Biomedical subjects

Y Payan

Publications and source records attributed to Y Payan.

5 recordsLinked to original sources

PubMed2006

Intra-operative quantification of the surgical gesture in orbital surgery: application to the proptosis reduction.

BACKGROUND: Proptosis is characterized by a protrusion of the eyeball due to an increase of the orbital tissue volume. To recover a normal eyeball positioning, the most frequent surgical technique consists in the osteotomy of orbital walls combined with a loading on the eyeball to initiate tissue decompression. The first biomechanical models dealing with proptosis reduction, validated in one patient, have been previously proposed by the authors. METHODS: This paper proposed an experimental method to quantify the intra-operative clinical gesture in proptosis reduction, and the pilot study concerned one clinical case. The eyeball's backward displacement was measured by an optical 3D localizer and the load applied by the surgeon was simultaneously measured by a custom-made force gauge. Quasi-static stiffness of the intra-orbital content was evaluated. FINDINGS: The average values for the whole experiment was 16 N (SD: 3N) for the force exerted by the surgeon and 9 mm (SD: 4mm) for the eyeball backward displacement. The averaged quasi-static stiffness of the orbital content was evaluated to 2.4N/mm (SD: 1.2) and showed a global decrease of 45% post-operatively. INTERPRETATION: The protocol and the associated custom-designed devices allowed loads, induced displacements and macroscopic stiffness of the orbital content to be measured intra-operatively. The clinical relevance has been demonstrated in a pilot study. To our knowledge, no study has been published allowing the clinical gesture in proptosis reduction to be quantified intra-operatively. Associating an enlarged database and validated patient-related predictive models will reinforce the surgical efficiency and patient comfort contributing to diagnosis and intra-operative guidance.

Algorithms↗

PubMed2005

Non-linear elastic properties of the lingual and facial tissues assessed by indentation technique. Application to the biomechanics of speech production.

This paper aims at characterizing the mechanical behavior of two human anatomical structures, namely the tongue and the cheek. For this, an indentation experiment was provided, by measuring the mechanical response of tongue and cheek tissues removed from the fresh cadaver of a 74 year old woman. Non-linear relationships were observed between the force applied to the tissues and the corresponding displacements. To infer the mechanical constitutive laws from these measurements, a finite element (FE) analysis was provided. This analysis aimed at simulating the indentation experiment. An optimization process was used to determine the FE constitutive laws that provided the non-linear force/displacements observed during the indentation experiments. The tongue constitutive law was used for simulations provided by a 3D FE biomechanical model of the human tongue. This dynamical model was designed to study speech production. Given a set of tongue muscular commands, which levels correspond to the force classically measured during speech production, the FE model successfully simulated the main tongue movements observed during speech data.

Aged↗

PubMed2000

A simulator for maxillofacial surgery integrating 3D cephalometry and orthodontia.

OBJECTIVES: This paper presents a new simulator for maxillofacial surgery that gathers the dental and maxillofacial analyses together into a single computer-assisted procedure. The idea is to first propose a repositioning of the maxilla via the introduction of 3D cephalometry applied to a 3D virtual model of the patient's skull. Orthodontic data are then integrated into this model, using optical measurements of plaster casts of the teeth. MATERIALS AND METHODS: The feasibility of the maxillofacial demonstrator was first evaluated on a dry skull. To simulate malformations (and thus simulate a "real" patient), the skull was modified and manually cut by the surgeon to generate a given maxillofacial malformation (with asymmetries in the sagittal, frontal, and axial planes). RESULTS: The validation of our simulator consisted of evaluating its ability to propose a bone repositioning diagnosis that would restore the skull to its original configuration. An initial qualitative validation is provided in this paper, with a 1.5-mm error in the repositioning diagnosis. CONCLUSIONS: These results mainly validate the concept of a maxillofacial numerical simulator that integrates 3D cephalometry and guarantees a correct dental occlusion.

Cephalometry↗

PubMed2000

The mesh-matching algorithm: an automatic 3D mesh generator for finite element structures.

Several authors have employed finite element analysis for stress and strain analysis in orthopaedic biomechanics. Unfortunately, the definition of three-dimensional models is time consuming (mainly because of the manual 3D meshing process) and consequently the number of analyses to be performed is limited. The authors have investigated a new patient-specific method allowing automatically 3D mesh generation for structures as complex as bone for example. This method, called the mesh-matching (M-M) algorithm, generated automatically customized 3D meshes of anatomical structures from an already existing model. The M-M algorithm has been used to generate FE models of 10 proximal human femora from an initial one which had been experimentally validated. The automatically generated meshes seemed to demonstrate satisfying results.

Algorithms↗

PubMed1997

A control model of human tongue movements in speech.

Tongue movements during speech production have been investigated by means of a simple yet realistic biomechanical model, based on a finite elements modeling of soft tissues, in the framework of the equilibrium point hypothesis (lambda-model) of motor control. In particular, the model has been applied to the estimation of the "central" control commands issued to the muscles, for a data set of mid-sagittal digitized tracings of vocal tract shape, recorded by means of low-intensity X-ray cineradiographies during speech. In spite of the highly non-linear mapping between the shape of the oral cavity and its acoustic consequences, the organization of control commands preserves the peculiar spatial organization of vowel phonemes in acoustic space. A factor analysis of control commands, which have been decomposed into independent or "orthogonal" muscle groups, has shown that, in spite of the great mobility of the tongue and the highly complex arrangement of tongue muscles, its movements can be explained in terms of the activation of a small number of independent muscle groups, each corresponding to an elementary or "primitive" movement. These results are consistent with the hypothesis that the tongue is controlled by a small number of independent "articulators", for which a precise biomechanical substrate is provided. The influence of the effect of jaw and hyoid movements on tongue equilibrium has also been evaluated, suggesting that the bony structures cannot be considered as a moving frame of reference, but, indeed, there may be a substantial interaction between them and the tongue, that may only be accounted for by a "global" model. The reported results also define a simple control model for the tongue and, in analogy with similar modelling studies, they suggest that, because of the peculiar geometrical arrangement of tongue muscles, the central nervous system (CNS) may not need a detailed representation of tongue mechanics but rather may make use of a relatively small number of muscle synergies, that are invariant over the whole space of tongue configurations.

Humans↗