Droplet deposition dynamics in a realistic three-dimensionally printed human upper airway: An <i>in vitro</i> study

This study presents the first known successful in vitro measurement of both deposition fractions (DFs) and spatial deposition patterns of nebulized droplets in a realistic human upper respiratory tract model. The model, based on computed tomography scan data of a healthy adult male, accurately replicates the complex geometries of the oral and pharyngeal regions. Experiments were conducted using three different vibrating mesh nebulizer (VMN) systems at varying inhalation flow rates (15–60 l/min). Fluorescein-tagged saline solutions were nebulized, with deposition patterns—representing the spatial distribution of deposited droplets—visualized through ultraviolet fluorescence and DFs quantified based on the absorbance of the rinsate solution. Results show that the DFs and patterns are significantly influenced by flow rate, with deposition shifting from the oral cavity to the oropharyngeal region as flow rate increases. This study provides new insight into aerosol transport and deposition in realistic human airways and offers valuable data for optimizing nebulizer design and improving aerosol drug delivery efficiency in clinical applications.