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Ivanovic A, Schalbetter F, Schmeltz M, Wimmer W, Caversaccio M, Stampanoni M, Bonnin A, Anschuetz L. Characterizing bone density pattern and porosity in the human ossicular chain using synchrotron microtomography. Sci Rep 2024; 14:18498. [PMID: 39122776 PMCID: PMC11315917 DOI: 10.1038/s41598-024-69608-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2023] [Accepted: 08/07/2024] [Indexed: 08/12/2024] Open
Abstract
The auditory ossicles amplify and transmit sound from the environment to the inner ear. The distribution of bone mineral density is crucial for the proper functioning of sound transmission as the ossicles are suspended in an air-filled chamber. However, little is known about the distribution of bone mineral density along the human ossicular chain and within individual ossicles. To investigate this, we analyzed fresh-frozen human specimens using synchrotron-based phase-contrast microtomography. In addition, we analyzed the volume and porosity of the ossicles. The porosity for the auditory ossicles lies, on average, between 1.92% and 9.85%. The average volume for the mallei is 13.85 ± 2.15 mm3, for the incudes 17.62 ± 4.05 mm3 and 1.24 ± 0.29 mm3 for the stapedes. The bone density distribution showed a similar pattern through all samples. In particular, we found high bone mineralization spots on the anterior crus of the stapes, its footplate, and along areas that are crucial for the transmission of sound. We could also see a correlation between low bone mineral density and holey areas where the bone is only very thin or missing. Our study identified a similar pattern of bone density distribution within all samples: regions exposed to lower forces generally show higher bone density. Further, we observed that the stapes shows high bone mineral density along the anterior crus and its footplate, which may indicate its importance in transmitting sound waves to the inner ear.
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Affiliation(s)
- Aleksandra Ivanovic
- Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, Universityof Bern, Bern, Switzerland.
- Hearing Research Laboratory, ARTORG Center for Biomedical Engineering Research, University of Bern, Bern, Switzerland.
- Paul Scherrer Institut, Swiss Light Source, Villigen PSI, Villigen, Switzerland.
| | - Fabian Schalbetter
- Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, Universityof Bern, Bern, Switzerland
| | - Margaux Schmeltz
- Paul Scherrer Institut, Swiss Light Source, Villigen PSI, Villigen, Switzerland
| | - Wilhelm Wimmer
- Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, Universityof Bern, Bern, Switzerland
- Department of Otorhinolaryngology, Technical University of Munich, TUM School of Medicine, Klinikum rechts der Isar, Munich, Germany
| | - Marco Caversaccio
- Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, Universityof Bern, Bern, Switzerland
- Hearing Research Laboratory, ARTORG Center for Biomedical Engineering Research, University of Bern, Bern, Switzerland
| | - Marco Stampanoni
- Paul Scherrer Institut, Swiss Light Source, Villigen PSI, Villigen, Switzerland
- Institute for Biomedical Engineering, University and ETH Zürich, Zurich, Switzerland
| | - Anne Bonnin
- Paul Scherrer Institut, Swiss Light Source, Villigen PSI, Villigen, Switzerland
| | - Lukas Anschuetz
- Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, Universityof Bern, Bern, Switzerland
- Department of Otorhinolaryngology, Head and Neck Surgery, CHUV Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland
- The Sense Innovation and Research Center, Lausanne and Sion, Lausanne, Switzerland
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Kim S, Goo W, Karima G, Lee JH, Kim HD. Polyacrylamide/Gel-Based Self-Healing Artificial Tympanic Membrane for Drug Delivery of Otitis Treatment. Biomater Res 2024; 28:0049. [PMID: 38952716 PMCID: PMC11214819 DOI: 10.34133/bmr.0049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2024] [Accepted: 05/26/2024] [Indexed: 07/03/2024] Open
Abstract
One of the bacterial infections caused by tympanic membrane perforation is otitis media (OM). Middle ear inflammation causes continuous pain and can be accompanied by aftereffects such as facial nerve paralysis if repeated chronically. Therefore, it is necessary to develop an artificial tympanic membrane (TM) that can effectively regenerate the eardrum due to the easy implantation and removal of OM inflammation. In this study, we synthesized hydrogel by mixing gelatin and polyacrylamide. Cefuroxime sodium salt was then incorporated into this hydrogel to both regenerate the TM and treat OM. Cytotoxicity experiments confirmed the biocompatibility of hydrogels equipped with antibiotics, and we conducted drug release and antibacterial experiments to examine continuous drug release. Through experiments, we have verified the excellent biocompatibility, drug release ability, and antibacterial effectiveness of hydrogel. It holds the potential to serve as an effective strategy for treating OM and regenerating TM as a drug delivery substance.
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Affiliation(s)
- Sujin Kim
- Department of IT Convergence (Brain Korea Plus 21),
Korea National University of Transportation, Chungju, 27469, Republic of Korea
| | - Woonhoe Goo
- Department of Otorhinolaryngology-Head and Neck Surgery,
Seoul National University Hospital, Seoul, 03080, Republic of Korea
| | - Gul Karima
- Department of Polymer Science and Engineering,
Korea National University of Transportation, Chungju, 27469, Republic of Korea
| | - Jun Ho Lee
- Department of Otorhinolaryngology-Head and Neck Surgery,
Seoul National University Hospital, Seoul, 03080, Republic of Korea
| | - Hwan D. Kim
- Department of IT Convergence (Brain Korea Plus 21),
Korea National University of Transportation, Chungju, 27469, Republic of Korea
- Department of Polymer Science and Engineering,
Korea National University of Transportation, Chungju, 27469, Republic of Korea
- Department of Biomedical Engineering,
Korea National University of Transportation, Chungju, 27469, Republic of Korea
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Waring NA, Chern A, Vilarello BJ, Lang JH, Olson ES, Nakajima HH. Sheep as a Large-Animal Model for Otology Research: Temporal Bone Extraction and Transmastoid Facial Recess Surgical Approach. J Assoc Res Otolaryngol 2023; 24:487-497. [PMID: 37684421 PMCID: PMC10695901 DOI: 10.1007/s10162-023-00907-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2023] [Accepted: 07/17/2023] [Indexed: 09/10/2023] Open
Abstract
PURPOSE Sheep are used as a large-animal model for otology research and can be used to study implantable hearing devices. However, a method for temporal bone extraction in sheep, which enables various experiments, has not been described, and literature on middle ear access is limited. We describe a method for temporal bone extraction and an extended facial recess surgical approach to the middle ear in sheep. METHODS Ten temporal bones from five Hampshire sheep head cadavers were extracted using an oscillating saw. After craniotomy and removal of the brain, a coronal cut was made at the posterior aspect of the orbit followed by a midsagittal cut of the occipital bone and disarticulation of the atlanto-occipital joint. Temporal bones were surgically prepared with an extended facial recess approach. Micro-CT scans of each temporal bone were obtained, and anatomic dimensions were measured. RESULTS Temporal bone extraction was successful in 10/10 temporal bones. Extended facial recess approach exposed the malleus, incus, stapes, and round window while preserving the facial nerve, with the following surgical considerations: minimally pneumatized mastoid; tegmen (superior limit of mastoid cavity) is low-lying and sits below temporal artery; chorda tympani sacrificed to optimize middle ear exposure; incus buttress does not obscure view of middle ear. Distance between the superior aspect of external auditory canal and tegmen was 2.7 (SD 0.9) mm. CONCLUSION We identified anatomic landmarks for temporal bone extraction and describe an extended facial recess approach in sheep that exposes the ossicles and round window. This approach is feasible for studying implantable hearing devices.
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Affiliation(s)
- Nicholas A Waring
- Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA
- Department of Otolaryngology-Head & Neck Surgery, NewYork-Presbyterian/Columbia University Irving Medical Center, NY, New York, USA
| | - Alexander Chern
- Department of Otolaryngology-Head & Neck Surgery, NewYork-Presbyterian/Columbia University Irving Medical Center, NY, New York, USA
| | - Brandon J Vilarello
- Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA
- Department of Otolaryngology-Head & Neck Surgery, NewYork-Presbyterian/Columbia University Irving Medical Center, NY, New York, USA
| | - Jeffrey H Lang
- Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA, USA
| | - Elizabeth S Olson
- Department of Otolaryngology-Head & Neck Surgery, NewYork-Presbyterian/Columbia University Irving Medical Center, NY, New York, USA.
- Department of Biomedical Engineering, Columbia University, New York, NY, USA.
| | - Hideko Heidi Nakajima
- Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear and Harvard Medical School, Boston, MA, USA
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Sonoporation of the Round Window Membrane on a Sheep Model: A Safety Study. Pharmaceutics 2023; 15:pharmaceutics15020442. [PMID: 36839763 PMCID: PMC9964975 DOI: 10.3390/pharmaceutics15020442] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2022] [Revised: 01/23/2023] [Accepted: 01/26/2023] [Indexed: 01/31/2023] Open
Abstract
Sonoporation using microbubble-assisted ultrasound increases the permeability of a biological barrier to therapeutic molecules. Application of this method to the round window membrane could improve the delivery of therapeutics to the inner ear. The aim of this study was to assess the safety of sonoporation of the round window membrane in a sheep model. To achieve this objective, we assessed auditory function and cochlear heating, and analysed the metabolomics profiles of perilymph collected after sonoporation, comparing them with those of the control ear in the same animal. Six normal-hearing ewes were studied, with one sonoporation ear and one control ear for each. A mastoidectomy was performed on both ears. On the sonoporation side, Vevo MicroMarker® microbubbles (MBs; VisualSonics-Fujifilm, Amsterdam, The Netherlands) at a concentration of 2 × 108 MB/mL were locally injected into the middle ear and exposed to 1.1 MHz sinusoidal ultrasonic waves at 0.3 MPa negative peak pressure with 40% duty cycle and 100 μs interpulse period for 1 min; this was repeated three times with 1 min between applications. The sonoporation protocol did not induce any hearing impairment or toxic overheating compared with the control condition. The metabolomic analysis did not reveal any significant metabolic difference between perilymph samples from the sonoporation and control ears. The results suggest that sonoporation of the round window membrane does not cause damage to the inner ear in a sheep model.
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Martonos C, Gudea A, D’Amico G, Stan F, Stroe T. Morphological and morphometrical anatomy of the auditory ossicles in roe deer ( Capreolus capreolus). THE EUROPEAN ZOOLOGICAL JOURNAL 2022. [DOI: 10.1080/24750263.2022.2113158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022] Open
Affiliation(s)
- C. Martonos
- Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine, Cluj-Napoca, Romania
| | - A. Gudea
- Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine, Cluj-Napoca, Romania
| | - G. D’Amico
- Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine, Cluj-Napoca, Romania
| | - F. Stan
- Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine, Cluj-Napoca, Romania
| | - T. Stroe
- Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine, Cluj-Napoca, Romania
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Morphological and Morphometrical Aspects of the Auditory Ossicles in the European Badger (Meles Meles). Vet Sci 2022; 9:vetsci9090483. [PMID: 36136699 PMCID: PMC9504775 DOI: 10.3390/vetsci9090483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2022] [Revised: 09/05/2022] [Accepted: 09/07/2022] [Indexed: 11/30/2022] Open
Abstract
Simple Summary The little-described morphology of the ear ossicles in the badger provides some interesting morphological features alongside some metrical data. For the malleus, we notice the standard framing into the known shape, with the mentioned presence at the level of the column of all three processes (lateral, rostral and medial), from which the rostral one is the most developed. The malleal manubrium is long and triangularly shaped on a cross-section. For the incus we notice the overall shape of a biradicular molar with the existence of the two crura in acute angulation, while the long crus is continuing with the lenticular process. The presence of a bony blade that links to the lenticular process is also noted. For the stapes, the almost equal two crura and the quite round intercrural foramen is described. Abstract Given the scarce morphological data regarding the middle ear anatomy of this species, the paper attempts to describe the morphological and morphometrical data of the auditory ossicles in the badger. The study was performed using the standard morphological investigations and provides a complete morphological description of the ossicular assembly (malleus, incus and stapes) with some comparative features and attempts to provide a complete set of standardized metrical data for each ossicle. A more-detailed attempt to compare some functional aspects in the light of combined metrical ratios is also implied.
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Santos A, Gradela A, Faria M. Anatomical and morphometric study of goat middle ear ossicles (Capra aegagrus hircus). ARQ BRAS MED VET ZOO 2021. [DOI: 10.1590/1678-4162-12482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
ABSTRACT The social and economic roles of goat farming in Northeastern Brazil, allied to the fact that the use of goat middle ear ossicles for research and human ear surgery training has not yet been proposed, justify the study of their applicability as an experimental model. The middle ears of 19 goats (Capra aegagrus hircus) from the bone collection of the Laboratory and Didactic Anatomy Museum of Domestic and Wild Animals of the Federal University of Vale do São Francisco (UNIVASF) were dissected. The malleus, incus, and stapes were evaluated regarding their macroscopic morphology and biometry (length, width, and height). Ossicle morphology was similar to sheep, human, and bovine morphology. The malleus was 1.3 times heavier and 2.2 times longer than the incus, and 9.0 times heavier and 3.7 times longer than the stapes. The size relationship was positive between the stapes and the malleus and negative between the stapes and the incus. It is concluded that the middle ear size and the anatomical similarities with human ossicles make goats a useful model for experimental scientific studies, reconstructive surgery practice of the ossicular chain, and human ear surgery training.
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Affiliation(s)
- A.C. Santos
- Universidade Federal do Vale do São Francisco, Brazil
| | - A. Gradela
- Universidade Federal do Vale do São Francisco, Brazil
| | - M.D. Faria
- Universidade Federal do Vale do São Francisco, Brazil
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Rosowski JJ, Ramier A, Cheng JT, Yun SH. Optical coherence tomographic measurements of the sound-induced motion of the ossicular chain in chinchillas: Additional modes of ossicular motion enhance the mechanical response of the chinchilla middle ear at higher frequencies. Hear Res 2020; 396:108056. [PMID: 32836020 PMCID: PMC7572631 DOI: 10.1016/j.heares.2020.108056] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Revised: 07/18/2020] [Accepted: 08/06/2020] [Indexed: 10/23/2022]
Abstract
Wavelength-swept optical coherence tomography (OCT) was used to scan the structure of cadaveric chinchilla ears in three dimensions with high spatial resolution and measure the sound-induced displacements of the entire OCT-visible lateral surfaces of the ossicles in the lateral-to-medial direction. The simultaneous measurement of structure and displacement allowed a precise match between the observed motion and its structural origin. The structure and measured displacements are consistent with previously published data. The coincident detailed structural and motion measurements demonstrate the presence of several frequency-dependent modes of ossicular motion, including: (i) rotation about an anteriorly-to-posteriorly directed axis positioned near the commonly defined anatomical axis of rotation that dominates at frequencies below 8 kHz, (ii) a lateral-to-medial translational component that is visible at frequencies from 2 to greater than 10 kHz, and (iii) a newly described rotational mode around an inferiorly-to-superiorly directed axis that parallels the manubrium of the malleus and dominates ossicular motion between 10 and 16 kHz. This new axis of rotation is located near the posterior edge of the manubrium. The onset of the second rotational mode leads to a boost in the magnitude of sound-induced stapes displacement near 14 kHz, and adds a half-cycle to the accumulating phase in middle-ear sound transmission. Similar measurements in one ear after interruption of the incudostapedial joint suggest the load of the cochlea and stapes annular ligament is important to the presence of the second rotational mode, and acts to limit simple ossicular translation.
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Affiliation(s)
- John J Rosowski
- Eaton-Peabody Laboratory of Auditory Physiology, Massachusetts Eye and Ear, 243 Charles Street, Boston 02114, MA, USA; Department of Otolaryngology - Head and Neck Surgery, Harvard Medical School, 243 Charles Street, Boston 02114, MA, USA.
| | - Antoine Ramier
- Harvard-MIT Division of Health Sciences and Technology, 77 Massachusetts Avenue, Cambridge 02139 MA, USA; Wellman Center for Photomedicine, Massachusetts General Hospital, 65 Lansdowne St. UP-5, Cambridge 02139, MA, USA
| | - Jeffrey Tao Cheng
- Eaton-Peabody Laboratory of Auditory Physiology, Massachusetts Eye and Ear, 243 Charles Street, Boston 02114, MA, USA; Department of Otolaryngology - Head and Neck Surgery, Harvard Medical School, 243 Charles Street, Boston 02114, MA, USA
| | - Seok-Hyun Yun
- Harvard-MIT Division of Health Sciences and Technology, 77 Massachusetts Avenue, Cambridge 02139 MA, USA; Wellman Center for Photomedicine, Massachusetts General Hospital, 65 Lansdowne St. UP-5, Cambridge 02139, MA, USA
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