颗粒状骨传导生物聚合物及其在颌面外科中物理性质变化的预测分析

Granular osteoconductive biopolymer and predictive analysis of its physical property changes in maxillofacial surgery.

作者信息

Alekseev Denis G, Slesarev Oleg V, Malchikova Darya V, Belanov Vyacheslav G, Maksimenko Natalia A, Platonov Vladimir I, Abdullaev Ravshanbek B

机构信息

Samara State Medical University, Samara 443079, Russia.

Samara National Research University, Samara 443079, Russia.

出版信息

Comput Struct Biotechnol J. 2025 Jun 6;29:166-176. doi: 10.1016/j.csbj.2025.06.021. eCollection 2025.

Abstract

Dry bulk fractions of osteoconductive granular biopolymers (OGB) are a common choice for addressing jawbone defects. These, in conjunction with an insulating biological membrane, form bioengineered scaffold structures. In the recipient site, the OGB fraction undergoes biotransformation, morphing from a bulk granular fraction into a stable conglomerate. The biotransformation of the OGB fraction is a physical process initiated by the biological environment of the recipient site. This process is characterized by granule compaction due to reduced intergranular space volume, leading to an uncontrolled decrease in the planned volume of the OGB. This is one of the causes of postoperative complications. This study aims to identify prognostic indicators that characterize the dynamics of changes in the physical property of the total volume of the OGB fraction following the addressing of a jawbone defect (in the postoperative period). To minimize these limitations, the study substantiated the use of prognostic indicators that can characterize the behavior of the entire volume of the OGB fraction within the recipient site during the postoperative period. The study presents the true adsorption capacity (AC) and compaction coefficient (C) of the OGB fraction. Gas adsorption, Fourier transform infrared spectroscopy, and scanning electron microscopy substantiate that preoperative preparation methods enhance the physical property of the OGB fraction. These methods include the extraction of coarse and fine industrial dust from the granule surfaces and the removal of air pockets from the granule pores. Thus, studying OGB behavior in the recipient site justifies the use of prognostic indicators, which is clinically significant. These indicators enable the surgeon to design a 3D sculpture of the bioengineered scaffold structures, considering the changes in the physical property of the OGB fraction during the postoperative period. This approach minimizes the risks of postoperative complications caused by uncontrolled compaction of the OGB fraction. Preoperative preparation of the OGB fraction can significantly enhance its adsorption capacity, increasing it by up to 25 %.

摘要

骨传导性颗粒生物聚合物(OGB)的干散部分是治疗颌骨缺损的常用选择。这些与绝缘生物膜一起形成生物工程支架结构。在受体部位,OGB部分会发生生物转化,从散装颗粒部分转变为稳定的聚集体。OGB部分的生物转化是一个由受体部位的生物环境引发的物理过程。这个过程的特点是由于晶间空间体积减小导致颗粒压实,从而导致OGB计划体积的无控制减少。这是术后并发症的原因之一。本研究旨在确定预后指标,以表征颌骨缺损处理后(术后期间)OGB部分总体积物理性质变化的动态。为了尽量减少这些限制,该研究证实了使用预后指标,这些指标可以表征术后期间受体部位内OGB部分总体积的行为。该研究展示了OGB部分的真实吸附容量(AC)和压实系数(C)。气体吸附、傅里叶变换红外光谱和扫描电子显微镜证实,术前制备方法可增强OGB部分的物理性质。这些方法包括从颗粒表面提取粗、细工业粉尘以及从颗粒孔隙中去除气穴。因此,研究受体部位的OGB行为证明了使用预后指标的合理性,这具有临床意义。这些指标使外科医生能够在考虑术后期间OGB部分物理性质变化的情况下设计生物工程支架结构的3D模型。这种方法可将由OGB部分无控制压实引起的术后并发症风险降至最低。OGB部分的术前制备可显著提高其吸附容量,增幅高达25%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9554/12182766/291aec5cbbe0/ga1.jpg

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