◾ Clinical Applications of Soft Tissue Elasticity Measurement

Author(s):  
Yichao Yang ◽  
Arthur Weidemann ◽  
Charles Tison ◽  
Zhili Hao

This paper reports on a numerical study on how the elasticity of soft tissue measured by a Compression-Relaxation (C-R) testing method via a two-dimensional (2D) distributed-deflection sensor varies with the tissue parameters (i.e., elasticity, thickness and in-plane dimension). The 2D sensor entails a polydimethylsiloxane (PDMS) micro structure embedded with a 3×3 sensing-plate/transducer array deposited on a Pyrex substrate. By moving the 2D sensor against a soft tissue region with a pre-defined compression pattern, the average deflection-depth slope of the deflections of the sensing-plate array versus the compression depth of the testing tissue is measured, and is translated to the measured tissue elasticity via a 1D theoretical model. Since the measured tissue elasticity arises from the tissue-sensor interaction, a numerical model, which includes the 2D sensor and a soft tissue underneath, is created in COMSOL to investigate the sensitivity of the measured tissue elasticity to tissue parameters including tissue thickness, in-plane dimension and elasticity. The numerical results reveal that the theoretical model causes a 20% overestimate on the inherent tissue elasticity in the range of 25kPa∼200kPa. The measured tissue elasticity does not vary with tissue thickness when tissue thickness is above 6mm. However, a relatively thin tissue leads to higher measured tissue elasticity. As long as the tissue in-plane dimension is larger than the sensor in-plane dimension, the measured tissue elasticity is insensitive to the tissue in-plane dimension.


Author(s):  
Mohammed Mousa Bakri ◽  
Sung Ho Lee ◽  
Jong Ho Lee

Abstract Background A compact passive oxide layer can grow on tantalum (Ta). It has been reported that this oxide layer can facilitate bone ingrowth in vivo though the development of bone-like apatite, which promotes hard and soft tissue adhesion. Thus, Ta surface treatment on facial implant materials may improve the tissue response, which could result in less fibrotic encapsulation and make the implant more stable on the bone surface. The purposes of this study were to verify whether surface treatment of facial implant materials using Ta can improve the biohistobiological response and to determine the possibility of potential clinical applications. Methods Two different and commonly used implant materials, silicone and expanded polytetrafluoroethylene (ePTFE), were treated via Ta ion implantation using a Ta sputtering gun. Ta-treated samples were compared with untreated samples using in vitro and in vivo evaluations. Osteoblast (MG-63) and fibroblast (NIH3T3) cell viability with the Ta-treated implant material was assessed, and the tissue response was observed by placing the implants over the rat calvarium (n = 48) for two different lengths of time. Foreign body and inflammatory reactions were observed, and soft tissue thickness between the calvarium and the implant as well as the bone response was measured. Results The treatment of facial implant materials using Ta showed a tendency toward increased fibroblast and osteoblast viability, although this result was not statistically significant. During the in vivo study, both Ta-treated and untreated implants showed similar foreign body reactions. However, the Ta-treated implant materials (silicone and ePTFE) showed a tendency toward better histological features: lower soft tissue thickness between the implant and the underlying calvarium as well as an increase in new bone activity. Conclusion Ta surface treatment using ion implantation on silicone and ePTFE facial implant materials showed the possibility of reducing soft tissue intervention between the calvarium and the implant to make the implant more stable on the bone surface. Although no statistically significant improvement was observed, Ta treatment revealed a tendency toward an improved biohistological response of silicone and ePTFE facial implants. Conclusively, tantalum treatment is beneficial and has the potential for clinical applications.


2012 ◽  
Vol 45 ◽  
pp. S587
Author(s):  
Amir K. Miri ◽  
Luc Mongeau

2005 ◽  
Vol 33 (11) ◽  
pp. 1631-1639 ◽  
Author(s):  
Ahmad S. Khalil ◽  
Raymond C. Chan ◽  
Alexandra H. Chau ◽  
Brett E. Bouma ◽  
Mohammad R. Kaazempur Mofrad

Sign in / Sign up

Export Citation Format

Share Document