下颌角截骨线设计方案在两种不同材料赋值下的生物力学研究
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1.上海理工大学 健康科学与工程学院;2.上海市介入医疗器械工程研究中心;3.上海交通大学医学院附属第九人民医院 整复外科

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Biomechanical Study of Mandibular Angle Osteotomy Line Design under Two Different Material Assignments
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1.School of Health Science and Engineering, University of Shanghai for Science and Technology;2.Shanghai Engineering Research Center of Interventional Medical Device;3.Department of Plastic and Reconstructive Surgery, Shanghai 9th People'4.'5.s Hospital, School of Medicine, Shanghai Jiao Tong University

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    摘要:

    目的:本研究通过对比两种不同的下颌骨材料赋值方法:基于复合结构建模的均一赋值法和基于经验公式的非均匀赋值法,对三种截骨线设计方案进行正中咬合的术前模拟,以评估模型的生物力学特性。方法:选取三类下颌骨,获取CT图像,结合相关软件进行有限元建模。结果:均一赋值法得到的应力分布图显示应力分布范围比非均匀赋值法的大,但最大应力、应变和位移值普遍较低。对于外翻型和普通型下颌骨,方案一在两种材料赋值方法下都显示出较低的最大应力、应变和位移,但内收型没有找到明显合适的方案。结论:外翻型和普通型下颌骨更适合采用方案一的截骨线设计方案,对于内收型,可能需要考虑其他下颌角截骨整形手术的方式以保证更好的生物力学特性。无论是选择截骨线设计方案还是选取建模材料赋值方式,都需要根据具体的分析目的和资源条件综合考虑从而做出最终决策。

    Abstract:

    Objective: This study compares two different jawbone material assignment methods: the uniform assignment method based on composite structure modeling and the non-uniform assignment method based on empirical formulas, to simulate three different osteotomy line design schemes for centric occlusion preoperatively, in order to evaluate the biomechanical characteristics of the model. Method: Three types of jawbones were selected, CT images were obtained, and related software was combined for finite element modeling. Results: The stress distribution map obtained by the uniform assignment method shows a larger stress distribution range than the non-uniform assignment method, but the maximum stress, strain, and displacement are generally lower. For the protruding and normal types of jawbones, Scheme One shows lower maximum stress, strain, and displacement under both material assignment methods, but no clear suitable scheme was found for the retrusive type. Conclusion: The protruding and normal types of jawbones are more suitable for adopting the osteotomy line design scheme of Scheme One, and for the retrusive type, other jaw angle osteotomy plastic surgery methods may need to be considered to ensure better biomechanical characteristics. Whether choosing the osteotomy line design scheme or selecting the modeling material assignment method, it is necessary to make the final decision based on the specific analysis objectives and resource conditions.

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  • 收稿日期:2024-12-06
  • 最后修改日期:2025-01-10
  • 录用日期:2025-01-13
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