Zeng Yanjun, Wu Weihua, Yang Jian, Li Zhen, Yu Hongmei
Beijing Polytechnic University, Beijing 100022.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2002 Sep;19(3):389-91.
There has been a lot of controversies on which layer the silastic implants should be inserted in the augmentation rhinoplasty, i.e. subperiosteal or deep subfascial. This study is to investigate the biomechanical properties of human nasal periosteum and deep fascia, including tensile strength, stress-strain and stress relaxation characters under uniaxial tension system. The periosteum is stronger in tensile strength than that of the fascia, but it is less elastic. Under a sudden increase of load, the periosteum relaxes far less than the fasia. Therefore, in view of biomechanics, the periosteum is thicker, tougher, stiffer and less relaxation than facia, thus has a better fixation effect.
在隆鼻术中,硅橡胶植入物应植入哪一层存在很多争议,即骨膜下或深筋膜下。本研究旨在探讨人鼻骨膜和深筋膜的生物力学特性,包括单轴拉伸系统下的拉伸强度、应力应变和应力松弛特性。骨膜的拉伸强度比筋膜强,但弹性较小。在负荷突然增加时,骨膜的松弛远小于筋膜。因此,从生物力学角度来看,骨膜比筋膜更厚、更坚韧、更硬且松弛度更小,因此具有更好的固定效果。