal jet dimensions during inhalation are uncertain for children; Mostafa ( 1976) reported results of measurements of endotracheal tube diameters, his study was performed under anesthesia and utilized a muscle relaxant, so it is uncertain how these measurements in children aged 3 mo to 13 y relate to normal laryngeal jet dimensions during inhalation
The deposition efficiency is a function of the size of model, which is related to the age of the exposed individual
The results demonstrated statistically-significant effects of particle size and model size, and their interaction
Summary
These studies have addressed particle deposition in the adult respiratory tract, without provisions for scaling airflows and airway dimensions to values relevant to children. In modeling aerosol deposition in the respiratory tract, they found higher total deposition in children than adults; but for tracheobronchial and alveolar deposition, the age dependence was a function of particle size. More accurate anatomical data obtained from measurements of lung casts of 21 children and adolescents, along with body size-scaled airflows and the mathematical approach of Yeh and Schum.
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