Enhancing Mucus Flow and Clearance by Grafting Zwitterionic Hydrogel Films to Luminal Surfaces

ABSTRACT Objective To determine the effects of zwitterionic hydrogel films on mucus contact angles, flow, and stasis with respect to medical polymer surfaces, both flat and tubular. Methods A zwitterionic hydrogel thin film was photografted onto medical rubber surfaces and compared against non‐zwitt...

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Main Authors: Ryan Horne, Caleb Escudero, Morgan Ellerman, C. Allan Guymon, Marlan Hansen
Format: Article
Language:English
Published: Wiley 2025-04-01
Series:Laryngoscope Investigative Otolaryngology
Subjects:
Online Access:https://doi.org/10.1002/lio2.70118
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author Ryan Horne
Caleb Escudero
Morgan Ellerman
C. Allan Guymon
Marlan Hansen
author_facet Ryan Horne
Caleb Escudero
Morgan Ellerman
C. Allan Guymon
Marlan Hansen
author_sort Ryan Horne
collection DOAJ
description ABSTRACT Objective To determine the effects of zwitterionic hydrogel films on mucus contact angles, flow, and stasis with respect to medical polymer surfaces, both flat and tubular. Methods A zwitterionic hydrogel thin film was photografted onto medical rubber surfaces and compared against non‐zwitterionic hydrogel thin films and untreated surfaces to determine its impact on mucus contact angles, mucus flow on sheets and tubes, and mucus plugging. Results Zwitterionic and conventional hydrogel films significantly reduce the mucus contact angles and the tilt required to initiate mucus flow on sheets and in tubular systems. Preliminary experiments show that these films may also shorten the time required for a mucus‐plugged tube to unplug when exposed to saline. Conclusion Zwitterionic and conventional hydrogel films on typical medical surfaces reduce resistance to mucus flow, increase mucus discharge, and may facilitate faster unplugging of dried mucus. These effects are the most pronounced on tubes of larger inner diameter (greater than 2.6 mm) and tend to dissipate for tubes of smaller diameter. These results may help guide future improvements to medical tubes intended to discharge mucus and ventilate, resulting in fewer complications for patients. Level of Evidence Level 2, randomized individual trial.
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publishDate 2025-04-01
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series Laryngoscope Investigative Otolaryngology
spelling doaj-art-337c7f96c0cd4f8caa5e52cd3ddc3f8d2025-08-20T03:53:43ZengWileyLaryngoscope Investigative Otolaryngology2378-80382025-04-01102n/an/a10.1002/lio2.70118Enhancing Mucus Flow and Clearance by Grafting Zwitterionic Hydrogel Films to Luminal SurfacesRyan Horne0Caleb Escudero1Morgan Ellerman2C. Allan Guymon3Marlan Hansen4University of Iowa Carver College of Medicine Iowa City lowa USAUniversity of Iowa Carver College of Medicine Iowa City lowa USADepartment of Chemical and Biochemical Engineering University of Iowa lowa City lowa USADepartment of Chemical and Biochemical Engineering University of Iowa lowa City lowa USADepartment of Otolaryngology University of Iowa Hospitals and Clinics lowa City lowa USAABSTRACT Objective To determine the effects of zwitterionic hydrogel films on mucus contact angles, flow, and stasis with respect to medical polymer surfaces, both flat and tubular. Methods A zwitterionic hydrogel thin film was photografted onto medical rubber surfaces and compared against non‐zwitterionic hydrogel thin films and untreated surfaces to determine its impact on mucus contact angles, mucus flow on sheets and tubes, and mucus plugging. Results Zwitterionic and conventional hydrogel films significantly reduce the mucus contact angles and the tilt required to initiate mucus flow on sheets and in tubular systems. Preliminary experiments show that these films may also shorten the time required for a mucus‐plugged tube to unplug when exposed to saline. Conclusion Zwitterionic and conventional hydrogel films on typical medical surfaces reduce resistance to mucus flow, increase mucus discharge, and may facilitate faster unplugging of dried mucus. These effects are the most pronounced on tubes of larger inner diameter (greater than 2.6 mm) and tend to dissipate for tubes of smaller diameter. These results may help guide future improvements to medical tubes intended to discharge mucus and ventilate, resulting in fewer complications for patients. Level of Evidence Level 2, randomized individual trial.https://doi.org/10.1002/lio2.70118hydrogelmucusmucus pluggingphotografttracheostomy tubetympanostomy tube
spellingShingle Ryan Horne
Caleb Escudero
Morgan Ellerman
C. Allan Guymon
Marlan Hansen
Enhancing Mucus Flow and Clearance by Grafting Zwitterionic Hydrogel Films to Luminal Surfaces
Laryngoscope Investigative Otolaryngology
hydrogel
mucus
mucus plugging
photograft
tracheostomy tube
tympanostomy tube
title Enhancing Mucus Flow and Clearance by Grafting Zwitterionic Hydrogel Films to Luminal Surfaces
title_full Enhancing Mucus Flow and Clearance by Grafting Zwitterionic Hydrogel Films to Luminal Surfaces
title_fullStr Enhancing Mucus Flow and Clearance by Grafting Zwitterionic Hydrogel Films to Luminal Surfaces
title_full_unstemmed Enhancing Mucus Flow and Clearance by Grafting Zwitterionic Hydrogel Films to Luminal Surfaces
title_short Enhancing Mucus Flow and Clearance by Grafting Zwitterionic Hydrogel Films to Luminal Surfaces
title_sort enhancing mucus flow and clearance by grafting zwitterionic hydrogel films to luminal surfaces
topic hydrogel
mucus
mucus plugging
photograft
tracheostomy tube
tympanostomy tube
url https://doi.org/10.1002/lio2.70118
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AT morganellerman enhancingmucusflowandclearancebygraftingzwitterionichydrogelfilmstoluminalsurfaces
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