Abstract:Objective To establish the biomechanical model of the upper airway, trachea and part of bronchus, and study the influences of different breathing modes on flow characteristics and airway resistance. Methods Based on data of CT scans, three-dimensional finite element model of an anatomically accurate upper airway was established, including the nasal cavity, oral cavity, pharynx, larynx, trachea and part of bronchus. According to several typical cases in reality, numerical simulations were performed on airflow characteristics in upper airway with different proportion of oral airflow and nasal airflow. Results When only a small amount of airflow was inhaled from the mouth, the distribution of airflow characteristics and the airway resistance were similar to the case of nasal inhalation. When a large amount of airflow was inhaled or exhaled through the mouth, the distribution of airflow, pressure and shear stress changed significantly in the respiratory tract. The main differences were observed in the nasal cavity and the oral cavity. Conclusions Establishing the biomechanical model of the upper airway, trachea and part of bronchus is helpful to understand airflow distributions in the entire upper airway and part of bronchus during respiration and to build the platform of numerical research on pathogenesis of upper airway structure-related diseases.