The information on the force of extraocular muscles(EOMs)is beneficial for strabismus diagnosis and surgical planning,and a direct and simple method is important for surgeons to obtain these forces.Based on the traditional model,a numerical simulation method was proposed to achieve this aim,and then the active force of the lateral rectus(LR)muscle was successfully simulated when the eye rotated every angle from 0°to 30°in the horizontal plane from the nasal to the temporal side.In order to verify these simulations,the results were compared with the previous experimental data.The comparison shows that the simulation results diverged much more than the experimental data in the range of 0°–10°.The errors were corrected to make the simulation results closer to the experimental data.Finally,a general empirical equation was proposed to evaluate the active force of the LR muscle by fitting these data,which represent the relationship between the simulation forces and the contractive amounts of the LR muscle.
In the present study, we reconstructed upper airway and soft palate models of 3 obstructive sleep apnea–hypopnea syndrome(OSAHS) patients with nasal obstruction. The airflow distribution and movement of the soft palate before and after surgery were described by a numerical simulation method. The curative effect of nasal surgery was evaluated for the three patients with OSAHS. The degree of nasal obstruction in the 3 patients was improved after surgery. For 2 patients with mild OSAHS, the upper airway resistance and soft palate displacement were reduced after surgery. These changes contributed to the mitigation of respiratory airflow limitation. For the patient with severe OSAHS, the upper airway resistance and soft palate displacement increased after surgery, which aggravated the airway obstruction. The effcacy of nasal surgery for patients with OSAHS is determined by the degree of improvement in nasal obstruction and whether the effects on the pharynx are beneficial. Numerical simulation results are consistent with the polysomnogram(PSG) test results, chief complaints, and clinical findings, and can indirectly reflect the degree of nasal patency and improvement of snoring symptoms, and further,provide a theoretical basis to solve relevant clinical problems.
Shen YuYing-Xi LiuXiu-Zhen SunYing-Feng SuYing WangYin-Zhe Gai
An extended and reasonable stress boundary condition at an osteon exterior wall is presented to solve the model proposed by Rémond and Naili. The obtained pressure and fluid velocity solutions are used to investigate the osteonal poroelastic behaviors. The following results are obtained. (i) Both the fluid pressure and the velocity amplitudes are proportional to the strain amplitude and the loading frequency. (ii) In the physiological loading state, the key role governing the poroelastic behaviors of the osteon is the strain rate. (iii) At the osteon scale, the pressure is strongly affected by the permeability variations, whereas the fluid velocity is not.
