Evidence map›Paper›PMID 38499908›Full record

ArticleClinical oral investigations2024

Three-dimensional finite element analysis on stress distribution after different palatoplasty and levator veli palatini muscle reconstruction.

Jian Ma, Meng Zhang, Denglan Yang, Kun Zhai, Lili Yu, Chen Hu, Wen Dong, Yongqing Huang

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Article in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Estimating Palatal and Pharyngeal Muscle Contraction in Hindi Syllable Pronunciation using Computational Modeling.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2024
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4 · The record

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5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Jian Ma *The General Hospital of Ningxia Medical University, Yinchuan, China. majianhs310@163.com.
Meng Zhang *Stomatology College of Ningxia Medical University, Yinchuan, China.
Denglan YangStomatology College of Ningxia Medical University, Yinchuan, China.
Kun ZhaiThe General Hospital of Ningxia Medical University, Yinchuan, China.
Lili YuThe General Hospital of Ningxia Medical University, Yinchuan, China.
Chen HuThe General Hospital of Ningxia Medical University, Yinchuan, China.
Wen DongThe General Hospital of Ningxia Medical University, Yinchuan, China.
Yongqing HuangThe General Hospital of Ningxia Medical University, Yinchuan, China. yongqinghuang_6510@126.com.
Ningxia Medical University · CNNingxia Medical University General Hospital · CN

Funding

Key Research and Development Program of Ningxia province 2022BEG03159 and 2021BEG02043National Natural Science Foundation of China 81600853National Natural Science Foundation of China 81960197
6 · The paper itself

Abstract

objectivesTo establish a three-dimensional finite element model of the upper palate, pharyngeal cavity, and levator veli palatini muscle in patients with unilateral complete cleft palate, simulate two surgical procedures that the two-flap method and Furlow reverse double Z method, observe the stress distribution of the upper palate soft tissue and changes in pharyngeal cavity area after different surgical methods, and verify the accuracy of the model by reconstructing and measuring the levator veli palatini muscle. MATERIALS AND

methodsMimics, Geomagic, Ansys, and Hypermesh were applied to establish three-dimensional finite element models of the pharyngeal cavity, upper palate, and levator veli palatini muscle in patients with unilateral complete cleft palate. The parameters including length, angle, and cross-sectional area of the levator veli palatini muscle etc. were measured in Mimics, and two surgical procedures that two-flap method and Furlow reverse double Z method were simulated in Ansys, and the area of pharyngeal cavity was measured by hypermesh.

resultsA three-dimensional finite element model of the upper palate, pharyngeal cavity, and bilateral levator veli palatini muscle was established in patients with unilateral complete cleft palate ; The concept of horizontal projection characteristics of the palatal dome was applied to the finite element simulation of cleft palate surgery, vividly simulating the displacement and elastic stretching of the two flap method and Furlow reverse double Z method during the surgical process; The areas with the highest stress in the two-flap method and Furlow reverse double Z method both occur in the hard soft palate junction area; In resting state, as measured, the two flap method can narrow the pharyngeal cavity area by 50.9%, while the Furlow reverse double Z method can narrow the pharyngeal cavity area by 65.4%; The measurement results of the levator veli palatini muscle showed no significant difference compared to previous studies, confirming the accuracy of the model.

conclusionsThe finite element method was used to establish a model to simulate the surgical procedure, which is effective and reliable. The area with the highest postoperative stress for both methods is the hard soft palate junction area, and the stress of the Furlow reverse double Z method is lower than that of the two-flap method. The anatomical conditions of pharyngeal cavity of Furlow reverse double Z method are better than that of two-flap method in the resting state. CLINICAL RELEVANCE: This article uses three-dimensional finite element method to simulate the commonly used two-flap method and Furlow reverse double Z method in clinical cleft palate surgery, and analyzes the stress distribution characteristics and changes in pharyngeal cavity area of the two surgical methods, in order to provide a theoretical basis for the surgeon to choose the surgical method and reduce the occurrence of complications.

Indexed as

Cleft PalateVelopharyngeal InsufficiencyFinite Element AnalysisHumansPalatal MusclesPalate, HardPalate, SoftCleft palateFurlow reverse double Z methodLevator veli palatini musclePharyngeal cavityThree-dimensional finite element methodTwo-flap method

Identifiers

PMID38499908
OpenAlexW4393095183

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.