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Muyshondt PGG, Dirckx JJJ. Structural stiffening in the human middle ear due to static pressure: Finite-element analysis of combined static and dynamic middle-ear behavior. Hear Res 2020; 400:108116. [PMID: 33291007 DOI: 10.1016/j.heares.2020.108116] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Revised: 10/29/2020] [Accepted: 11/17/2020] [Indexed: 12/30/2022]
Abstract
The vibration response of the middle ear (ME) to sound changes when static pressure gradients are applied across the tympanic membrane (TM). To date, it has not been well understood which mechanisms lead to these changes in ME vibration response. In this study, a 3D finite-element model of the human ME was developed that simulates the sound-induced ME vibration response when positive and negative static pressures of up to 4 kPa are applied to the TM. Hyperelasticity of the soft-tissue components was considered to simulate large deformations under static pressure. Some ME components were treated as viscoelastic materials to capture the difference between their static and dynamic stiffness, which was needed to replicate both static and dynamic ME behavior. The change in dynamic stiffness with static preload was simulated by linearization of the hyperelastic constitutive model around the predeformed state. For the preloaded harmonic response, we found that the statically deformed ME geometry introduced asymmetry in the vibration loss between positive and negative pressure, which was due to the TM cone shape. As opposed to previous assumptions, the prestress in the ME due to static pressure had a substantial impact on the vibration response. We also found that material nonlinearity led to a higher stiffening at the umbo but a less pronounced stiffening at the footplate compared to the linear elastic condition. The results suggest that flexibility of the incudomalleolar joint (IMJ) enhances the decoupling of static umbo and footplate displacements, and that viscosity and viscoelasticity of the IMJ could play a role in the transfer of sound-induced vibrations from the umbo to the footplate. The components of the incudostapedial joint had minimal effect on ME mechanical behavior.
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Affiliation(s)
- Pieter G G Muyshondt
- Biophysics and Biomedical Physics, University of Antwerp, Groenenborgerlaan 171, 2020 Antwerp, Belgium.
| | - Joris J J Dirckx
- Biophysics and Biomedical Physics, University of Antwerp, Groenenborgerlaan 171, 2020 Antwerp, Belgium
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Boedts MJO. Tympanic Resonance Hypothesis. Front Neurol 2020; 11:14. [PMID: 32117001 PMCID: PMC7008469 DOI: 10.3389/fneur.2020.00014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2019] [Accepted: 01/07/2020] [Indexed: 11/13/2022] Open
Abstract
Seemingly unrelated symptoms in the head and neck region are eliminated when a patch is applied on specific locations on the Tympanic Membrane. Clinically, two distinct patient populations can be distinguished; cervical and masticatory muscle tensions are involved, and mental moods of anxiety or need. Clinical observations lead to the hypothesis of a “Tympanic Resonance Regulating System.” Its controller, the Trigeminocervical complex, integrates external auditory, somatosensory, and central impulses. It modulates auditory attention, and directs it toward unpredictable external or expected domestic and internal sounds: peripherally by shifting the resonance frequencies of the Tympanic Membrane; centrally by influencing the throughput of auditory information to the neural attention networks that toggle between scanning and focusing; and thus altering the perception of auditory information. The hypothesis leads to the assumption that the Trigeminocervical complex is composed of a dorsal component, and a ventral one which may overlap with the concept of “Trigeminovagal complex.” “Tympanic Dissonance” results in a host of local and distant symptoms, most of which can be attributed to activation of the Trigeminocervical complex. Diagnostic and therapeutic measures for this “Tympanic Dissonance Syndrome” are suggested.
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Affiliation(s)
- Michael J O Boedts
- Brai3n, Ghent, Belgium.,ENT Department, AZ Maria Middelares, Ghent, Belgium
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Tsur I, Shaviv N, Bronstein I, Elmakis D, Knafo O, Werner YL. Topography of vibration frequency responses on the bony tympano-periotic complex of the pilot whale Globicephala macrorhynchus. Hear Res 2019; 384:107810. [PMID: 31726328 DOI: 10.1016/j.heares.2019.107810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/27/2018] [Revised: 09/24/2019] [Accepted: 10/01/2019] [Indexed: 10/25/2022]
Abstract
In modern Cetacea, the ear bone complex comprises the tympanic and periotic bones forming the tympano-periotic complex (TPC), differing from temporal bone complexes of other mammals in form, construction, position, and possibly function. To elucidate its functioning in sound transmission, we studied the vibration response of 32 pairs of formaldehyde-glutaraldehyde-fixed TPCs of Globicephala macrorhynchus, the short-finned pilot whale (legally obtained in Taiji, Japan). A piezoelectric-crystal-based vibrator was surgically attached to a location on the cochlea near the exit of the acoustic nerve. The crystal delivered vibrational pulses through continuous sweeps from 5 to 50 kHz. The vibration response was measured as a function of frequency by Laser Doppler Vibrometry at five points on the TPC. The aim of the experiment was to clarify how the vibration amplitudes produced by different frequencies are distributed on the TPC. At the lowest frequencies (<12 kHz), no clear differential pattern emerged. At higher frequencies the anterolateral lip of the TP responded most sensitively with the highest displacement amplitudes, and response amplitudes decreased in orderly fashion towards the posterior part of the TPC. We propose that this works as a lever: high-frequency sounds are most sensitively received and cause the largest vibration amplitudes at the anterior part of the TP, driving movements with lower amplitude but greater force near the posteriorly located contact to the ossicular chain, which transmits the movements into the inner ear. Although force (pressure) amplification is not needed for impedance matching in water, it may be useful for driving the stiffly connected ossicles at the high frequencies used in echolocation.
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Affiliation(s)
- Itamar Tsur
- Faculty of Biological and Environmental Sciences, University of Helsinki, 00014 Helsinki, Finland.
| | - Nir Shaviv
- Racah Institute of Physics The Hebrew University of Jerusalem, 91904 Jerusalem, Israel
| | - Israel Bronstein
- Department of Mechanical Engineering, Ben Gurion University, Beer Sheva, Israel
| | - David Elmakis
- Department of Mechanical Engineering, Ben Gurion University, Beer Sheva, Israel
| | - Oshri Knafo
- Department of Mechanical Engineering, Ben Gurion University, Beer Sheva, Israel
| | - Yehudah L Werner
- Department of Ecology, Evolution and Behaviour, The Hebrew University of Jerusalem, 91904 Jerusalem, Israel; Museum für Tierkunde, Senckenberg Dresden, Königsbrücker Landstrasse 159, D-01109 Dresden, Germany
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Claes R, Muyshondt PG, Van Assche F, Van Hoorebeke L, Aerts P, Dirckx JJ. Eardrum and columella displacement in single ossicle ears under quasi-static pressure variations. Hear Res 2018; 365:141-148. [DOI: 10.1016/j.heares.2018.05.012] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2018] [Revised: 04/25/2018] [Accepted: 05/17/2018] [Indexed: 11/30/2022]
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Assessment of the Importance of Tympanic Membrane Mechanoreceptors on Eustachian Tube Function Based on Pressure Chamber Measurements. Otol Neurotol 2018; 39:e203-e208. [PMID: 29293131 DOI: 10.1097/mao.0000000000001667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
INTRODUCTION Previously, it was demonstrated how the Eustachian tube (ET) opening function can be influenced by middle ear pressure and movement of the tympanic membrane via neural control. Mechanoreceptors on the tympanic membrane may be part of the afferent arc and could influence the middle ear pressure by activating the musculus veli palatini as part of a reflex. METHODS In a hypo and hyperbaric pressure chamber, 17 participants (34 ears) were twice exposed to a standardized pressure profile of pressure decrease and increase. The ET function reflecting parameters-ET opening pressure (ETOP), ET opening duration (ETOD), and ET opening frequency (ETOF)-were determined before and after local anesthesia of the right tympanic membrane. RESULTS After pressure exposure by pressure increase (active induced equalization) and pressure decrease (passive equalization) there was no significant difference between the mean value of ETOP, ETOD, and ETOF before and after local anesthesia of the right tympanic membrane on the right (anesthetized) or left side (not anesthetized). CONCLUSION These results may lead to the hypothesis that tympanic membrane mechanoreceptors may play a minor role in regulating the ET function in humans.
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Liang J, Luo H, Yokell Z, Nakmali DU, Gan RZ, Lu H. Characterization of the nonlinear elastic behavior of chinchilla tympanic membrane using micro-fringe projection. Hear Res 2016; 339:1-11. [PMID: 27240479 DOI: 10.1016/j.heares.2016.05.012] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/25/2015] [Revised: 04/01/2016] [Accepted: 05/08/2016] [Indexed: 11/29/2022]
Abstract
The mechanical properties of an intact, full tympanic membrane (TM) inside the bulla of a fresh chinchilla were measured under quasi-static pressure from -1.0 kPa to 1.0 kPa applied on the TM lateral side. Images of the fringes projected onto the TM were acquired by a digital camera connected to a surgical microscope and analyzed using a phase-shift method to reconstruct the surface topography. The relationship between the applied pressure and the resulting volume displacement was determined and analyzed using a finite element model implementing a hyperelastic 2(nd)-order Ogden model. Through an inverse method, the best-fit model parameters for the TM were determined to allow the simulation results to agree with the experimental data. The nonlinear stress-strain relationship for the TM of a chinchilla was determined up to an equibiaxial tensile strain of 31% experienced by the TM in the experiments. The average Young's modulus of the chinchilla TM from ten bullas was determined as approximately 19 MPa.
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Affiliation(s)
- Junfeng Liang
- Department of Mechanical Engineering, The University of Texas at Dallas, Richardson, TX 75080, USA
| | - Huiyang Luo
- Department of Mechanical Engineering, The University of Texas at Dallas, Richardson, TX 75080, USA
| | - Zachary Yokell
- School of Aerospace and Mechanical Engineering, The University of Oklahoma, Norman, OK 73019, USA
| | - Don U Nakmali
- School of Aerospace and Mechanical Engineering, The University of Oklahoma, Norman, OK 73019, USA
| | - Rong Zhu Gan
- School of Aerospace and Mechanical Engineering, The University of Oklahoma, Norman, OK 73019, USA
| | - Hongbing Lu
- Department of Mechanical Engineering, The University of Texas at Dallas, Richardson, TX 75080, USA.
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Abstract
We present a finite-element model of the gerbil middle ear that, using a set of baseline parameters based primarily on a priori estimates from the literature, generates responses that are comparable with responses we measured in vivo using multi-point vibrometry and with those measured by other groups. We investigated the similarity of numerous features (umbo, pars-flaccida and pars-tensa displacement magnitudes, the resonance frequency and break-up frequency, etc.) in the experimental responses with corresponding ones in the model responses, as opposed to simply computing frequency-by-frequency differences between experimental and model responses. The umbo response of the model is within the range of variability seen in the experimental data in terms of the low-frequency (i.e., well below the middle-ear resonance) magnitude and phase, the main resonance frequency and magnitude, and the roll-off slope and irregularities in the response above the resonance frequency, but is somewhat high for frequencies above the resonance frequency. At low frequencies, the ossicular axis of rotation of the model appears to correspond to the anatomical axis but the behaviour is more complex at high frequencies (i.e., above the pars-tensa break-up). The behaviour of the pars tensa in the model is similar to what is observed experimentally in terms of magnitudes, phases, the break-up frequency of the spatial vibration pattern, and the bandwidths of the high-frequency response features. A sensitivity analysis showed that the parameters that have the strongest effects on the model results are the Young's modulus, thickness and density of the pars tensa; the Young's modulus of the stapedial annular ligament; and the Young's modulus and density of the malleus. Displacements of the tympanic membrane and manubrium and the low-frequency displacement of the stapes did not show large changes when the material properties of the incus, stapes, incudomallear joint, incudostapedial joint, and posterior incudal ligament were changed by ±10 % from their values in the baseline parameter set.
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Mason MJ. Structure and function of the mammalian middle ear. II: Inferring function from structure. J Anat 2015; 228:300-12. [PMID: 26100915 DOI: 10.1111/joa.12316] [Citation(s) in RCA: 48] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/13/2015] [Indexed: 11/28/2022] Open
Abstract
Anatomists and zoologists who study middle ear morphology are often interested to know what the structure of an ear can reveal about the auditory acuity and hearing range of the animal in question. This paper represents an introduction to middle ear function targetted towards biological scientists with little experience in the field of auditory acoustics. Simple models of impedance matching are first described, based on the familiar concepts of the area and lever ratios of the middle ear. However, using the Mongolian gerbil Meriones unguiculatus as a test case, it is shown that the predictions made by such 'ideal transformer' models are generally not consistent with measurements derived from recent experimental studies. Electrical analogue models represent a better way to understand some of the complex, frequency-dependent responses of the middle ear: these have been used to model the effects of middle ear subcavities, and the possible function of the auditory ossicles as a transmission line. The concepts behind such models are explained here, again aimed at those with little background knowledge. Functional inferences based on middle ear anatomy are more likely to be valid at low frequencies. Acoustic impedance at low frequencies is dominated by compliance; expanded middle ear cavities, found in small desert mammals including gerbils, jerboas and the sengi Macroscelides, are expected to improve low-frequency sound transmission, as long as the ossicular system is not too stiff.
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Affiliation(s)
- Matthew J Mason
- Department of Physiology, Development & Neuroscience, University of Cambridge, Cambridge, UK
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Guan X, Chen Y, Gan RZ. Factors affecting loss of tympanic membrane mobility in acute otitis media model of chinchilla. Hear Res 2014; 309:136-46. [PMID: 24406734 DOI: 10.1016/j.heares.2013.12.005] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2013] [Revised: 12/18/2013] [Accepted: 12/26/2013] [Indexed: 11/20/2022]
Abstract
Recently we reported that middle ear pressure (MEP), middle ear effusion (MEE), and ossicular changes each contribute to the loss of tympanic membrane (TM) mobility in a guinea pig model of acute otitis media (AOM) induced by Streptococcus pneumoniae (Guan and Gan, 2013). However, it is not clear how those factors vary along the course of the disease and whether those effects are reproducible in different species. In this study, a chinchilla AOM model was produced by transbullar injection of Haemophilus influenzae. Mobility of the TM at the umbo was measured by laser vibrometry in two treatment groups: 4 days (4D) and 8 days (8D) post inoculation. These time points represent relatively early and later phases of AOM. In each group, the vibration of the umbo was measured at three experimental stages: unopened, pressure-released, and effusion-removed ears. The effects of MEP and MEE and middle ear structural changes were quantified in each group by comparing the TM mobility at one stage with that of the previous stage. Our findings show that the factors affecting TM mobility do change with the disease time course. The MEP was the dominant contributor to reduction of TM mobility in 4D AOM ears, but showed little effect in 8D ears when MEE filled the tympanic cavity. MEE was the primary factor affecting TM mobility loss in 8D ears, but affected the 4D ears only at high frequencies. After the release of MEP and removal of MEE, residual loss of TM mobility was seen mainly at low frequencies in both 4D and 8D ears, and was associated with middle ear structural changes. Our findings establish that the factors contributing to TM mobility loss in the chinchilla ear were similar to those we reported previously for the guinea pig ears with AOM. Outcomes did not appear to differ between the two major bacterial species causing AOM in these animal models.
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Affiliation(s)
- Xiying Guan
- School of Aerospace and Mechanical Engineering and Bioengineering Center, University of Oklahoma, 865 Asp Avenue, Room 200, Norman, OK 73019, USA
| | - Yongzheng Chen
- School of Aerospace and Mechanical Engineering and Bioengineering Center, University of Oklahoma, 865 Asp Avenue, Room 200, Norman, OK 73019, USA
| | - Rong Z Gan
- School of Aerospace and Mechanical Engineering and Bioengineering Center, University of Oklahoma, 865 Asp Avenue, Room 200, Norman, OK 73019, USA.
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10
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Experimental study of vibrations of gerbil tympanic membrane with closed middle ear cavity. J Assoc Res Otolaryngol 2013; 14:467-81. [PMID: 23624883 DOI: 10.1007/s10162-013-0389-9] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2012] [Accepted: 03/31/2013] [Indexed: 10/26/2022] Open
Abstract
The purpose of the present work is to investigate the spatial vibration pattern of the gerbil tympanic membrane (TM) as a function of frequency. In vivo vibration measurements were done at several locations on the pars flaccida and pars tensa, and along the manubrium, on surgically exposed gerbil TMs with closed middle ear cavities. A laser Doppler vibrometer was used to measure motions in response to audio frequency sine sweeps in the ear canal. Data are presented for two different pars flaccida conditions: naturally flat and retracted into the middle ear cavity. Resonance of the flat pars flaccida causes a minimum and a shallow maximum in the displacement magnitude of the manubrium and pars tensa at low frequencies. Compared with a flat pars flaccida, a retracted pars flaccida has much lower displacement magnitudes at low frequencies and does not affect the responses of the other points. All manubrial and pars tensa points show a broad resonance in the range of 1.6 to 2 kHz. Above this resonance, the displacement magnitudes of manubrial points, including the umbo, roll off with substantial irregularities. The manubrial points show an increasing displacement magnitude from the lateral process toward the umbo. Above 5 kHz, phase differences between points along the manubrium start to become more evident, which may indicate flexing of the tip of the manubrium or a change in the vibration mode of the malleus. At low frequencies, points on the posterior side of the pars tensa tend to show larger displacements than those on the anterior side. The simple low-frequency vibration pattern of the pars tensa becomes more complex at higher frequencies, with the breakup occurring at between 1.8 and 2.8 kHz. These observations will be important for the development and validation of middle ear finite-element models for the gerbil.
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Mechanisms of tympanic membrane and incus mobility loss in acute otitis media model of guinea pig. J Assoc Res Otolaryngol 2013; 14:295-307. [PMID: 23483330 DOI: 10.1007/s10162-013-0379-y] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2012] [Accepted: 02/15/2013] [Indexed: 10/27/2022] Open
Abstract
Acute otitis media (AOM) is a rapid infection of middle ear due to bacterial or viral invasion. The infection commonly leads to negative pressure and purulent effusion in the middle ear. To identify how these changes affect tympanic membrane (TM) mobility or sound transmission through the middle ear, we hypothesize that pressure, effusion, and structural changes of the middle ear are the main mechanisms of conductive hearing loss in AOM. To test the hypothesis, a guinea pig AOM model was created by injection of Streptococcus pneumoniae. Three days post inoculation, vibration of the TM at umbo in response to input sound in the ear canal was measured at three experimental stages: intact, pressure-released, and effusion-drained AOM ears. The vibration of the incus tip was also measured after the effusion was removed. Results demonstrate that displacement of the TM increased mainly at low frequencies when pressure was released. As the effusion was removed, the TM mobility increased further but did not reach the level of the normal ear at low frequencies. This was caused by middle ear structural changes or adhesions on ossicles in AOM. The structural changes also affected movement of the incus at low and high frequencies. The results provide new evidence for understanding the mechanism of conductive hearing loss in AOM.
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12
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Von Unge M, Buytaert JAN, Dirckx JJJ. Anatomical boundary of the tympanic membrane pars flaccida of the Meriones unguiculatus (Mongolian gerbil). Anat Rec (Hoboken) 2011; 294:987-95. [PMID: 21538927 DOI: 10.1002/ar.21384] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2010] [Revised: 01/24/2011] [Accepted: 02/10/2011] [Indexed: 11/11/2022]
Abstract
The pars flaccida of the Meriones unguiculatus (Mongolian gerbil) was in previous studies shown to bulge almost spherically when pressurized, a behavior suggesting that it is suspended by a fixed circular boundary. The question arises whether this "functional" boundary is based on an underlying circular anatomical boundary, an important issue for modeling the middle-ear mechanics. In this article, the boundaries of the Mongolian gerbil pars flaccida were visualized in situ with otomicroscopy and in slides with light microscopy and by micro-CT radiology. For the major part of its circumference, the pars flaccida was found to be suspended by rigid bone, that is, the tympanic legs. The remaining boundary is made up of the terminal portion of the handle of the malleus and the soft tissue of the terminal arches. The attachment to these structures is simple and uncomplicated, and the geometry is regular and symmetric: deviating by only 3.5% from a perfect circular shape. The findings justify the use of a fixed circular boundary as a good approximation for the modeling of pars flaccida deformation in the Mongolian gerbil.
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Affiliation(s)
- Magnus Von Unge
- Department of Otorhinolaryngology, Akershus University Hospital and University of Oslo, Oslo, Norway.
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Qi L, Funnell WRJ, Daniel SJ. A nonlinear finite-element model of the newborn middle ear. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2008; 124:337-347. [PMID: 18646981 DOI: 10.1121/1.2920956] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
A three-dimensional static nonlinear finite-element model of a 22-day-old newborn middle ear is presented. The model includes the tympanic membrane (TM), malleus, incus, and two ligaments. The effects of the middle-ear cavity are taken into account indirectly. The geometry is based on a computed-tomography scan and on the published literature, supplemented by histology. A nonlinear hyperelastic constitutive law is applied to model large deformations. The middle-ear cavity and the Young's modulus of the TM have significant effects on TM volume displacements. The TM volume displacement and its nonlinearity and asymmetry increase as the middle-ear cavity volume increases. The effects of the Young's moduli of the ligaments and ossicles are found to be small. The simulated TM volume changes do not reach a plateau when the pressure is varied to either -3 kPa or +3 kPa, which is consistent with the nonflat tails often found in tympanograms in newborns. The simulated TM volume displacements, by themselves and also together with previous ear-canal model results, are compared with equivalent-volume differences derived from tympanometric measurements in newborns. The results suggest that the canal-wall volume displacement makes a major contribution to the total canal volume change, and may be larger than the TM volume displacement.
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Affiliation(s)
- Li Qi
- Department of BioMedical Engineering, McGill University, Montréal H3A2B4, Canada
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14
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Change of middle ear transfer function in otitis media with effusion model of guinea pigs. Hear Res 2008; 243:78-86. [PMID: 18586077 DOI: 10.1016/j.heares.2008.05.010] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2007] [Revised: 05/05/2008] [Accepted: 05/23/2008] [Indexed: 11/22/2022]
Abstract
Otitis media with effusion (OME) is an inflammatory disease of the middle ear that causes most cases of conductive hearing loss observed in the pediatric population. With the long term goal of evaluating middle ear function with OME, the aim of the current study was to create an animal model of OME in which middle ear transfer functions could be measured. In guinea pigs, OME was created by injecting lipopolysaccharide (LPS) into the middle ear. Evidence of OME was assessed by otoscopy, tympanometry, histology, and by measuring the volume of fluid in the middle ear. Vibrations of the umbo and round window membrane were measured with a laser Doppler vibrometer at frequency range of 200-40 kHz in three groups of 3, 7, and 14 days after injection of LPS. Changes in displacement of the umbo and round window membrane in response to 80 dB SPL sound in the ear canal were measured across the frequency range. Displacement of both the umbo and round window membrane was reduced at all time points following LPS injections. Further, the change of the displacement transmission ratio (DTR) from the tympanic membrane to the round window occurred mainly in chronic (e.g. 14 days post-LPS injection) OME ears. This study provides useful data for analyzing the change of middle ear transfer function in OME ears.
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15
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Combined effect of fluid and pressure on middle ear function. Hear Res 2007; 236:22-32. [PMID: 18162348 DOI: 10.1016/j.heares.2007.11.005] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2007] [Revised: 10/26/2007] [Accepted: 11/09/2007] [Indexed: 11/22/2022]
Abstract
In our previous studies, the effects of effusion and pressure on sound transmission were investigated separately. The aim of this study is to investigate the combined effect of fluid and pressure on middle ear function. An otitis media with effusion model was created by injecting saline solution and air pressure simultaneously into the middle ear of human temporal bones. Tympanic membrane displacement in response to 90 dB SPL sound input was measured by a laser vibrometer and the compliance of the middle ear was measured by a tympanometer. The movement of the tympanic membrane at the umbo was reduced up to 17 dB by the combination of fluid and pressure in the middle ear over the auditory frequency range. The fluid and pressure effects on the umbo movement in the fluid-pressure combination are not additive. The combined effect of fluid and pressure on the umbo movement is different compared with that of only fluid or pressure change in the middle ear. Negative pressure in fluid-pressure combination had more effect on middle ear function than positive pressure. Tympanometry can detect the middle ear pressure of the fluid-pressure combination. This study provides quantitative information for analysis of the combined effect of fluid and pressure on tympanic membrane movement.
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Wang X, Cheng T, Gan RZ. Finite-element analysis of middle-ear pressure effects on static and dynamic behavior of human ear. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2007; 122:906-17. [PMID: 17672640 DOI: 10.1121/1.2749417] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
A finite-element analysis for static behavior of middle ear under variation of the middle-ear pressure was conducted in a 3D model of human ear by combining the hyperelastic Mooney-Rivlin material model and geometry nonlinearity. An empirical formula was then developed to calculate material parameters of the middle-ear soft tissues as the stress-dependent elastic modulus relative to the middle-ear pressure. Dynamic behavior of the middle ear in response to sound pressure in the ear canal was predicted under various positive and negative middle-ear pressures. The results from static analysis indicate that a positive middle ear pressure produces the static displacements of the tympanic membrane (TM) and footplate more than a negative pressure. The dynamic analysis shows that the reductions of the TM and footplate vibration magnitudes under positive middle-ear pressure are mainly determined by stress dependence of elastic modulus. The reduction of the TM and footplate vibrations under negative pressure was caused by both the geometry changes of middle-ear structures and the stress dependence of elastic modulus.
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Affiliation(s)
- Xuelin Wang
- School of Aerospace & Mechanical Engineering and Bioengineering Center, University of Oklahoma, Norman, Oklahoma 73019, USA
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17
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Dai C, Wood MW, Gan RZ. Tympanometry and laser Doppler interferometry measurements on otitis media with effusion model in human temporal bones. Otol Neurotol 2007; 28:551-8. [PMID: 17529855 DOI: 10.1097/mao.0b013e318033f008] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
HYPOTHESIS The aim of this study is to investigate the effect of middle ear fluid and pressure on tympanic membrane mobility by using laser Doppler interferometry and to compare these results with tympanometry. BACKGROUND Tympanometry has been commonly used for evaluation of otitis media with effusion, a middle ear disease with fluid in the cavity. However, this test lacks specific interpretations of middle ear disorders based on tympanometric data. Laser interferometry, as an advanced research tool to measure middle ear function, may provide knowledge of how tympanic membrane mobility is affected by middle ear fluid and pressure. METHODS An otitis media with effusion model was created in seven human temporal bones for conducting experiments with tympanometry and laser interferometry. Middle ear pressure varied from -20 to +20 cm water, and the amount of fluid in the middle ear was gradually increased to fill the cavity. RESULTS The displacement of the tympanic membrane measured by laser interferometry at selected frequencies decreased significantly corresponding to the middle ear air pressure changes. Tympanometry detected middle ear pressure by the change of tympanometric peak location, but the tympanogram shape was not affected by the middle ear pressure. The middle ear fluid was detected by tympanometry with as little as 0.3 mL, and laser interferometry was able to measure the displacement change of the tympanic membrane with 0.2 or 0.3 mL fluid at different frequencies. CONCLUSION Laser interferometry can detect the effect of middle ear pressure and fluid on tympanic membrane movement as well as tympanometry does.
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Affiliation(s)
- Chenkai Dai
- University of Oklahoma, Norman, Oklahoma, USA
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Abstract
At frequencies above 3 kHz, the tympanic membrane vibrates chaotically. By having many resonances, the eardrum can transmit the broadest possible bandwidth of sound with optimal sensitivity. In essence, the eardrum works best through discord. The eardrum's success as an instrument of hearing can be directly explained through a combination of its shape, angular placement, and composition. The eardrum has a conical asymmetrical shape, lies at a steep angle with respect to the ear canal, and has organized radial and circumferential collagen fiber layers that provide the scaffolding. Understanding the role of each feature in hearing transduction will help direct future surgical reconstructions, lead to improved microphone and loudspeaker designs, and provide a basis for understanding the different tympanic membrane structures across species. To analyze the significance of each anatomical feature, a computer simulation of the ear canal, eardrum, and ossicles was developed. It is shown that a cone-shaped eardrum can transfer more force to the ossicles than a flat eardrum, especially at high frequencies. The tilted eardrum within the ear canal allows it to have a larger area for the same canal size, which increases sound transmission to the cochlea. The asymmetric eardrum with collagen fibers achieves optimal transmission at high frequencies by creating a multitude of deliberately mistuned resonances. The resonances are summed at the malleus attachment to produce a smooth transfer of pressure across all frequencies. In each case, the peculiar properties of the eardrum are directly responsible for the optimal sensitivity of this discordant drum.
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Affiliation(s)
| | - Sunil Puria
- Departments of *Mechanical Engineering and
- Otolaryngology-HNS, Stanford University, Stanford, CA 94305
- To whom correspondence should be addressed. E-mail:
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Gan RZ, Dai C, Wood MW. Laser interferometry measurements of middle ear fluid and pressure effects on sound transmission. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2006; 120:3799-810. [PMID: 17225407 DOI: 10.1121/1.2372454] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
An otitis media with effusion model in human temporal bones with two laser vibrometers was created in this study. By measuring the displacement of the stapes from the medial side of the footplate, the transfer function of the middle ear, which is defined as the displacement transmission ratio (DTR) of the tympanic membrane to footplate, was derived under different middle ear pressure and fluid in the cavity with a correction factor for cochlear load. The results suggest that the DTR increases with increasing frequency up to 4k Hz when the middle ear pressure was changing from 0 to 20 or -20 cm H20 (e.g., +/-196 daPa) and fluid level was increasing from 0 to a full middle ear cavity. The positive and negative pressures show different effects on the DTR. The effect of fluid on DTR varies between three frequency ranges: f < 1k, between 1k and 4k, and f > 4k Hz. These findings show how the efficiency of the middle ear system for sound transmission changes during the presence of fluid in the cavity and variations of middle ear pressure.
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Affiliation(s)
- Rong Z Gan
- School of Aerospace and Mechanical Engineering and Bioengineering Center; University of Oklahoma, Norman, Oklahoma 73019, USA.
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Dirckx JJJ, Buytaert JAN, Decraemer WF. Quasi-static transfer function of the rabbit middle ear' measured with a heterodyne interferometer with high-resolution position decoder. J Assoc Res Otolaryngol 2006; 7:339-51. [PMID: 16897337 PMCID: PMC2504626 DOI: 10.1007/s10162-006-0048-5] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2006] [Accepted: 06/09/2006] [Indexed: 11/30/2022] Open
Abstract
Due to changes in ambient pressure and to the gas-exchange processes in the middle ear (ME) cavity, the ear is subject to ultra-low-frequency pressure variations, which are many orders of magnitude larger than the loudest acoustic pressures. Little quantitative data exist on how ME mechanics deals with these large quasi-static pressure changes and because of this lack of data, only few efforts could be made to incorporate quasi-static behavior into computer models. When designing and modeling ossicle prostheses and implantable ME hearing aids, the effects of large ossicle movements caused by quasi-static pressures should be taken into account. We investigated the response of the ME to slowly varying pressures by measuring the displacement of the umbo and the stapes in rabbit with a heterodyne interferometer with position decoder. Displacement versus pressure curves were obtained at linear pressure change rates between 200 Pa/s and 1.5 kPa/s, with amplitude +/-2.5 kPa. The change in stapes position associated with a pressure change is independent of pressure change rate (34 microm peak-to-peak at +/-2.5 kPa). The stapes displacement versus pressure curves are highly nonlinear and level off for pressures beyond +/-1 kPa. Stapes motion shows no measurable hysteresis at 1.5 kPa/s, which demonstrates that the annular ligament has little viscoelasticity. Hysteresis increases strongly at the lowest pressure change rates. The stapes moves in phase with the umbo and with pressure, but the sense of rotation of the hysteresis loop of stapes is phase inversed. Stapes motion is not a simple lever ratio mimic of umbo motion, but is the consequence of complex changes in ossicle joints and ossicle position. The change in umbo position produced by a +/-2.5 kPa pressure change decreases with increasing rate from 165 microm at 200 Pa/s to 118 microm at 1.5 kPa/s. Umbo motion already shows significant hysteresis at 1.5 kPa/s, but hysteresis increases further as pressure change rate decreases. We conclude that in the quasi-static regime, ossicle movement is not only governed by viscoelasticity, but that other effects become dominant as pressure change rate decreases below 1 kPa/s. The increasing hysteresis can be caused by increasing friction as speed of movement decreases, and incorporating speed-dependent friction coefficients will be essential to generate realistic models of ossicle movements at slow pressure change rates.
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Affiliation(s)
- Joris J J Dirckx
- Laboratory of Biomedical Physics, Department of Physics, University of Antwerp, Groenenborgerlaan 171, B-2020, Wilrijk-Antwerpen, Belgium.
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Abstract
The middle ear structures of eight species of mole in the family Talpidae (Mammalia: Eulipotyphla) were studied under light and electron microscopy. Neurotrichus, Parascalops, and Condylura have a simple middle ear cavity with a loose ectotympanic bone, ossicles of a "microtype" morphology, and they retain a small tensor tympani muscle. These characteristics are ancestral for talpid moles. Talpa, Scalopus, Scapanus, and Parascaptor species, on the other hand, have a looser articulation between malleus and ectotympanic bone and a reduced or absent orbicular apophysis. These species lack a tensor tympani muscle, possess complete bullae, and extensions of the middle ear cavity pneumatize the surrounding basicranial bones. The two middle ear cavities communicate in Talpa, Scapanus, and Parascaptor species. Parascaptor has a hypertrophied malleus, a feature shared with Scaptochirus but not found in any other talpid genus. Differences in middle ear morphology within members of the Talpidae are correlated with lifestyle. The species with middle ears closer to the ancestral type spend more time above ground, where they will be exposed to high-frequency sound: their middle ears appear suited for transmission of high frequencies. The species with derived middle ear morphologies are more exclusively subterranean. Some of the derived features of their middle ears potentially improve low-frequency hearing, while others may reduce the transmission of bone-conducted noise. By contrast, the unusual middle ear apparatus of Parascaptor, which exhibits striking similarities to that of golden moles, probably augments seismic sensitivity by inertial bone conduction.
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Affiliation(s)
- Matthew J Mason
- University of Cambridge, Department of Physiology, Cambridge CB2 3EG, UK.
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Kuypers LC, Dirckx JJJ, Decraemer WF, Timmermans JP. Thickness of the gerbil tympanic membrane measured with confocal microscopy. Hear Res 2005; 209:42-52. [PMID: 16054789 DOI: 10.1016/j.heares.2005.06.003] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2005] [Accepted: 06/03/2005] [Indexed: 11/21/2022]
Abstract
Thickness data for the gerbil tympanic membrane, an extremely thin biological membrane, are presented. Thickness measurements were performed on fresh material using fluorescence images taken perpendicular through the membrane with a commercial confocal microscope. Thickness varies strongly across the membrane. Similar thickness distributions in all samples (pars tensa n = 11; pars flaccida n = 3) were observed. The pars tensa has a rather constant thickness of about 7 microm in the central region curving as a horse shoe upwards around the manubrium. In the most superior parts of the pars tensa thickness becomes gradually twice as large. Thickness increases also steeply from the central region towards the edges (about 35 microm near the annulus and 20 microm near the manubrium). A pronounced, local thickening of about 30 microm is present close to the edge and extends as a ring along the entire annular periphery of the pars tensa. Overall, the pars flaccida is thicker than the pars tensa and has a rugged surface. Its central region has a mean thickness of about 24 microm with a mean variation of about 4 microm. The average thickness in the inferior region is slightly larger than in the superior region. The pars flaccida thickens steeply, up to about 80 microm, near the edges.
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Affiliation(s)
- Liesbeth C Kuypers
- Laboratory of Biomedical Physics, Department of Physics, University of Antwerp/Campus Middelheim, Belgium.
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