单侧完全性唇腭裂的三维有限元模型及口腔表面力学分析。

IF 2 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Qingqian Wei, Hao Liang, Jingyi Wang, Fei Chen, Yinyue Chen, Yiwei Liu, Haidong Li
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引用次数: 0

摘要

背景:腭裂是一种常见的口腔颌面畸形,需要复杂的手术干预。在腭裂修复中,控制皮瓣张力是避免并发症如皮瓣破裂和愈合受损的关键。此外,过度的皮瓣运动可损害血液供应,影响术后结果。全面了解这些生物力学因素对手术成功至关重要。方法:利用CT扫描数据建立三维有限元模型,模拟手术条件下腭裂的生物力学行为。结合骨、黏膜和肌肉的材料特性,利用ANSYS Workbench及相关软件建立模型并进行分析。计算应力和变形分布以评估手术切口点和皮瓣运动。结果:该模型确定了沿口腔和鼻表面手术切口的高张力和运动的关键区域。观察到的最大变形为3.9885 mm,应力集中点沿缝合线和皮瓣边缘。结果突出了容易发生机械应力的特定区域,这对于优化手术策略至关重要。结论:本研究证明了三维有限元模型在腭裂手术修复过程中预测力学反应的潜力。研究结果为外科医生提供了有价值的见解,以改进切口放置,皮瓣设计和缝合技术,以减少张力和提高愈合。这种个性化的方法可以显著提高腭裂修复的手术效果,减少术后并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The three-dimensional finite element model of unilateral complete cleft lip and palate and mechanical analysis of the oral surfaces.

Background: Cleft palate is a prevalent oral and maxillofacial malformation that requires complex surgical interventions. In cleft palate repair, managing flap tension is critical to avoid complications such as flap rupture and impaired healing. Additionally, excessive flap movement can compromise blood supply, affecting postoperative outcomes. A thorough understanding of these biomechanical factors is crucial for surgical success.

Methods: A three-dimensional finite element model was developed using CT scan data to simulate the biomechanical behavior of the cleft palate under surgical conditions. The model was constructed and analyzed using ANSYS Workbench and related software, incorporating material properties of bone, mucosa, and muscle. Stress and deformation distributions were calculated to evaluate surgical incision points and flap movement.

Results: The model identified critical areas of high tension and movement along the surgical incisions on both oral and nasal surfaces. The maximum deformation observed was 3.9885 mm, with stress concentration points along the suture lines and flap edges. The results highlighted specific regions prone to mechanical stress, which are crucial for optimizing surgical strategies.

Conclusion: This study demonstrates the potential of a 3D finite element model in predicting mechanical responses of the cleft palate during surgical repair. The findings provide surgeons with valuable insights for improving incision placement, flap design, and suturing techniques to minimize tension and enhance healing. This personalized approach could significantly improve surgical outcomes and reduce postoperative complications in cleft palate repair.

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来源期刊
Maxillofacial Plastic and Reconstructive Surgery
Maxillofacial Plastic and Reconstructive Surgery DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.30
自引率
13.00%
发文量
37
审稿时长
13 weeks
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