Newswise — WASHINGTON, D.C., November, 20, 2017 -- Sinus infections, inflammation and nasal congestion constantly plague Americans, often leading to unpleasant symptoms and even missed days of work. Traditional nasal spray anti-inflammatory medications attempt to treat the symptoms noninvasively, but are not very efficient in transmitting the active drug ingredients directly into the sinus cavities. 

Newswise — Paranasal sinuses are essentially hollow cavities in the skull surrounding your nasal cavity. While the role of the sinuses is debated, it is believed they function to decrease the weight of the anterior skull, increase voice resonance and buffer against facial trauma. Their location and structure provide the ideal environment for bacterial growth, infection or viral deposition, often leading to diseases like chronic rhinosinusitis (CRS). The typical treatments for these conditions consist of topical medications (nasal sprays) and oral antibiotics. 

Researchers Saikat Basu, Zainab Farzal and Julia S. Kimbell of the University of North Carolina’s School of Medicine will present their research on the anatomy-based flow physics in nasal cavities which generate “magical” streamlines for sinus drug delivery at the 70th annual meeting of the American Physical Society’s Division of Fluid Dynamics, being held Nov. 19-21, 2017, at the Colorado Convention Center in Denver, Colorado. 

“We found that current package instructions for such sprays are not optimal for maximal drug transport to the sinuses, which is a function of various factors like head orientation of the patient, breathing rates and the spray bottle orientation during drug spray,” Basu said. 

For the medication to have the greatest effects, the active ingredients must deposit inside or in close proximity of the affected sinus cavities. To ensure accurate anatomical representation in the numerical simulations of the sprayed drug transport process, they used computed tomography (CT) scans from CRS patients and imaging software to develop anatomically realistic digital 3-D models. 

Understanding the physics of sinus airflow pathways enables the identification of optimal release points for the nasal sprays. Advances in anatomical modeling make it possible to determine the effect of specific drug routes. 

“Ambient respiratory flow physics exert a considerable influence on the transport of sprayed particles in our nasal cavities,” Basu said. “With the advances in computational capacities, it is now possible to develop digital 3-D models of complex physiological systems and track transport processes therein through computational fluid mechanics.” 

The preliminary results of this study are relevant to both the consumer and the manufacturer of nasal sprays. The researchers found that when the spray nozzle was inserted deeper into the nose (10mm) that it performed better and that while the current instructions for the spray bottle recommend holding it at 22.5 degrees, drug transport was better at an angle of 35-45 degrees. Drug providers will be able to recommend more effective instructions and application techniques to ensure that the spray reaches its target. Findings might also suggest improvements in the design of the spray console that would amplify the medication deposits inside the sinus cavities. 

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Abstract: L4.00004: “’Magical’ fluid pathways: inspired airflow corridors for optimal drug delivery," by Saikat Basu, Zainab Farzal and Julia S. Kimbell, is at 4:44-4:57 p.m. MST, Nov. 20, 2017, in Room 404 in the Colorado Convention Center. http://meetings.aps.org/Meeting/DFD17/Session/L4.4

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USEFUL LINKS

Main meeting website: http://www.apsdfd2017.org/
Technical program: http://meetings.aps.org/Meeting/DFD17/Content/3384
Meeting/Hotel site: http://www.apsdfd2017.org/hotels/
Press Room: https://www.aps.org/units/dfd/pressroom/index.cfm 

PRESS REGISTRATION

We will grant free registration to credentialed journalists and professional freelance journalists. If you are a reporter and would like to attend, contact Julia Majors ([email protected], 301-209-3090) who can also help with setting up interviews and obtaining images, sound clips or background information. 

LIVE MEDIA WEBCAST

A press briefing featuring a selection of newsworthy research will be webcast live from the conference Monday, Nov. 20. Topics for the briefing include everyday occurrences -- such as citrus peel squirts, the explosive reaction when water meets hot oil and the physics of the human body’s snoring and sinuses -- and the unusual -- such as how a star-nosed mole smells underwater and how a dinosaur inspired a robot. Times to be announced. More information can be found at the following link: https://www.aps.org/units/dfd/pressroom/ 

ABOUT THE DIVISION OF FLUID DYNAMICS OF THE AMERICAN PHYSICAL SOCIETY

The Division of Fluid Dynamics of the American Physical Society exists for the advancement and diffusion of knowledge of the physics of fluids with special emphasis on the dynamical theories of the liquid, plastic and gaseous states of matter under all conditions of temperature and pressure. https://www.aps.org/units/dfd/ 

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Meeting Link: 70th annual meeting of the American Physical Society’s Division of Fluid Dynamics