{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:31:00Z","timestamp":1777523460121,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,9,11]],"date-time":"2020-09-11T00:00:00Z","timestamp":1599782400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000069","name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","doi-asserted-by":"publisher","award":["R01AR074525"],"award-info":[{"award-number":["R01AR074525"]}],"id":[{"id":"10.13039\/100000069","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To elucidate the mechanics of scalp rotation flaps through 3D imaging and computational modeling. Excessive tension near a wound or sutured region can delay wound healing or trigger complications. Measuring tension in the operating room is challenging, instead, noninvasive methods to improve surgical planning are needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Multi-view stereo allows creation of 3D patient-specific geometries based on a set of photographs. The patient-specific 3D geometry is imported into a finite element (FE) platform to perform a virtual procedure. The simulation is compared with the clinical outcome. Additional simulations quantify the effect of individual flap parameters on the resulting tension distribution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Rotation flaps for reconstruction of scalp defects following melanoma resection in 2 cases are presented. Rotation flaps were designed without preoperative FE preparation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure:<\/jats:title>\n                    <jats:p>Tension distribution over the operated region.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The tension from FE shows peaks at the base and distal ends of the scalp rotation flap. The predicted geometry from the simulation aligns with postoperative photographs. Simulations exploring the flap design parameters show variation in the tension. Lower tensions were achieved when rotation was oriented with respect to skin tension lines (horizontal tissue fibers) and smaller rotation angles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Tension distribution following rotation of scalp flaps can be predicted through personalized FE simulations. Flaps can be designed to reduce tension using FE, which may greatly improve the reliability of scalp reconstruction in craniofacial surgery, critical in complex cases when scalp reconstruction is essential for coverage of hardware, implants, and\/or bone graft.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665620954094","type":"journal-article","created":{"date-parts":[[2020,9,11]],"date-time":"2020-09-11T05:34:43Z","timestamp":1599802483000},"page":"438-445","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Personalized Computational Models of Tissue-Rearrangement in the Scalp Predict the Mechanical Stress Signature of Rotation Flaps"],"prefix":"10.1177","volume":"58","author":[{"given":"Taeksang","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Mechanical Engineering, Purdue University, West Lafayette, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergey Y.","family":"Turin","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Feinberg School of Medicine, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Casey","family":"Stowers","sequence":"additional","affiliation":[{"name":"Department of Mechanical Engineering, Purdue University, West Lafayette, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arun K.","family":"Gosain","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Feinberg School of Medicine, Chicago, IL, USA"},{"name":"Department of Plastic Surgery, Lurie Children\u2019s Hospital, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8531-0603","authenticated-orcid":false,"given":"Adrian Buganza","family":"Tepole","sequence":"additional","affiliation":[{"name":"Department of Mechanical Engineering, Purdue University, West Lafayette, IN, USA"},{"name":"Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,9,11]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0040234"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2014.08.006"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2017.08.008"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.18002911408"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318220b159"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1109\/CVPR.2009.5206617"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1010835316564"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/wsbm.1228"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9290(74)90058-X"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2018.04.004"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmbbm.2018.03.034"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1098\/rspa.2017.0257"},{"issue":"8","key":"e_1_3_2_14_1","first-page":"e0200589","article-title":"Three-dimensional region-based study on the relationship between soft and hard tissue changes after orthognathic surgery in patients with prognathism","volume":"130","author":"Lo LJ","year":"2018","unstructured":"Lo LJ, Weng JL, Ho CT, Lin HH. 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