Evidence map›Paper›PMID 29101633›Full record

ArticleSleep & breathing = Schlaf & Atmung2018

Numerical study of dynamic glottis and tidal breathing on respiratory sounds in a human upper airway model.

Jinxiang Xi, Zhaoxuan Wang, Khaled Talaat, Carri Glide-Hurst, Haibo Dong

Open access · greenAbstract read
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 34 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Jinxiang XiDepartment of Mechanical and Biomedical Engineering, California Baptist University, 432 Magnolia Ave, Riverside, CA, 92504, USA. jxi@calbaptist.edu.ORCID 0000-0002-6423-0759
Zhaoxuan WangDepartment of Mechanical and Industrial Engineering, University of Toronto, Toronto, ON, Canada.
Khaled TalaatDepartment of Mechanical and Biomedical Engineering, California Baptist University, 432 Magnolia Ave, Riverside, CA, 92504, USA.
Carri Glide-HurstDepartment of Radiation Oncology, Henry Ford Health System, Detroit, MI, USA.
Haibo DongDepartment of Mechanical and Aerospace Engineering, University of Virginia, Charlottesville, VA, USA.
California Baptist University · USHenry Ford Health System · USUniversity of Toronto · CAUniversity of Virginia · US

Funding

Development of Anatomical Patient Models to Facilitate MR-only Treatment PlanningR01CA204189 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI GLIDE-HURST, CARRI KAYE · 2016 to 2020
$1.5M
Division of Chemical, Bioengineering, Environmental, and Transport Systems 1605232Division of Chemical, Bioengineering, Environmental, and Transport Systems 1605434NCI NIH HHS R01 CA204189
6 · The paper itself

Abstract

backgroundHuman snores are caused by vibrating anatomical structures in the upper airway. The glottis is a highly variable structure and a critical organ regulating inhaled flows. However, the effects of the glottis motion on airflow and breathing sound are not well understood, while static glottises have been implemented in most previous in silico studies. The objective of this study is to develop a computational acoustic model of human airways with a dynamic glottis and quantify the effects of glottis motion and tidal breathing on airflow and sound generation.

methodsLarge eddy simulation and FW-H models were adopted to compute airflows and respiratory sounds in an image-based mouth-lung model. User-defined functions were developed that governed the glottis kinematics. Varying breathing scenarios (static vs. dynamic glottis; constant vs. sinusoidal inhalations) were simulated to understand the effects of glottis motion and inhalation pattern on sound generation. Pressure distributions were measured in airway casts with different glottal openings for model validation purpose.

resultsSignificant flow fluctuations were predicted in the upper airways at peak inhalation rates or during glottal constriction. The inhalation speed through the glottis was the predominating factor in the sound generation while the transient effects were less important. For all frequencies considered (20-2500 Hz), the static glottis substantially underestimated the intensity of the generated sounds, which was most pronounced in the range of 100-500 Hz. Adopting an equivalent steady flow rather than a tidal breathing further underestimated the sound intensity. An increase of 25 dB in average was observed for the life condition (sine-dynamic) compared to the idealized condition (constant-rigid) for the broadband frequencies, with the largest increase of approximately 40 dB at the frequency around 250 Hz.

conclusionResults show that a severely narrowing glottis during inhalation, as well as flow fluctuations in the downstream trachea, can generate audible sound levels.

Indexed as

Models, BiologicalRespirationAcousticsAdultCadaverComputer SimulationGlottisHumansMaleRespiratory SoundsSnoringBreathing-related sleep disordersDynamic glottisGlottal apertureTidal breathing

Identifiers

PMID29101633
PMCPMC5962264
OpenAlexW2766479548

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.