The possible mechanism of wheeze generation in tracheostenosis was identified by measuring inspiratory and expiratory flow in a “morphological and distensible” realistic tracheostenosis model. The shape of the model was based on CT (Computed Tomography) images of a patient that had tracheostenosis. A trachea consists of tracheal cartilage rings and smooth muscle. Spatial variation of wall distensibility was achieved in the model by varying the wall thickness based on the elastic modulus measured in pig airways. The spatial variation influenced the flow in the airway and the turbulence production rate decreased faster at smooth muscles. Using the model, we investigated the mechanism of wheeze generation by focusing on the turbulence intensity. The turbulence intensity in expiratory flow was about twice that in inspiratory flow, and larger vortices existed in post-stenosis in expiratory flow, and thus might contribute to wheeze generation.
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August 2003
Technical Papers
Respiratory Flow in a Realistic Tracheostenosis Model
Toshihiro Sera,
Toshihiro Sera
Center for Life Science and Technology, School of Fundamental Science and Technology, Keio University, 3-14-1 Hiyoshi, Kohoku-ku, Yokohama, 223-8522, Japan, Fax: +81-45-564-5095
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Sunao Satoh,
Sunao Satoh
Department of System Design Engineering, Keio University, 3-14-1 Hiyoshi, Kohoku-ku, Yokohama, 223-8522, Japan, Fax: +81-45-564-5095
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Hirohisa Horinouchi,
Hirohisa Horinouchi
Division of General Thoracic Surgery, Department of Surgery, School of Medicine, Keio University, Shinanomachi 35, Shinjuku, Tokyo 160-8582, Japan, Fax: +81-3-3358-0567
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Koichi Kobayashi,
Koichi Kobayashi
Division of General Thoracic Surgery, Department of Surgery, School of Medicine, Keio University, Shinanomachi 35, Shinjuku, Tokyo 160-8582, Japan, Fax: +81-3-3358-0567
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Kazuo Tanishita
Kazuo Tanishita
Department of System Design Engineering, Keio University, 3-14-1 Hiyoshi, Kohoku-ku, Yokohama, 223-8522, Japan, Fax: +81-45-566-1720
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Toshihiro Sera
Center for Life Science and Technology, School of Fundamental Science and Technology, Keio University, 3-14-1 Hiyoshi, Kohoku-ku, Yokohama, 223-8522, Japan, Fax: +81-45-564-5095
Sunao Satoh
Department of System Design Engineering, Keio University, 3-14-1 Hiyoshi, Kohoku-ku, Yokohama, 223-8522, Japan, Fax: +81-45-564-5095
Hirohisa Horinouchi
Division of General Thoracic Surgery, Department of Surgery, School of Medicine, Keio University, Shinanomachi 35, Shinjuku, Tokyo 160-8582, Japan, Fax: +81-3-3358-0567
Koichi Kobayashi
Division of General Thoracic Surgery, Department of Surgery, School of Medicine, Keio University, Shinanomachi 35, Shinjuku, Tokyo 160-8582, Japan, Fax: +81-3-3358-0567
Kazuo Tanishita
Department of System Design Engineering, Keio University, 3-14-1 Hiyoshi, Kohoku-ku, Yokohama, 223-8522, Japan, Fax: +81-45-566-1720
Contributed by the Bioengineering Division for publication in the JOURNAL OF BIOMECHANICAL ENGINEERING. Manuscript received by the Bioengineering Division April 22, 2002; revision received April 1, 2003. Associate Editor: C. R. Ethier.
J Biomech Eng. Aug 2003, 125(4): 461-471 (11 pages)
Published Online: August 1, 2003
Article history
Received:
April 22, 2002
Revised:
April 1, 2003
Online:
August 1, 2003
Citation
Sera, T., Satoh, S., Horinouchi, H., Kobayashi, K., and Tanishita, K. (August 1, 2003). "Respiratory Flow in a Realistic Tracheostenosis Model ." ASME. J Biomech Eng. August 2003; 125(4): 461–471. https://doi.org/10.1115/1.1589775
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