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inspiration Nasal cavity Plane Y Plane Y Plane Y Plane Y Plane Y Plane Y Avergae Pharynx Plane Z Plane Z Plane Z Plane Z Plane Z Plane Z Plane Z Avergae TABLE 4 Comparison of airflow velocity before and after MARPE

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TABLE 1 The governing equations for numerical turbulence model

Conservation of mass (continuity) i =0

i

u x

Momentum (Navier-Stokes 1

+ j j = + + j

j j j

i i

i i

u p u

t Re

u u u

x x x x x

∂ ∂

∂ − ∂ ∂ ∂

∂ ∂ ∂ ∂ (∂ ∂ )

where p is the pressure, Re is the Reynolds number, ui = Ui/Uir, xi = Xi/dir, p = P=P/ ρ Uir, Ui is the velocity vector, Uir is the outlet average velocity, dir is the narial diameter, ρ is the aerial density.

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TABLE 2 Comparison of cross-sectional airway area before and after MARPE in a teenager patient Airway area (mm²)

Before MARPE

(T0) After MARPE (T1) ΔT1–T0 Percentage of change [(ΔT1–T0)/T0] × 100%

Nasal cavity

Plane Y1 287.65 335.90 48.25 16.77%

Plane Y2 307.57 308.92 1.35 0.44%

Plane Y3 316.42 319.68 3.26 1.03%

Plane Y4 260.17 270.61 10.44 4.01%

Plane Y5 200.83 220.53 19.70 9.81%

Plane Y6 186.85 210.09 23.24 12.44%

Avergae 259.92 277.62 17.71 7.42%

Pharynx

Plane Z1 528.47 489.22 -39.25 -7.43%

Plane Z2 531.95 622.78 90.83 17.08%

Plane Z3 562.75 703.59 140.85 25.03%

Plane Z4 581.69 794.50 212.81 36.58%

Plane Z5 536.18 754.17 217.99 40.66%

Plane Z6 599.22 724.17 124.95 20.85%

Plane Z7 563.42 684.76 121.33 21.54%

Average 557.67 681.88 124.22 22.04%

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TABLE 3 Comparison of airflow pressure before and after MARPE.

Variable

Pressure (Pa) Percentage of change

[(ΔT1–T0)/T0] × 100%

Before MARPE (T0) After MARPE (T1) Max.

expiration Max.

inspiration Max.

expiration Max.

inspiration Max.

expiration Max.

inspiration Nasal cavity

Plane Y1 36.95 -26.42 30.18 -22.46 -18.33% -14.99%

Plane Y2 35.07 -25.17 27.19 -21.87 -22.44% -13.12%

Plane Y3 32.24 -23.39 24.91 -20.28 -22.74% -13.31%

Plane Y4 29.12 -19.61 22.22 -17.00 -23.68% -13.33%

Plane Y5 24.05 -17.01 19.49 -13.58 -18.95% -20.16%

Plane Y6 21.63 -7.97 17.67 -6.89 -18.28% -13.51%

Avergae 29.84 -19.93 23.61 -17.01 -20.74% -14.74%

Pharynx

Plane Z1 38.73 -28.79 32.06 -25.52 -17.24% -11.34%

Plane Z2 38.92 -28.52 32.30 -25.27 -17.01% -11.42%

Plane Z3 38.92 -29.38 32.24 -25.74 -17.16% -12.38%

Plane Z4 39.03 -29.06 32.38 -25.50 -17.02% -12.25%

Plane Z5 39.22 -29.22 32.48 -25.45 -17.18% -12.87%

Plane Z6 39.32 -29.24 32.54 -25.51 -17.25% -12.76%

Plane Z7 39.53 -29.04 32.86 -25.36 -16.87% -12.65%

Avergae 39.10 -29.03 32.41 -25.48 -17.11% -12.24%

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TABLE 4 Comparison of airflow velocity before and after MARPE.

Variable

Velocity(m/s) ΔT1–T0

Before MARPE (T0) After MARPE (T1) Max.

expiration Max.

inspiration Max.

expiration Max.

inspiration Max.

expiration Max.

inspiration Nasal cavity

Plane Y1 1.87 1.59 1.80 1.40 -0.07 -0.20

Plane Y2 1.53 1.46 1.41 1.22 -0.12 -0.24

Plane Y3 1.48 1.53 1.34 1.36 -0.13 -0.17

Plane Y4 1.26 1.39 1.26 1.27 0.00 -0.12

Plane Y5 2.72 2.69 2.26 2.38 -0.46 -0.31

Plane Y6 3.58 2.80 3.26 3.05 -0.32 0.25

Avergae 2.07 1.91 1.89 1.78 -0.18 -0.13

Pharynx

Plane Z1 0.87 0.94 1.08 0.88 0.21 -0.06

Plane Z2 0.74 1.15 0.66 0.85 -0.08 -0.30

Plane Z3 0.69 0.55 0.37 0.46 -0.33 -0.09

Plane Z4 0.63 0.84 0.57 0.69 -0.06 -0.14

Plane Z5 0.75 0.72 0.60 0.77 -0.15 0.05

Plane Z6 0.71 0.56 0.69 0.69 -0.02 0.13

Plane Z7 0.82 0.80 0.74 0.71 -0.08 -0.09

Avergae 0.75 0.80 0.67 0.72 -0.07 -0.07

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