3D reconstruction of TMJ after resection of the cyst and the stress-strain analyses

作者：Mahdian Nima; Dostalova Tat' jana; Danek Josef^*; Nedoma Jiri; Kohout Josef; Hubacek Milan; Hlinakova Petra

来源：Computer Methods and Programs in Biomedicine, 2013, 110(3): 279-289.

DOI：10.1016/j.cmpb.2012.12.001

• Maxillofacial surgery
• Temporomandibular joint
• Mathematical modeling
• Contact problem
• Linear elasticity
• Finite element method

The aim of this article is 3D analysis of the temporomandibular joint (TMJ) patient, who underwent surgery, during which the right TMJ was resected along with the ramus of mandible and consequently the joint was reconstructed with subtotal replacement. The main goal is to give a suitable formulation of mathematical model, which describes the changes of stresses in TMJ incurred after the surgery The TMJ is a complex, sensitive and highly mobile joint which works bilaterally so each side influences the contralateral joint and because of this the distribution of the stresses is changed in the healthy joint as well. Detailed knowledge about function these are necessary for clinical application of temporomandibular joint prosthesis and also help us estimate the lifetime of the prosthesis a possibilities of alteration in the contra lateral joint components. The geometry for the 3D models is taken from the CT scan date and its numerical solution is based on the theory of semi-coercive unilateral contact problems in linear elasticity. This article provides medical part with case report, discretion of treatment, than the methods of mathematical modeling and his possibilities are described and finally results are reported.

• 出版日期2013-6