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Impact of sleep posture and breathing pattern on soft palate flutter and pharynx vibration in a pediatric airway using fluid-structure interaction
Harbin Inst Technol, Sch Energy Sci & Engn, Harbin, Peoples R China..
Akershus Univ Hosp, Div Ear Nose & Throat Surg, Lorenskog, Norway.;Univ Oslo, Inst Clin Med, Oslo, Norway..
Malmö University, Faculty of Odontology (OD). Department of Clinical Dentistry, Section for Oral and Maxillofacial Radiology, University of Bergen, Norway.
Harbin Inst Technol, Sch Energy Sci & Engn, Harbin, Peoples R China.;Northeast Elect Power Univ, Sch Energy & Power Engn, Jilin, Peoples R China..
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2023 (English)In: Journal of Biomechanics, ISSN 0021-9290, E-ISSN 1873-2380, Vol. 152, article id 111550Article in journal (Refereed) Published
Abstract [en]

Snoring is a common condition in the general population, and the management of snoring requires a better understanding of its mechanism through a fluid-structure interaction (FSI) perspective. Despite the recent popularity of numerical FSI techniques, outstanding challenges are accurately predicting airway deformation and its vibration during snoring due to complex airway morphology. In addition, there still needs to be more un-derstanding of snoring inhibition when lying on the side, and the possible effect of airflow rates, as well as nose or mouth-nose breathing, on snoring remains to be investigated. In this study, an FSI method verified against in vitro models was introduced to predict upper airway deformation and vibration. The technique was applied to predict airway aerodynamics, soft palate flutter, and airway vibration in four sleep postures (supine, left/right lying, and sitting positions) and four breathing patterns (mouth-nose, nose, mouth, and unilateral nose breathing). It was found that, at given elastic properties of soft tissues, the evaluated flutter frequency of 19.8 Hz in inspiration was in good agreement with the reported frequency of snoring sound in literature. Reduction in flutter and vibrations due to the mouth-nose airflow proportion changes were also noticed when having side-lying and sitting positions. Breathing through the mouth results in larger airway deformation than breathing through the nose or mouth-nose. These results collectively demonstrate the potential of FSI for studying the physics of airway vibration and clarify to some degree the reason for snoring inhibition during sleep postures and breathing patterns.

Place, publisher, year, edition, pages
Elsevier, 2023. Vol. 152, article id 111550
Keywords [en]
Snoring, Pediatric Airway, Breathing pattern, Computational Fluid Dynamics, Fluid-solid Interaction
National Category
Otorhinolaryngology
Identifiers
URN: urn:nbn:se:mau:diva-59495DOI: 10.1016/j.jbiomech.2023.111550ISI: 000967049400001PubMedID: 36996600Scopus ID: 2-s2.0-85151414415OAI: oai:DiVA.org:mau-59495DiVA, id: diva2:1757016
Available from: 2023-05-15 Created: 2023-05-15 Last updated: 2024-02-05Bibliographically approved

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Shi, Xie-Qi

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