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Sufficient downward rotation of the christa philtri on the cleft side: a modified technique
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《医学前沿（英文）》 2013年 第7卷 第4期 页码 510-516 doi: 10.1007/s11684-013-0299-6
Cleft lip and palate (CLP) is the most common craniofacial congenital deformity. The etiology of CLP is multifactorial and involves complex interactions between environmental and genetic factors. Millard’s rotation-advancement technique has long been considered as state-of-the-art for unilateral cleft lip repair. However, this method may leave the christa philtri on the cleft side insufficiently downward rotated, especially in wide complete clefts. In this study, we introduce a modified technique to better rotate the christa philtri on the cleft side down. The skin, muscle, and mucosa in the deformed region were dissected and separately maneuvered. Sixty patients with unilateral complete cleft lip and palate were operated with this technique. The lip height, lip length, and relative height of the christa philtri were measured for symmetry evaluation. No significant difference was observed between the relative height of the christa philtri on both sides, either immediate (P= 0.214) or 10 months after surgery (P = 0.344). The difference observed in the lip height and lip length immediately after surgery became statistically insignificant after 10 months (P = 0.104 for lip height and 0.121 for lip length). These results suggested that sufficient and stable downward rotation of the christa philtri on the cleft side can be achieved using our technique.
关键词： cleft lip and palate rotation advancement sufficient rotation christa philtri geometrically justified
Yingjun WANG,David J. BENSON
《机械工程前沿（英文）》 2016年 第11卷 第4期 页码 328-343 doi: 10.1007/s11465-016-0403-0
In this paper, an approach based on the fast point-in-polygon (PIP) algorithm and trimmed elements is proposed for isogeometric topology optimization (TO) with arbitrary geometric constraints. The isogeometric parameterized level-set-based TO method, which directly uses the non-uniform rational basis splines (NURBS) for both level set function (LSF) parameterization and objective function calculation, provides higher accuracy and efficiency than previous methods. The integration of trimmed elements is completed by the efficient quadrature rule that can design the quadrature points and weights for arbitrary geometric shape. Numerical examples demonstrate the efficiency and flexibility of the method.
关键词： isogeometric analysis topology optimization level set method arbitrary geometric constraint trimmed element
标题 作者 时间 类型 操作
Sufficient downward rotation of the christa philtri on the cleft side: a modified technique
null
期刊论文
Geometrically constrained isogeometric parameterized level-set based topology optimization via trimmed
Yingjun WANG,David J. BENSON
期刊论文
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