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Measurement of Incus and Stapes Velocity Following Sound Stimulus in the Setting of Incudostapedial Joint Separation and Reconstruction. Otol Neurotol 2022; 43:251-255. [PMID: 35015751 DOI: 10.1097/mao.0000000000003387] [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
OBJECTIVE Understand the biophysical property changes of incudostapedial joint (ISJ) separation and ossicular hydroxyapatite application on middle ear function. STUDY DESIGN Basic science. SETTING Cadaveric temporal bone research laboratory. SUBJECTS AND METHODS A complete mastoidectomy was performed on five human temporal bones. A Laser Doppler Vibrometer was utilized to obtain velocity transfer function measurements of the incus and stapes across a range of frequencies in response to an acoustic stimulus. Under binocular microscopy the ISJ was separated and subsequently repaired with bone cement. Measurements were taken prior to ISJ separation, following joint separation, 30 to 60 min postrepair of the joint, and again 24 to 48 h postrepair of the joint. RESULTS The stapes measurements taken from the intact ossicular chain and from the chains repaired with bone cement demonstrated a similar distribution of measurements. The ISJ separation showed dramatically reduced velocity transfer function stapes measurements but increased incus velocity transfer function measurements. In the early and delayed repaired chains, the mean velocity of the incus and stapes velocity peaked between 1.5 and 2 kHz, matching intact maximal velocity. Pure tone average at 0.5, 1, 2, and 3 kHz demonstrated no change in reconstructed stapes velocity at 24 to 48 h. CONCLUSIONS Isolated ISJ separation in fresh frozen and thawed temporal bones produces stapes velocity transfer function changes that corresponds with the clinically experienced conductive hearing loss. Repair with bone cement produced similar velocity curves to the intact ISJ curve with excellent recovery across mid-frequencies. This model would be useful for future ossicular mechanical studies.
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Mechanical Energy Dissipation Through the Ossicular Chain and Inner Ear Using Laser Doppler Vibrometer Measurement of Round Window Velocity. Otol Neurotol 2021; 41:e387-e391. [PMID: 31821262 DOI: 10.1097/mao.0000000000002509] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
HYPOTHESIS Round window velocity measurements should correlate closely with vibration measurements taken at proximal points along an intact chain over a set frequency range. These round window vibration measurements should be similar to the vibration measurements taken of the ossicles if mechanical energy is conserved through the vestibular organ. BACKGROUND To date there has not been a study which compares vibratory velocity measurements through an intact ossicular chain to the level of the round window. This study attempted to quantify the degree of mechanical energy transmission and suspected dissipation through the ossicular chain and vestibular organ through incus, stapes, and round window velocity measurements in response to sound stimulus. METHODS Five thawed human temporal bones with intact ossicular chain and tympanic membrane underwent complete mastoidectomy and a facial recess approach. A laser Doppler vibrometer (LDV) was mounted on the operating microscope to measure vibration of incus, stapes, and round window in response to a sound stimulus within the external auditory canal. Sound stimulus frequencies ranged from 0.5 to 4 kHz at 90 dB SPL. RESULTS Vibration velocity was measured across the frequency range for each incus, stapes, and round window. Vibration velocity curves obtained over the frequency range were similar for each of the bones with a notable resonant frequency around 2 kHz. The incus and stapes curve amplitudes were nearly identical with similar maximum velocity and frequency at which this maximal velocity was noted. Round window vibration velocity demonstrated a unique peak velocity. Transfer function measurements of the stapes and round window demonstrated markedly similar curves. The variation in velocity between temporal bones in response to the standardized stimulus was more dramatic in the round window measurements when compared with the incus and stapes. CONCLUSIONS This study supports the concept that round window transfer function is equivalent to stapes footplate transfer function when subjected to the same acoustic stimuli. This study also demonstrates that the round window is a much more difficult target to measure when using LDV technology and improvements in experimental design are required to better understand round window physiology in relation to transfer of acoustic vibratory stimulus transferred throughout the middle ear. A complete and thorough understanding of the biophysical properties of the middle and inner ear are critical for optimal ossiculoplasty outcomes and the development of future ossicular prosthetics.
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Hamra M, Shinnawi S, Vaizer MC, Yelin D. Rapid imaging of tympanic membrane vibrations in humans. BIOMEDICAL OPTICS EXPRESS 2020; 11:6470-6479. [PMID: 33282502 PMCID: PMC7687925 DOI: 10.1364/boe.402097] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Revised: 08/26/2020] [Accepted: 08/29/2020] [Indexed: 06/12/2023]
Abstract
Functional imaging of the human ear is an extremely challenging task because of its minute anatomic structures and nanometer-scale motion in response to sound. Here, we demonstrate noninvasive in vivo functional imaging of the human tympanic membrane under various acoustic excitations, and identify unique vibration patterns that vary between human subjects. By combining spectrally encoded imaging with phase-sensitive spectral-domain interferometry, our system attains high-resolution functional imaging of the two-dimensional membrane surface, within a fraction of a second, through a handheld imaging probe. The detailed physiological data acquired by the system would allow measuring a wide range of clinically relevant parameters for patient diagnosis, and provide a powerful new tool for studying middle and inner ear physiology.
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Affiliation(s)
- Matan Hamra
- Department of Biomedical Engineering, Technion-Israel institute of Technology, Haifa 3200003, Israel
| | - Shadi Shinnawi
- Department of Otolarynglogy Head and Neck Surgery, Rambam Healthcare Campus, Haifa 3109601, Israel
| | - Mauricio Cohen Vaizer
- Department of Otolarynglogy Head and Neck Surgery, Rambam Healthcare Campus, Haifa 3109601, Israel
| | - Dvir Yelin
- Department of Biomedical Engineering, Technion-Israel institute of Technology, Haifa 3200003, Israel
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Jeon B, Lee J, Jeon D, Kim P, Jang JH, Wijesinghe RE, Jeon M, Kim J. Functional assessment of moisture influenced cadaveric tympanic membrane using phase shift-resolved optical Doppler vibrography. JOURNAL OF BIOPHOTONICS 2020; 13:e201900202. [PMID: 31670908 DOI: 10.1002/jbio.201900202] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2019] [Revised: 10/16/2019] [Accepted: 10/29/2019] [Indexed: 06/10/2023]
Abstract
An elevated relative moisture in the external ear canal and middle ear cavity may predispose to chronic otorrhea and related infections along with abnormal tympanic membrane (TM) vibration patterns. Therefore, phase shift-resolved optical Doppler vibrography (ODV) was used for vibration assessments of moisture influenced cadaveric TM. ODV was applied to generate time resolved cross-sectional and volumetric vibrographs of a cadaveric TM, driven acoustically at several frequencies. In order to analyze the effect of moisture on TM, homogenous moisture conditions were provided by soaking the cadaveric TM specimens in 1× phosphate buffer saline with a pH of 7.4. The TM specimen was exposed to a rapidly switchable frequency generator during the ODV image acquisition. The experiment was conducted for 3 hours and the cadaveric TM was exposed to each frequency with an interval of 30 minutes. Acquired phase shift-resolved ODV assessments revealed a depth dependent vibration tendency between the applied frequencies, along with a decline in the moisture level of the cadaveric TM specimen. Thus, the ODV method can aid our understanding of sound conduction in the middle ear, thus supporting the diagnosis of TM diseases.
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Affiliation(s)
- Byeonggyu Jeon
- School of Electronics Engineering, College of IT Engineering, Kyungpook National University, Daegu, Republic of Korea
| | - Jaeyul Lee
- School of Electronics Engineering, College of IT Engineering, Kyungpook National University, Daegu, Republic of Korea
| | - Deokmin Jeon
- School of Electronics Engineering, College of IT Engineering, Kyungpook National University, Daegu, Republic of Korea
| | - Pilun Kim
- Institute of Biomedical Engineering, School of Medicine, Kyungpook National University, Daegu, Republic of Korea
| | - Jeong Hun Jang
- Department of Otolaryngology, School of Medicine, Ajou University, Gyeongsan, Republic of Korea
| | - Ruchire Eranga Wijesinghe
- Department of Biomedical Engineering, College of Engineering, Kyungil University, Gyeongsan, Republic of Korea
| | - Mansik Jeon
- School of Electronics Engineering, College of IT Engineering, Kyungpook National University, Daegu, Republic of Korea
| | - Jeehyun Kim
- School of Electronics Engineering, College of IT Engineering, Kyungpook National University, Daegu, Republic of Korea
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Zhang J, Tian J, Ta N, Rao Z. Finite element analysis of round-window stimulation of the cochlea in patients with stapedial otosclerosis. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2019; 146:4122. [PMID: 31893738 DOI: 10.1121/1.5134770] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/05/2019] [Accepted: 10/30/2019] [Indexed: 06/10/2023]
Abstract
An active actuator coupled to the round window (RW) can transmit mechanical vibrations into the cochlea and has become a therapeutic option of hearing rehabilitation for patients with stapedial otosclerosis. A finite-element model of the human ear that includes sound transmission effects of the vestibular and cochlear aqueducts of the inner ear is adopted in this study for investigating the cochlear response to RW stimulation under stapes fixation. There are two effects due to otosclerosis of the stapes: the fixation of the stapedial annular ligament (SAL) and the increase of the stapes mass. The frequency responses of the middle ear and cochlea with normal and otosclerotic stapes are calculated under sound and RW stimulations. The results show that changes in the material property of the stapes have different effects on the cochlear responses under sound and RW stimulations. Because of the vestibuli aqueduct, the reduction in the low-frequency magnitude of the pressure difference across the cochlear partition due to SAL fixation is much smaller under RW stimulation than under sound stimulation. The results of this study help understand sound transmission during RW stimulation in patients with stapedial otosclerosis.
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Affiliation(s)
- Jing Zhang
- Institute of Vibration, Shock and Noise, State Key Laboratory of Mechanical System and Vibration, Shanghai Jiao Tong University, Shanghai 200240, People's Republic of China
| | - Jiabin Tian
- Wuhan Second Ship Design and Research Institute, Wuhan 403205, People's Republic of China
| | - Na Ta
- Institute of Vibration, Shock and Noise, State Key Laboratory of Mechanical System and Vibration, Shanghai Jiao Tong University, Shanghai 200240, People's Republic of China
| | - Zhushi Rao
- Institute of Vibration, Shock and Noise, State Key Laboratory of Mechanical System and Vibration, Shanghai Jiao Tong University, Shanghai 200240, People's Republic of China
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Nguyen VS, Rouxel D, Vincent B, Ducourneau J, Parietti-Winkler C. A new device for real-time peroperative monitoring of ossicular chain reconstruction during middle ear surgery. J Clin Monit Comput 2019; 34:827-832. [PMID: 31352626 DOI: 10.1007/s10877-019-00364-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2018] [Accepted: 07/17/2019] [Indexed: 11/29/2022]
Abstract
To limit functional surgical failure and reduce the rate of revision surgery in case of surgical ossicular chain reconstruction, a piezoelectric device was developed for assessment of ossicular chain vibrations during the middle ear surgery. The device resembled a pen and consisted of a reusable main body and a disposable sensitive head including piezoelectric polymer sensor. Almost all of components of the device were made of polymer for light weight and for acoustic impedance matching to the middle ear system. Several frequencies can be analyzed simultaneously and several measures can be taken by time. The results showed that the device can record normal and reconstructed ossicular chain vibration in response to an acoustic stimulation, with similar results to those achieved by laser Doppler vibrometer. This light, handheld and low-cost device allows fast, easy and safe assessments of normal ossicular chain mobility and ossicular chain reconstruction efficiency. Primary pre-clinical trial showed very promising performance of the device that could be used to qualitatively control ossiculoplasty during real-time surgical procedure. Clinical assessments will be done to further evaluate the real-life performance of the device.
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Affiliation(s)
- Van Son Nguyen
- CNRS, Institut Jean Lamour, University of Lorraine, Nancy, France
| | - Didier Rouxel
- CNRS, Institut Jean Lamour, University of Lorraine, Nancy, France.
| | - Brice Vincent
- CNRS, Institut Jean Lamour, University of Lorraine, Nancy, France
| | - Joël Ducourneau
- Training Department in Hearing Aid, Faculty of Pharmacy, University of Lorraine, Nancy, France
| | - Cécile Parietti-Winkler
- ENT Department, Faculty of Medicine, University Hospital of Nancy, University of Lorraine, Nancy, France
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Luo H, Wang F, Cheng C, Nakmali DU, Gan RZ, Lu H. Mapping the Young's modulus distribution of the human tympanic membrane by microindentation. Hear Res 2019; 378:75-91. [DOI: 10.1016/j.heares.2019.02.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/14/2018] [Revised: 02/12/2019] [Accepted: 02/20/2019] [Indexed: 11/30/2022]
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Jones HG, Greene NT, Ahroon WA. Human middle-ear muscles rarely contract in anticipation of acoustic impulses: Implications for hearing risk assessments. Hear Res 2018; 378:53-62. [PMID: 30538053 DOI: 10.1016/j.heares.2018.11.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Revised: 11/14/2018] [Accepted: 11/16/2018] [Indexed: 12/30/2022]
Abstract
The current study addressed the existence of an anticipatory middle-ear muscle contraction (MEMC) as a protective mechanism found in recent damage-risk criteria for impulse noise exposure. Specifically, the experiments reported here tested instances when an exposed individual was aware of and could anticipate the arrival of an acoustic impulse. In order to detect MEMCs in human subjects, a laser-Doppler vibrometer (LDV) was used to measure tympanic membrane (TM) motion in response to a probe tone. Here we directly measured the time course and relative magnitude changes of TM velocity in response to an acoustic reflex-eliciting (i.e. MEMC eliciting) impulse in 59 subjects with clinically assessable MEMCs. After verifying the presence of the MEMC, we used a classical conditioning paradigm pairing reflex-eliciting acoustic impulses (unconditioned stimulus, UCS) with various preceding stimuli (conditioned stimulus, CS). Changes in the time-course of the MEMC following conditioning were considered evidence of MEMC conditioning, and any indication of an MEMC prior to the onset of the acoustic elicitor was considered an anticipatory response. Nine subjects did not produce a MEMC measurable via LDV. For those subjects with an observable MEMC (n = 50), 48 subjects (96%) did not show evidence of an anticipatory response after conditioning, whereas only 2 subjects (4%) did. These findings reveal that MEMCs are not readily conditioned in most individuals, suggesting that anticipatory MEMCs are not prevalent within the general population. The prevalence of anticipatory MEMCs does not appear to be sufficient to justify inclusion as a protective mechanism in auditory injury risk assessments.
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Affiliation(s)
- Heath G Jones
- United States Army Aeromedical Research Laboratory, 6901 Farrel Road, Fort Rucker, AL, 36362, USA; Laulima Government Solutions, LLC, 12565 Research Parkway, Suite 300, Orlando, FL, 32826, USA.
| | - Nathaniel T Greene
- United States Army Aeromedical Research Laboratory, 6901 Farrel Road, Fort Rucker, AL, 36362, USA; The Geneva Foundation, 917 Pacific Ave, Suite 600, Tacoma, WA, 98402, USA.
| | - William A Ahroon
- United States Army Aeromedical Research Laboratory, 6901 Farrel Road, Fort Rucker, AL, 36362, USA.
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Alper CM, Luntz M, Takahashi H, Ghadiali SN, Swarts JD, Teixeira MS, Csákányi Z, Yehudai N, Kania R, Poe DS. Panel 2: Anatomy (Eustachian Tube, Middle Ear, and Mastoid-Anatomy, Physiology, Pathophysiology, and Pathogenesis). Otolaryngol Head Neck Surg 2017; 156:S22-S40. [PMID: 28372527 DOI: 10.1177/0194599816647959] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Objective In this report, we review the recent literature (ie, past 4 years) to identify advances in our understanding of the middle ear-mastoid-eustachian tube system. We use this review to determine whether the short-term goals elaborated in the last report were achieved, and we propose updated goals to guide future otitis media research. Data Sources PubMed, Web of Science, Medline. Review Methods The panel topic was subdivided, and each contributor performed a literature search within the given time frame. The keywords searched included middle ear, eustachian tube, and mastoid for their intersection with anatomy, physiology, pathophysiology, and pathology. Preliminary reports from each panel member were consolidated and discussed when the panel met on June 11, 2015. At that meeting, the progress was evaluated and new short-term goals proposed. Conclusions Progress was made on 13 of the 20 short-term goals proposed in 2011. Significant advances were made in the characterization of middle ear gas exchange pathways, modeling eustachian tube function, and preliminary testing of treatments for eustachian tube dysfunction. Implications for Practice In the future, imaging technologies should be developed to noninvasively assess middle ear/eustachian tube structure and physiology with respect to their role in otitis media pathogenesis. The new data derived from these structure/function experiments should be integrated into computational models that can then be used to develop specific hypotheses concerning otitis media pathogenesis and persistence. Finally, rigorous studies on medical or surgical treatments for eustachian tube dysfunction should be undertaken.
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Affiliation(s)
- Cuneyt M Alper
- 1 Department of Pediatric Otolaryngology, Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.,2 Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.,3 Clinical and Translational Science Institute, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Michal Luntz
- 4 Department of Otolaryngology Head and Neck Surgery, Bnai Zion Medical Center; Technion-The Ruth and Bruce Rappaport Faculty of Medicine, Haifa, Israel
| | - Haruo Takahashi
- 5 Department of Otolaryngology-Head and Neck Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Samir N Ghadiali
- 6 Department of Biomedical Engineering, Ohio University, Columbus, Ohio, USA.,7 Department of Internal Medicine, Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, Ohio University, Columbus, Ohio, USA
| | - J Douglas Swarts
- 2 Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Miriam S Teixeira
- 2 Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Zsuzsanna Csákányi
- 8 Department of Pediatric Otorhinolaryngology, Heim Pal Children's Hospital, Budapest, Hungary
| | - Noam Yehudai
- 4 Department of Otolaryngology Head and Neck Surgery, Bnai Zion Medical Center; Technion-The Ruth and Bruce Rappaport Faculty of Medicine, Haifa, Israel
| | - Romain Kania
- 9 Department of Otorhinolaryngology-Head and Neck Surgery, Lariboisière Hospital, Diderot University, University Paris Sorbonne, Paris, France
| | - Dennis S Poe
- 10 Department of Otology and Laryngology, Harvard Medical School, Boston Children's Hospital, Boston, Massachusetts, USA.,11 Department of Otolaryngology and Communications Enhancement, Boston Children's Hospital, Boston, Massachusetts, USA
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Santa Maria PL, Gottlieb P, Santa Maria C, Kim S, Puria S, Yang YP. Functional Outcomes of Heparin-Binding Epidermal Growth Factor-Like Growth Factor for Regeneration of Chronic Tympanic Membrane Perforations in Mice. Tissue Eng Part A 2017; 23:436-444. [PMID: 28142401 PMCID: PMC5444491 DOI: 10.1089/ten.tea.2016.0395] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2016] [Accepted: 01/27/2017] [Indexed: 02/02/2023] Open
Abstract
We aim to demonstrate that regeneration of chronic tympanic perforations with heparin-binding epidermal growth factor-like growth factor (HB-EGF) delivered by an injectable hydrogel restored hearing to levels similar to that of nonperforated tympanic membranes. Chronic tympanic membrane perforation is currently managed as an outpatient surgery with tympanoplasty. Due to the costs of this procedure in the developed world and a lack of accessibility and resources in developing countries, there is a great need for a new treatment that does not require surgery. In this study, we show in a mouse model through measurement of auditory brainstem response and distortion product otoacoustic emissions that tympanic perforations lead to hearing loss and this can be predominantly recovered with HB-EGF treatment (5 μg/mL). Our animal model suggests a return to function between 2 and 6 months after treatment. Auditory brainstem response thresholds had returned to the control levels at 2 months, but the distortion product otoacoustic emissions returned between 2 and 6 months. We also show how the vibration characteristics of the regenerated tympanic membrane, as measured by laser Doppler vibrometry, can be similar to that of an unperforated tympanic membrane. Using the best available methods for preclinical evaluation in animal models, it is likely that HB-EGF-like growth factor treatment leads to regeneration of chronic tympanic membrane perforations and restoration of the tympanic membrane to normal function, suggesting a potential route for nonsurgical treatment.
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Affiliation(s)
- Peter Luke Santa Maria
- Department of Otolaryngology, Head and Neck Surgery, Stanford University, Stanford, California
- Ear Sciences Centre, The University of Western Australia, Nedlands, Australia
- Ear Science Institute Australia, Subiaco, Australia
| | - Peter Gottlieb
- Department of Mechanical Engineering, Stanford University, Stanford, California
| | - Chloe Santa Maria
- Department of Otolaryngology, Head and Neck Surgery, Stanford University, Stanford, California
- Ear Sciences Centre, The University of Western Australia, Nedlands, Australia
- Ear Science Institute Australia, Subiaco, Australia
| | - Sungwoo Kim
- Department of Orthopedic Surgery, Stanford University, Stanford, California
| | - Sunil Puria
- Department of Otolaryngology, Head and Neck Surgery, Stanford University, Stanford, California
- Department of Mechanical Engineering, Stanford University, Stanford, California
| | - Yunzhi Peter Yang
- Department of Orthopedic Surgery, Stanford University, Stanford, California
- Department of Materials Science and Engineering, Stanford University, Stanford, California
- Department of Bioengineering, Stanford University, Stanford, California
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Effect of Endolymphatic Hydrops on Sound Transmission in Live Guinea Pigs Measured with a Laser Doppler Vibrometer. Neural Plast 2016; 2016:8648297. [PMID: 28090361 PMCID: PMC5206862 DOI: 10.1155/2016/8648297] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2016] [Revised: 10/11/2016] [Accepted: 11/02/2016] [Indexed: 12/02/2022] Open
Abstract
Objective. This study aimed at describing the mechanism of hearing loss in low frequency and the different dynamic behavior of the umbo, the stapes head, and the round window membrane (RWM) between normal guinea pigs and those with endolymphatic hydrops (EH), using a laser Doppler vibrometer (LDV). Methods. Cochlear sections were stained with hematoxylin and eosin (HE) to evaluate the hydropic ratio (HR). Auditory brainstem responses (ABR) and whole-mount immunostaining were measured. Displacement of the umbo, stapes head, and RWM in response to ear-canal sound was evaluated using a LDV. Results. Mean HR values in EH model of all the turns are larger than the control group. The ABR threshold of the EH group was significantly higher than that of the control. Strong positive correlation was found between HR at apical turn and ABR threshold elevation at 1000 Hz and at subapical turn and ABR threshold elevation at 2000 Hz. FITC-phalloidin immunostaining of the cochlear basilar membrane in the apical, subapical, and suprabasal turns showed missing and derangement stereocilia of third-row outer hair cells. The umbo, stapes head, and RWM displacement in ears with EH was generally lower than that of normal ears. The EH-induced differences in stapes head and RWM motion were significant at 0.5 kHz. Conclusion. The LDV results suggested that the higher inner ear impedance in EH affected the dynamic behavior of the two opening windows of the cochlea and then reduced the vibration of the ossicular chain by increasing the afterload, resulting in acoustic dysfunction. The vibration reduction mainly occurred at low frequencies, which has related with the morphology changes of the apical and subapical turns in EH model.
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13
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Wegner I, Shahnaz N, Grolman W, Bance ML. Wideband acoustic immittance measurements in assessing crimping status following stapedotomy: A temporal bone study. Int J Audiol 2016; 56:1-7. [PMID: 27534272 DOI: 10.1080/14992027.2016.1214759] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE To ascertain if wideband acoustic immitance (WAI) measurements are useful in assessing crimping status following stapedotomy. DESIGN WAI measurements were obtained using the Mimosa Acoustics HearID system. Wideband chirp sound stimuli and a set of tone stimuli for nine frequencies between 0.2 and 6 kHz were used at 60 dB SPL. Five sets of measurements were performed on each temporal bone: mobile stapes, stapes fixation and stapedotomy followed by insertion of a tightly crimped, a loosely crimped and an uncrimped prosthesis. STUDY SAMPLE Eight fresh-frozen temporal bones were harvested from human cadaveric donors. RESULTS At lower frequencies, up to 1 kHz, stapes fixation decreased absorbance. Compared to the baseline absorbance, absorbance with stapes fixation dropped by 6 to 17% in absolute terms from the baseline value (p = 0.027). Absorbance was not affected in higher frequencies (p = 0.725). Stapedotomy changed the absorbance curve significantly compared to the normal condition with an increase of absolute absorbance values by 6 to 36% around 0.25-1 kHz (p-value <0.01). The crimping conditions did not differ from one another (p = 0.555). CONCLUSION WAI is not useful in distinguishing between tightly crimped, loosely crimped and uncrimped stapes prostheses following stapedotomy.
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Affiliation(s)
- Inge Wegner
- a Department of Otorhinolaryngology - Head and Neck Surgery , University Medical Center Utrecht , Utrecht , The Netherlands.,b Brain Center Rudolf Magnus, University Medical Center Utrecht , Utrecht , The Netherlands.,c Division of Otolaryngology, Department of Surgery , Dalhousie University , Halifax , NS , Canada , and
| | - Navid Shahnaz
- d School of Audiology & Speech Sciences, Faculty of Medicine, University of British Columbia , Vancouver , Canada
| | - Wilko Grolman
- a Department of Otorhinolaryngology - Head and Neck Surgery , University Medical Center Utrecht , Utrecht , The Netherlands.,b Brain Center Rudolf Magnus, University Medical Center Utrecht , Utrecht , The Netherlands
| | - Manohar L Bance
- c Division of Otolaryngology, Department of Surgery , Dalhousie University , Halifax , NS , Canada , and
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Park J, Cheng JT, Ferguson D, Maguluri G, Chang EW, Clancy C, Lee DJ, Iftimia N. Investigation of middle ear anatomy and function with combined video otoscopy-phase sensitive OCT. BIOMEDICAL OPTICS EXPRESS 2016; 7:238-50. [PMID: 26977336 PMCID: PMC4771445 DOI: 10.1364/boe.7.000238] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/21/2015] [Revised: 12/09/2015] [Accepted: 12/17/2015] [Indexed: 05/20/2023]
Abstract
We report the development of a novel otoscopy probe for assessing middle ear anatomy and function. Video imaging and phase-sensitive optical coherence tomography are combined within the same optical path. A sound stimuli channel is incorporated as well to study middle ear function. Thus, besides visualizing the morphology of the middle ear, the vibration amplitude and frequency of the eardrum and ossicles are retrieved as well. Preliminary testing on cadaveric human temporal bone models has demonstrated the capability of this instrument for retrieving middle ear anatomy with micron scale resolution, as well as the vibration of the tympanic membrane and ossicles with sub-nm resolution.
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Affiliation(s)
- Jesung Park
- Physical Sciences Inc., Andover, MA 01810, USA
| | - Jeffrey T. Cheng
- Eaton-Peabody Laboratories, Massachusetts Eye and Ear Infirmary, Boston, MA 02114, USA
| | | | | | | | | | - Daniel J. Lee
- Eaton-Peabody Laboratories, Massachusetts Eye and Ear Infirmary, Boston, MA 02114, USA
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