基于有限元的鼻眶筛合并颧骨骨折生物力学研究
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“天山英才”医药卫生高层次人才培养计划(TSYC202301A037)


The Biomechanical Mechanism of Naso-Orbito-Ethmoid Combined with Zygomatic Fracture: A Finite Element Study
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    摘要:

    目的 探究鼻眶筛合并颧骨骨折生物力学机制及面中部骨骼薄弱点,为颌面部特定区域的创伤防护提供理论依据。方法 收集1名颅颌面骨骼正常的青年男性颅颌面CT数据,利用Mimics等软件三维重建人体颅颌面有限元模型,动态模拟以16 m/s及撞击部位骨折临界速度撞击鼻骨、眶下缘内侧1/3、颧骨及额骨上颌骨交点的情景,分析面中部不同部位在不同撞击速度下力的传导方向及骨骼生物力学变化。结果 不同工况下,以16 m/s初始速度撞击眶下缘内侧1/3及额骨上颌骨交汇点时,鼻眶筛区及颧骨处所承受的应力会显著增高,其数值甚至超过150 MPa的阈值;而在其他工况下,并未出现鼻眶筛区和颧骨应力同时超过150 MPa的现象。结论 鼻眶筛合并颧骨骨折多与高冲量的撞击相关,高速撞击额骨上颌骨交点及眶下缘内侧1/3处时,容易发生合并骨折。眶下壁是面中部的相对薄弱点。

    Abstract:

    Objective To evaluate the biomechanical mechanism of naso-orbito-ethmoid (NOE) combined with zygomatic fractures and weakness of the midfacial bone to provide a theoretical basis for protection against maxillofacial trauma. Methods: CT data of a young male with normal cranio-maxillofacial bones were collected. Then, a human cranio-maxillofacial finite element model was reconstructed using Mimics and other software. The nasal bone, medial suborbital margin 1/3, zygomatic bone, and frontal maxilla were impacted at a critical velocity of 16 m/s, and impact fractures were simulated. The direction of force conduction, biomechanical variations in the bones, and biomechanical mechanism of naso-orbito-ethmoid combined with zygomatic fractures at different impact velocities in the middle of the face were analyzed. Results Under different working conditions, the stresses in the NOE region with the zygomatic bone exceeded the threshold of 150 MPa when the medial side of the inferior orbital margin 1 / 3 and the intersection of the frontal maxilla were impacted at an initial velocity of 16 m/s. Under other working conditions, the stresses in the NOE region and the zygomatic bone did not exceed 150 MPa simultaneously. Conclusions NOE combined with zygomatic fractures is mostly related to high-energy impact. This occurs straightforwardly under a high-speed impact on the intersection of the frontal maxilla and the medial margin of the inferior orbit. The inferior orbital wall is a relatively weak area in the middle of the face.

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马莉,李鹏起,王继超,倪前伟,高瞻.基于有限元的鼻眶筛合并颧骨骨折生物力学研究[J].医用生物力学,2024,39(6):1066-1072

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  • 收稿日期:2024-05-18
  • 最后修改日期:2024-06-26
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  • 在线发布日期: 2024-12-25
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