Effects of a perilymphatic fistula on the passive vibration response of the basilar membrane

Effectiveness of active middle ear implant placement methods in pathological conditions: basilar membrane vibration simulation

Active middle ear implants (AMEI) amplify mechanical vibrations in the middle ear and transmit them to the cochlea. The AMEI includes a floating mass transducer (FMT) that can be placed using two different surgical approaches: "oval window (OW) vibroplasty" and "round window (RW) vibroplasty." The OW and RW are windows located on the cochlea. Normally, sound stimulus is transmitted from the middle ear to cochlea via the OW. RW vibroplasty has been suggested as an alternative method due to the difficulty of applying OW vibroplasty in patients with ossicle dysfunction. Several reports compare the advantages of each approach through pre and postoperative hearing tests. However, quantitatively assessing the treatment effect is challenging due to individual differences in pathologies. This study investigates the vibration transmission efficiency of each surgical approach using a finite-element model of the human cochlea. Vibration of the basilar membrane (BM) of the cochlea is simulated by applying the stimulus through the OW or RW. Pathological conditions, such as impaired stapes mobility, are simulated by increasing the stiffness of the stapedial annular ligament. RW closure due to chronic middle ear diseases is a common clinical occurrence and is simulated by increasing the stiffness of the RW membrane in the model. The results show that the vibration amplitude of the BM is larger when the stimulus is applied to the RW compared to the OW, except for cases of RW membrane ossification. The difference in these amplitudes is particularly significant when stapedial mobility is limited. These results suggest that RW vibroplasty would be advantageous, especially in cases of accompanying stapedial mobility impairment. Additionally, it is suggested that transitioning to OW vibroplasty could still ensure a sufficient level of vibratory transmission efficiency when placing the FMT on the RW membrane is difficult due to anatomical problems in the tympanic cavity or confirmed severe pathological conditions around the RW.

A Consolidated Understanding of the Contribution of Redox Dysregulation in the Development of Hearing Impairment

The etiology of hearing impairment is multifactorial, with contributions from both genetic and environmental factors. Although genetic studies have yielded valuable insights into the development and function of the auditory system, the contribution of gene products and their interaction with alternate environmental factors for the maintenance and development of auditory function requires further elaboration. In this review, we provide an overview of the current knowledge on the role of redox dysregulation as the converging factor between genetic and environmental factor-dependent development of hearing loss, with a focus on understanding the interaction of oxidative stress with the physical components of the peripheral auditory system in auditory disfunction. The potential involvement of molecular factors linked to auditory function in driving redox imbalance is an important promoter of the development of hearing loss over time.

Pathogenic mechanism analysis of cochlear key structural lesion and phonosensitive hearing loss

Due to ethical issues and the very fine and complex structure of the cochlea, it is difficult to directly perform experimental measurement on the human cochlea. Therefore, the finite element method has become an effective and replaceable new research means. Accurate numerical analysis on human ear using finite element method can provide better understanding of sound transmission and can be used to assess the influence of diseases on hearing and to treat hearing loss. In this research, a three-dimensional (3D) finite element model (FEM) of the human ear of cochlea was presented to investigate the destruction of basilar membrane (BM), round window (RW) sclerosis and perilymph fistula, the key structures of the cochlea, and analyze the effects of these abnormal pathological states in the cochlea on cochlear hearing, resulting in the changes in cochlear sense structure biomechanical behavior and quantitative prediction of the degree and harm of the disorder to the decline of human hearing. Therefore, this paper can deepen reader's understanding of the cochlear biomechanical mechanism and provide a theoretical foundation for clinical otology.

Simulation-Based Study on Round Window Atresia by Using a Straight Cochlea Model with Compressible Perilymph

The sound stimulus received by the pinna is transmitted to the oval window of the inner ear via the outer ear and middle ear. Assuming that the perilymph in the scala vestibuli and scala tympani is compressible, we report that the sound wave generated in the cochlea due to the vibration of the oval window can be expressed by the combination of even and odd symmetric sound wave modes. Based on this new approach, this paper studies the cause of hearing deterioration in the lower frequency region seen in round window atresia from the viewpoint of cochlear acoustics. Round window atresia is an auditory disease in which the round window is ossified and its movement is restricted. Using the finite element method, a round window atresia model was designed and the acoustic behavior of the round window was discussed corresponding to the level of disease. From this, we report that the healthy round window works as a free-end reflector to the incident sound waves, but it also works as a fixed-end reflector in the case of round window atresia. Next, we incorporated the round window atresia model into a cochlear model and performed a simulation in order to determine the acoustic aspects of the cochlea as a whole. The simulation results indicate that hearing deterioration occurs in a lower frequency range, which is also coincident with the clinical reports (hearing deterioration of approximately 10 to 20 dB below 4000 Hz). Finally, we explain that the cause of hearing deterioration due to round window atresia is considered to be the even sound wave mode enlarging due to the fixed-end reflection at the ossified round window, and, as a result, the odd sound wave mode that generates the Békésy’s traveling wave on a basilar membrane is significantly weakened.

Contribution of Even/Odd Sound Wave Modes in Human Cochlear Model on Excitation of Traveling Waves and Determination of Cochlear Input Impedance

Based on the Navier–Stokes equation for compressible media, this work studies the acoustic properties of a human cochlear model, in which the scala vestibuli and scala tympani are filled with compressible perilymph. Since the sound waves propagate as a compression wave in perilymph, this model can precisely handle the wave–based phenomena. Time domain analysis showed that a sound wave (fast wave) first propagates in the scala vestibuli and scala tympani, and then, a traveling wave (slow wave) is generated by the sound wave with some delay. Detailed studies based on even and odd mode analysis indicate that an odd mode sound wave, that is, the difference in the sound pressures between the scala vestibuli and scala tympani, excites the Békésy’s traveling wave, while an even mode sound determines the input impedance of the cochlea.

Effects of lesions of the organ of corti on hearing

BACKGROUND

Lesions causing changes in the microstructure of the organ of Corti may lead to hearing impairment.

AIMS/OBJECTIVES

The aim of this study was to investigate the effect of various structural lesions on the organ of Corti and the auditory function.

METHODS

A finite element method of the cochlea and the organ of Corti were established based on computed tomography scanning and anatomical data. We evaluated the accuracy of the model by comparing the simulation results to reported experimental data. We simulated and analyzed the impact of the lesions on the sound-sensing function of the cochlea by adjusting the biomaterial parameters of each component of the cochlea.

RESULTS

In the explored frequency range, the stereocilia and outer hair cells and basilar membrane sclerosis resulted in 23.4%, 47.2%, and 57.8% reduction of basilar membrane displacement, respectively. Lesions of the basilar membrane and stereocilia and outer hair cells in the Corti caused a hearing response curve shift to higher frequencies and a decrease of the amplitude of the basilar membrane.

CONCLUSIONS AND SIGNIFICANCE

Lesions of the internal structure of the Corti cause diminished movement of basement membrane and decreased sensorial function, which ultimately lead to hearing loss.

A Novel Frequency Selectivity Approach Based on Travelling Wave Propagation in Mechanoluminescence Basilar Membrane for Artificial Cochlea

This study presents the initial assessment for a new approach to frequency selectivity aimed at mimicking the function of the basilar membrane within the human cochlea. The term cochlea tonotopy refers to the passive frequency selectivity and a transformation from the acoustic wave into a frequency signal assisted by the hair cells in the organ of Corti. While high-frequency sound waves vibrate near the base of the cochlea (near the oval windows), low-frequency waves vibrate near the apex (at the maximum distance from the base), which suggests the existence of continuous frequency selectivity. Over the past few decades, frequency selectivity using artificial membranes has been utilized in acoustic transducers by mimicking cochlea tonotopy using cantilever-beam arrays with defined physical parameters such as length and thickness. Unlike the conventional cantilever-beam array type, the travelling wave propagation based-mechanoluminescence (ML) membrane made of ZnS:Cu- polydimethylsiloxane (ZnS:Cu-PDMS) composite that we describe here provides new frequency selectivity more similar to that demonstrated by the human membrane. Here, we explored the potential of the ML membrane to deliver new frequency selectivity by using a non-contact image sensor to measure visualized frequencies. We report that the ML basilar membrane can provide effective visualization of the distribution of strain rate associated with the position of maximal amplitude of the travelling wave.

PARAMETER ANALYSIS OF 2D COCHLEAR MODEL AND QUANTITATIVE RESEARCH ON THE TRAVELING WAVE PROPAGATION

The traveling wave is the most important phenomenon in cochlear macromechanics. The behaviors of the traveling wave that greatly alter the auditory discrimination, are tightly related with the mechanical properties of the basilar membrane (BM) and its surrounding lymph. As an addition to the blanks of related researches, this paper focuses on some of the key parameters that affect the cochlear response most: the BM stiffness, damping parameters and the fluid viscosity. The influence of these parameters on the traveling wave is discussed, based on our former developed 2D finite element hydrodynamic cochlear model. Moreover, the traveling wave velocity and its transmitting time are calculated based on the simulating results. Although generally a rapid fall of the velocity from the cochlear base to the characteristic frequency (CF) location is confirmed, our quantitative analysis also indicates the traveling wave velocity may be both location and frequency dependent.

A clinically oriented introduction and review on finite element models of the human cochlea

Due to the inaccessibility of the inner ear, direct in vivo information on cochlear mechanics is difficult to obtain. Mathematical modelling is a promising way to provide insight into the physiology and pathology of the cochlea. Finite element method (FEM) is one of the most popular discrete mathematical modelling techniques, mainly used in engineering that has been increasingly used to model the cochlea and its elements. The aim of this overview is to provide a brief introduction to the use of FEM in modelling and predicting the behavior of the cochlea in normal and pathological conditions. It will focus on methodological issues, modelling assumptions, simulation of clinical scenarios, and pathologies.

Effect of different stapes prostheses on the passive vibration of the basilar membrane

The effect of different stapes prostheses on the basilar membrane (BM) motion was determined. To that end, a three dimensional finite element (FE) model of the passive human cochlea was developed. Passive responses of the BM were found based on coupled fluid-structure interactions between the cochlear solid structures and the scala fluids. The passive BM vibrations in normal (healthy) cochlea were compared with vibrations in the cochlea in which a 0.4-mm piston or a proposed new type of prosthesis was implanted. The proposed chamber prosthesis was not experimentally implanted, but only numerically simulated. Design of the new chamber stapes prosthesis is presented for the first time in this paper. The simulation results showed 10-20 dB decrease in BM displacement amplitude in the case of the piston. In contrast, the BM responses in the cochlea with the new prosthesis are higher with respect to the healthy ear. The results obtained in this study are promising for further research to optimize the design of the new chamber stapes prosthesis.