Tympanic Membrane Vibration Research Articles

Assessment of middle ear structure and function with optical coherence tomography

Background Current clinical tests for middle ear (ME) injuries and related conductive hearing loss (CHL) are lengthy and costly, lacking the ability to noninvasively evaluate both structure and function in real time. Optical coherence tomography (OCT) provides both, but its application to the audiological clinic is currently limited. Objective Adapt and use a commercial Spectral-Domain OCT (SD-OCT) to evaluate anatomy and sound-evoked vibrations of the tympanic membrane (TM) and ossicles in the human ME. Materials and Methods SD-OCT was used to capture high-resolution three-dimensional (3D) ME images and measure sound-induced vibrations of the TM and ossicles in fresh human temporal bones. Results The 3D images provided thickness maps of the TM. The system was, with some software adaptations, also capable of phase-sensitive vibrometry. Measurements revealed several modes of TM vibration that became more complex with frequency. Vibrations were also measured from the incus, through the TM. This quantified ME sound transmission, which is the essential measure to assess CHL. Conclusion and Significance We adapted a commercial SD-OCT to visualize the anatomy and function of the human ME. OCT has the potential to revolutionize point-of-care assessment of ME disruptions that lead to CHL which are otherwise indistinguishable via otoscopy.

Exploring Mechanisms Underlying Unexplained Air-Bone Gaps Post-Myringoplasty: Temporal Bone Model and Finite Element Analysis.

Air-bone gap (ABG) is an essential indicator of middle ear transfer function after myringoplasty. However, there is still uncertainty about the mechanisms behind unexplained ABGs in patients post-myringoplasty. The present study investigated these mechanisms using cadaveric temporal bone (TB) measurement and finite element (FE) modeling. Three conditions of tympanic membrane (TM) perforation were modeled with a perforated area of 6%, 24%, and 50% of the total TM area to simulate a small, medium, or large TM perforation of TB model. A piece of paper was used to patch the TM perforation to simulate the situation post-myringoplasty. In the FE model for post-operation, the material properties at the perforation area were changed. Measurement of TM vibration at the umbo was undertaken with a laser Doppler vibrometer (LDV). As the perforated area increased vibration of the TM at the umbo decreased in both the TB and FE models. But the reduction of TM vibration is more minor in the FE model than in the TB model. After the perforation was repaired, the displacement of TM at the umbo could not be recovered totally in the TB and FE models. In the FE model, the displacement of TM at the umbo decreased markedly when the cone shape of TM flattened, and the reduction was almost the same as that in the TB model in the condition of large perforation. The material properties and the anatomical shape of the repaired TM could influence the TM's modal motion and wave motion. Except for appearance and shape current clinical instruments are unable to resolve factors that affect TM motion. Consequently the ABG seen post-myringoplasty remains unexplained.

Vibration of Tympanic Membrane Influenced by Middle Ear Fluid.

The amount and viscosity of middle ear fluid probably influences the vibration function of the tympanic membrane (TM). There has been much research into the mechanisms of hearing loss resulting from middle ear fluid in the previous study. However, further study is required to understand how the middle ear fluid affects the vibration function of the TM. Tests on a TM in a fresh cadaveric human temporal bone specimen under different simulated conditions were carried out. Saline (1 cSt) and silicone oil (100 cSt, 1 000 cSt, 12 500 cSt) were used to simulate middle ear fluid. The fluid approximately contacted 50% or 100% of TM, which was proportional to the fluid amount. Induced by stimulus signal with frequency domain from 0.25 to 8 kHz, the vibration at 6 points of the TM was measured by laser Doppler vibrometer (LDV), respectively. Data acquisition and processing were accomplished by self-developed software. With the increase of the fluid amount, the magnitude of velocity transfer function reduced across all frequencies. The effect of fluid viscosity on the TM vibration varied and reduced in a complicated way when the fluid viscosity changed. Increasing fluid amount will significantly reduce the TM movement. The effect of fluid viscosity on the TM vibration was nonlinear and related to the fluid amount. The vibration at each point on the TM is frequency-dependent.

Optimum Design and Test of a Novel Bionic Electronic Stethoscope based on the Cruciform Microcantilever with Leaf Microelectromechanical Systems Structure

AbstractThis paper proposes a heart sound sensing structure and system by combining the traditional auscultation structure and human‐like ear eardrum gas–solid coupling sound conduction process. This system is based on the lever pickup mechanism of eardrum vibration and the traditional stethoscope pickup amplification, microelectromechanical system (MEMS) technology, and the detection principle of piezoresistive and Wheatstone bridge. The optimal size and process parameters of the biomimetic sensor structure are given through theoretical calculation and numerical simulation on Comsol and SRIM. Computer numerical control, 3D printing, MEMS technology, and 3D heterogeneous integration technology are used to complete the precise processing and encapsulation of the proposed structure. After the performance tests, results show that the optimal structure can collect directional signals, with a bandwidth from 10 Hz to 1 kHz, which can effectively cover the range of the heart frequency. The signal‐to‐noise ratio is improved by 2.3 dB compared with the 3M stethoscope. An electrocardiogram and phonocardiogram synchronization detection system is developed with this structure. The structure and system can be effectively applied to the high‐quality collection and intelligent recognition of heart sound data sets. The recognition accuracy can reach 98.5%. It is highly effective for early screening and intelligent diagnosis of cardiovascular diseases.

Micro-CT of the human ossicular chain: Statistical shape modeling and implications for otologic surgery.

The ossicular chain is a middle ear structure consisting of the small incus, malleus and stapes bones, which transmit tympanic membrane vibrations caused by sound to the inner ear. Despite being shown to be highly variable in shape, there are very few morphological studies of the ossicles. The objective of this study was to use a large sample of cadaveric ossicles to create a set of three-dimensional models and study their statistical variance. Thirty-three cadaveric temporal bone samples were scanned using micro-computed tomography (μCT) and segmented. Statistical shape models (SSMs) were then made for each ossicle to demonstrate the divergence of morphological features. Results revealed that ossicles were most likely to vary in overall size, but that more specific feature variability was found at the manubrium of the malleus, the long process and lenticular process of the incus, and the crura and footplate of the stapes. By analyzing samples as whole ossicular chains, it was revealed that when fixed at the malleus, changes along the chain resulted in a wide variety of final stapes positions. This is the first known study to create high-quality, three-dimensional SSMs of the human ossicles. This information can be used to guide otological surgical training and planning, inform ossicular prosthesis development, and assist with other ossicular studies and applications by improving automated segmentation algorithms. All models have been made publicly available.

Rapid imaging of tympanic membrane vibrations in humans.

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.

Analytical Study of Nonlinear Vibrations of the Tympanic Membrane by Homotopy Perturbation Method

Nonlinear vibration problems are generally of great importance in physics, mechanical structures, and other engineering research. This type of equation is very difficult and time-consuming. Researchers, therefore, focus on analytical and numerical methods; In this paper, using the new Newton-Harmonic Balance analytical method, which includes a combination of Newton methods and the harmonic balance method, the common Homotopy Perturbation method is used to solve the nonlinear equation of human tympanic membrane vibration and are compared and validated.

Amphibious hearing in a diving bird, the great cormorant (Phalacrocorax carbo sinensis).

Diving birds can spend several minutes underwater during pursuit-dive foraging. To find and capture prey, such as fish and squid, they probably need several senses in addition to vision. Cormorants, very efficient predators of fish, have unexpectedly low visual acuity underwater. So, underwater hearing may be an important sense, as for other diving animals. We measured auditory thresholds and eardrum vibrations in air and underwater of the great cormorant (Phalacrocorax carbo sinensis). Wild-caught cormorant fledglings were anaesthetized, and their auditory brainstem response (ABR) and eardrum vibrations to clicks and tone bursts were measured, first in an anechoic box in air and then in a large water-filled tank, with their head and ears submerged 10 cm below the surface. Both the ABR waveshape and latency, as well as the ABR threshold, measured in units of sound pressure, were similar in air and water. The best average sound pressure sensitivity was found at 1 kHz, both in air (53 dB re. 20 µPa) and underwater (58 dB re. 20 µPa). When thresholds were compared in units of intensity, however, the sensitivity underwater was higher than in air. Eardrum vibration amplitude in both media reflected the ABR threshold curves. These results suggest that cormorants have in-air hearing abilities comparable to those of similar-sized diving birds, and that their underwater hearing sensitivity is at least as good as their aerial sensitivity. This, together with the morphology of the outer ear (collapsible meatus) and middle ear (thickened eardrum), suggests that cormorants may have anatomical and physiological adaptations for amphibious hearing.

Research on The Design of Children’s Toys and Teaching AIDS Based on Sound Science

Playing teaching aids is an indispensable auxiliary tool for children’s growth and development, and hearing is an important way for children to perceive and understand the world. According to children’s learning and cognitive laws, and in combination with the design concept, educational function and application orientation of play AIDS, a series of play aids products, such as “audio tumbler”, “microphone” and “simulated tympanic membrane vibration”, are designed to deeply reflect how the sound is generated, bringing a new knowledge system for children, making learning more interesting and interactive It can help to fully cultivate children’s interest, promote children’s development and improve their interest in learning.

Sound localization by the internally coupled ears of lizards: From biophysics to biorobotics.

As they are generally small and only hear low frequencies, lizards have few cues for localizing sound. However, their ears show extreme directionality (up to 30 dB direction-dependent difference in eardrum vibrations) created by strong acoustical coupling of the eardrums, with almost perfect internal transmission from the contralateral ear over a broad frequency range. The activity of auditory nerve fibers reflects the eardrum directionality, so all auditory neurons are directional by default. This suggests that the ensuing neural processing of sound direction is simple in lizards. Even the simplest configuration of electrical analog models-two tympanic impedances connected via a central capacitor-produces directional patterns that are qualitatively similar to the experimental data on lizard ears. Several models, both analytical and (very recently) finite-element models, have been published. Robotic implementations using simplified models of the ear and of binaural comparison show that robust phonotaxic behavior can be generated with little additional processing and be performed by simple (and thus small and cheap) units. The authors review lizard directional processing and attempts at modeling and robotics with a twofold aim: to clarify the authors' understanding of central processing of sound localization in lizards, and to lead to technological developments of bioinspired robotics.

Functional assessment of moisture influenced cadaveric tympanic membrane using phase shift-resolved optical Doppler vibrography.

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.

A study of transfer function of human middle ear by bone conduction

Vibration of tympanic membrane induced by sound is transmitted to a cochlea via middle-ear ossicular chain and stimulates an auditory nerve. Hearing sensation produced by sound is described as air conduction. Vibration of a skull induced by vocal sound is also transmitted to a cochlea. Hearing sensation produced by vibration of a skull is described as bone conduction. Therefore, human vocal sound is perceived by means of two pathways, air and bone conduction. In the present study, the roll of the ossicular chain of bone conduction is analyzed numerically by using a technique of multibody dynamics. The numerical model of the ossicular chain is created precisely by using pictures of computerized axial tomography scan. The vibrational responses of the ossicular chain and the force transmitted to a cochlea induced by the stimuli of air and bone conduction ware calculated. The magnitude of the force induced by the bone conduction was about one third of that induced by the air conduction.

Modeling underwater hearing and sound localization in the frog Xenopus laevis.

Animals that are small compared to sound wavelengths face the challenge of localizing a sound source since the main cues to sound direction-interaural time differences (ITD) and interaural level differences (ILD)-both depend on size. Remarkably, the majority of terrestrial vertebrates possess internally coupled ears (ICE) with an air-filled cavity connecting the two eardrums and producing an inherently directional middle-ear system. Underwater, longer wavelengths and faster sound-speed reduce both ITD and ILD cues. Nonetheless, many animals communicate through and localize underwater sound. Here, a typical representative equipped with ICE is studied: the fully aquatic clawed frog Xenopus laevis. It is shown that two factors improve underwater sound-localization quality. First, inflated lungs function as Helmholtz resonator and generate directional amplitude differences between eardrum vibrations in the high-frequency (1.7-2.2 kHz) and low-frequency (0.8-1.2 kHz) range of the male advertisement calls. Though the externally arriving ILDs practically vanish, the perceived internal level differences are appreciable, more than 10 dB. As opposed to, e.g., lizards with thin and flexible eardrums, plate-like eardrums are shown to be Xenopus' second key to successfully handling aquatic surroundings. Based on ICE, both plate-like eardrums and inflated lungs functioning as Helmholtz resonators explain the phonotaxis performance of Xenopus.

In Vivo Vibration Measurement of Middle Ear Structure Using Doppler Optical Coherence Tomography: Preliminary Study.

Objectives Doppler optical coherence tomography (DOCT) is useful for both, the spatially resolved measurement of the tympanic membrane (TM) oscillation and high-resolution imaging. We demonstrated a new technique capable of providing real-time two-dimensional Doppler OCT image of rapidly oscillatory latex mini-drum and in vivo rat TM and ossicles.Methods Using DOCT system, the oscillation of sample was measured at frequency range of 1–4 kHz at an output of 15 W. After the sensitivity of the DOCT system was verified using a latex mini-drum consisting of a 100 μm-thick latex membrane, changes in displacement of the umbo and contacted area between TM and malleus in normal and pathologic conditions.Results The oscillation cycles of the mini-drum for stimulus frequencies were 1.006 kHz for 1 kHz, 2.012 kHz for 2kHz, and 3.912 kHz for 4 kHz, which means that the oscillation cycle of the mini-drum become short in proportional to the frequency of stimuli. The oscillation cycles of umbo area and the junction area in normal TM for frequencies of the stimuli showed similar integer ratio with the data of latex mini-drum for stimuli less than 4 kHz. In the case of middle ear effusion condition, the Doppler signal showed a tendency of attenuation in all frequencies, which was prominent at 1 kHz and 2 kHz.Conclusion The TM vibration under sound stimulation with frequencies from 1 kHz to 4 kHz in normal and pathologic conditions was demonstrated using signal demodulation method in in vivo condition. The OCT technology could be helpful for functional and structural assessment as an optional modality.

Thin film piezoelectric acoustic transducer for fully implantable cochlear implants

This paper reports the development of a single cantilever thin film PLD-PZT transducer prototype. The device was experimentally characterized by attaching it on an acoustically vibrating membrane resembling the behavior of the eardrum. Acceleration characteristic of the sensor attached on the membrane was obtained by using a Laser Doppler Vibrometer (LDV) as the output voltage was measured by an oscilloscope. A voltage output of 114 mV was obtained, when the device was excited at 110 dB Sound Pressure Level (SPL) at 1325 Hz. This is the highest value for a thin film piezoelectric transducer in the literature to our knowledge. Using the results of a finite element analysis for this single-channel prototype, which are within 92% agreement with the experimental results, we performed an optimization study to propose a multi-frequency acoustic sensor to be placed on the eardrum for fully-implantable cochlear implant (FICI) applications. The proposed multi-channel transducer consists of eight cantilever beams. Each of these beams resonates at a specific frequency within the daily acoustic band (250–5000 Hz), senses the eardrum vibration and generates the required voltage output for the stimulation circuitry. The total volume and mass of the transducer are 5 × 5×0.2 mm3 and 12.2 mg, respectively. High sensitivity of the transducer (391.9 mV/Pa @900 Hz) enables transmission of strong signals to be the readout circuit, which can easily be processed. Expected to satisfy all the requirements (volume, mass, and stimulation signal at the hearing band) of FICI applications for the first time in literature, the proposed concept has a groundbreaking nature and it can be referred to as the next generation of FICIs since it revolutionizes the operational principle of conventional CIs.

Remote optical sensing in otolaryngology: middle ear effusion detection

Otitis Media (OM) is related to a group of inflammatory diseases of the middle ear (ME) commonly encountered, worldwide. A method based on a simple device, which can be used by medical staff and non-experts to detect OM is presented. The method is based on detection of tympanic membrane (TM) vibrations. A laser beam is pointed on an infra-sonic stimulated TM with fast camera capturing the back scattered secondary speckle patterns. A camera enables inspection of the frequency and amplitude of the changes in TM characteristics obtained by analysis of the spatial-temporal statistics of the speckle patterns. The results may provide information that express ME effusion.

New Imaging Modalities in Otology.

Despite steady improvements in cross-sectional imaging of the ear, current technologies still have limitations in terms of resolution, diagnosis, functional assessment and safety. In this chapter, state-of-the-art imaging techniques in current clinical practice are presented including cone-beam computerized tomography, non-echo planar imaging magnetic resonance imaging, imaging for labyrinthine hydrops and imaging of the central auditory pathways. Potential future imaging modalities are also presented, including optical coherence tomography (OCT) and high-frequency ultrasound (HFUS) of the ear. These experimental modalities offer new opportunities for the assessment of ear structure and function. For example, middle ear structures can be visualized through the tympanic membrane, basilar membrane vibrations can be assessed through the round window and the passage of cochlear implants can be assessed in decalcified cochlear. Functional assessment of the middle ear using Doppler techniques are also discussed, including measurement of tympanic membrane and middle ear vibration amplitudes, visualization of dynamic changes, such as tensor tympani movements and movement of the tympanic membrane with breathing. These new modalities currently have limitations that preclude mainstream clinical use. For example, OCT is limited by the optical scattering of the thickened tympanic membrane and HFUS needs a coupling medium such as gel or fluid from the transducer to the imaged structure although it can visualize through thicker tissues. Nevertheless, further development of these novel techniques may provide an enhanced ability to assess the ear in conjunction with current technologies.

Mesenchymal stem cell-laden hybrid scaffold for regenerating subacute tympanic membrane perforation

Tympanic membrane (TM) perforation is one of the most common otology complications. To date, there has not been reported TM regeneration using bioprinted scaffold. The purpose of this study was to evaluate the efficacy and feasibility of bioprinted polycaprolactone/collagen/alginate-mesenchymal stem cell (PCAMSC) scaffolds for the regeneration of subacute TM perforation. Sprague-Dawley rats were used in an animal model of subacute TM perforation. In the experimental group (n=7), bioprinted 3D PCAMSC scaffold was placed on the perforation. The control group (n=7) were treated with polycaprolactone/collagen/alginate (PCA) scaffold. Healing time, acoustic-mechanical properties, and morphological analysis were performed by otoendoscopy, auditory brainstem response (ABR), single-point laser doppler vibrometer (LDV), optical coherence tomography (OCT), and light microscopic evaluation. The closure of the TM perforation was achieved in 100% of the experimental group vs. 72% of the control group, and this difference was statistically significant (p<0.05). The ABR threshold at all frequencies of the experimental group was recovered to the normal level compared to the control group. TM vibration velocity in the experimental group recovered similar to the normal control level. The difference are very small and they are not statistically significant below 1kHz (p=0.074). By OCT and light microscopic examination, regenerated TM of the experimental group showed thickened fibrous and mucosal layer. In contrast, the control group showed well regenerated but less thickened than experimental group. From these results, the cell-laden PCAMSC scaffold offers a significant advantage in the TM regeneration in a rat subacute TM perforation model. It may offer attractive opportunities in the conservative clinical treatment.

Internally coupled ears: mathematical structures and mechanisms underlying ICE.

In internally coupled ears (ICE), the displacement of one eardrum creates pressure waves that propagate through air-filled passages in the skull, causing a displacement of the opposing eardrum and vice versa. In this review, a thorough mathematical analysis of the membranes, passages, and propagating pressure waves reveals how internally coupled ears generate unique amplitude and temporal cues for sound localization. The magnitudes of both of these cues are directionally dependent. On the basis of the geometry of the interaural cavity and the elastic properties of the two eardrums confining it at both ends, the present paper reviews the mathematical theory underlying hearing through ICE and derives analytical expressions for eardrum vibrations as well as the pressures inside the internal passages, which ultimately lead to the emergence of highly directional hearing cues. The derived expressions enable one to explicitly see the influence of different parts of the system, e.g., the interaural cavity and the eardrum, on the internal coupling, and the frequency dependence of the coupling. The tympanic fundamental frequency segregates a low-frequency regime with constant time-difference magnification (time dilation factor) from a high-frequency domain with considerable amplitude magnification. By exploiting the physical properties of the coupling, we describe a concrete method to numerically estimate the eardrum's fundamental frequency and damping solely through measurements taken from a live animal.

Motion of tympanic membrane in guinea pig otitis media model measured by scanning laser Doppler vibrometry

Otitis media (OM) is an inflammatory or infectious disease of the middle ear. Acute otitis media (AOM) and otitis media with effusion (OME) are the two major types of OM. However, the tympanic membrane (TM) motion differences induced by AOM and OME have not been quantified in animal models in the literature. In this study, the guinea pig AOM and OME models were created by transbullar injection of Streptococcus pneumoniae type 3 and lipopolysaccharide, respectively. To explore the effects of OM on the entire TM vibration, the measurements of full-field TM motions were performed in the AOM, OME and untreated control ears by using scanning laser Doppler vibrometry (SLDV). The results showed that both AOM and OME generally reduced the displacement peak and produced the traveling-wave-like motions at relatively low frequencies. Compared with the normal ear, OME resulted in a significant change of the TM displacement mainly in the inferior portion of the TM, and AOM significantly affected the surface motion across four quadrants. The SLDV measurements provide more insight into sound-induced TM vibration in diseased ears.