Multiphysics Interaction Analysis of the Therapeutic Effects of the Sigmoid Sinus Wall Reconstruction in Patients with Venous Pulsatile Tinnitus
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patients’ Data
2.2. Multiphysics Interaction Geometry Models
2.3. Meshing Generation
2.4. Multiphysics Interaction Governing Equations
2.5. Boundary Condition and Calculation Setting
3. Results
3.1. Blood Flow Velocity
3.2. Blood Wall Pressure
3.3. Average Displacement of the Venous Vessel
3.4. Von Mises Stress of the Temporal Bone
3.5. Displacement Distribution of the Temporal Bone
3.6. Sound Pressure Level
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Nomenclature
VPT | venous pulsatile tinnitus |
SS | sigmoid sinus |
TS | transverse sinus |
SSD | sigmoid sinus diverticulum |
SSWD | sigmoid sinus wall dehiscence |
SSWR | sigmoid sinus wall reconstruction |
TBAC | temporal bone air cell |
References
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Patients | Age | Gender | Duration (Years) | Side | Diagnosis |
---|---|---|---|---|---|
patient 1 | 38 | female | 6 | left | SSWD + SSD + HJB |
patient 2 | 41 | female | 4 | left | SSWD + SSD + HJB |
patient 3 | 55 | female | 5 | right | SSWD + SSD |
Patients | Inlet Area (mm2) | Outlet Area (mm2) | SSWD Area (mm2) | Longest Horizontal Diameter of SSWD (mm) | Longest Longitudinal Diameter of SSWD (mm) | TBAC Volume (mm3) | Tympanum Area (mm2) |
---|---|---|---|---|---|---|---|
patient 1 | 31.95 | 63.26 | 131.68 | 5.04 | 27.46 | 6834.90 | 18.56 |
patient 2 | 40.83 | 60.73 | 159.45 | 5.49 | 28.46 | 5814.80 | 16.14 |
patient 3 | 22.80 | 56.78 | 179.72 | 7.86 | 30.35 | 8763.30 | 16.31 |
Name | Density (g/cm3) | Viscosity (Pa∙s) | Elastic Module (MP) | Poisson’s Ratio | Reference |
---|---|---|---|---|---|
Venous blood | 1.05 | 0.0035 | - | - | Mu et al. [18] |
Venous vessel | 1.05 | - | 1.26 | 0.3 | Cho et al. [19] and Lofink et al. [20] |
Temporal bone | 2.00 | - | 12,000 | 0.3 | Du et al. [21] |
Parameters | Control Subject | 3/4SSWD | 1/2SSWD | 1/4SSWD | 0SSWD |
---|---|---|---|---|---|
Average wall pressure (Pa) | 206.39 ± 117.79 | 33.70 ± 12.53% | 35.86 ± 12.39% | 39.70 ± 12.45% | - |
Average displacement (μm) | 9.31 ± 7.32 | 35.8 ± 18.66% | 41.66 ± 21.97% | 58.12 ± 23.49% | - |
Maximum displacement (nm) | 8.06 ± 4.44 | 25.91 ± 30.20% | 37.20 ± 31.47% | 52.60 ± 34.66% | 79.35 ± 18.13% |
Sound pressure level (dB) | 68.49 ± 4.44 | 23.72 ± 1.91% | 31.03 ± 14.40% | 45.62 ± 19.11% | 128.46 ± 15.46% |
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Mu, Z.; Zhuang, L.; Zhao, P.; Gao, B.; Liu, Y.; Wang, Z.; Yang, S.; Wang, X. Multiphysics Interaction Analysis of the Therapeutic Effects of the Sigmoid Sinus Wall Reconstruction in Patients with Venous Pulsatile Tinnitus. Bioengineering 2023, 10, 715. https://doi.org/10.3390/bioengineering10060715
Mu Z, Zhuang L, Zhao P, Gao B, Liu Y, Wang Z, Yang S, Wang X. Multiphysics Interaction Analysis of the Therapeutic Effects of the Sigmoid Sinus Wall Reconstruction in Patients with Venous Pulsatile Tinnitus. Bioengineering. 2023; 10(6):715. https://doi.org/10.3390/bioengineering10060715
Chicago/Turabian StyleMu, Zhenxia, Lihui Zhuang, Pengfei Zhao, Bin Gao, Youjun Liu, Zhenchang Wang, Shifeng Yang, and Ximing Wang. 2023. "Multiphysics Interaction Analysis of the Therapeutic Effects of the Sigmoid Sinus Wall Reconstruction in Patients with Venous Pulsatile Tinnitus" Bioengineering 10, no. 6: 715. https://doi.org/10.3390/bioengineering10060715